Why does bleeding occur during intercourse one month after having an IUD inserted?

After the IUD insertion surgery, women must go home and rest more, preferably for a week. They must not overwork during these days. They must also pay attention to personal hygiene and take relevant measures to prevent infection. It is best not to have sex within a week. If abdominal pain or heavy vaginal bleeding occurs after the IUD insertion, go back to the hospital for examination in time. Some women are still bleeding after having sex one month after the IUD insertion. This is an abnormal phenomenon and the following problems may have occurred.

Why does bleeding occur during intercourse one month after having an IUD inserted?

1. Having sex too early.

There will be a small amount of bleeding within a week after the IUD is inserted, and sexual intercourse and bathing are prohibited within two weeks. After the IUD is inserted, the contact between the ring and the uterine wall causes uterine contraction, which leads to local damage to the endometrium and a small amount of irregular bleeding. Therefore, couples are prohibited from having sexual intercourse within two weeks after the IUD is inserted to avoid the ring from falling off, becoming dislocated, or causing infection. You should rest for 15 days after the IUD is placed before having sex again, because the contraceptive ring needs an adaptation period after entering the uterine cavity. The uterus is relatively fragile at this time. Having sex too early will cause infection. Most people feel a little uncomfortable after the IUD is placed, which is manifested in small amounts of bleeding, menstrual disorders, back pain, lower abdominal distension and pain, etc. But most of them will be fine after 1-3 months. It is recommended to go to the hospital to check the position of the ring and other conditions.

2. Caused by environmental incompatibility.

If the IUD compresses the endometrium and causes ulcers and infection, in addition to bleeding, it may also be accompanied by lower abdominal distension and pain. If the symptoms cannot be relieved through treatment and last for more than one month, it means that the IUD cannot adapt to the condition and needs to be removed and other contraceptive measures should be used instead.

3. Caused by pathology.

Bleeding that is not caused by premature intercourse may be caused by certain diseases. For example, cervical erosion, cervical polyps, cervical cancer, etc. may all cause bleeding; in addition, cervical canal and endometrial lesions may also cause bleeding. It is recommended to first clarify the cause of bleeding through a routine gynecological examination so that timely conditioning and treatment can be provided.

What should I do if I bleed during intercourse after having an IUD inserted?

A small amount of bleeding during intercourse within a short period of time after the IUD is inserted is due to the abrasion of the endometrium when the IUD is placed. The bleeding usually lasts for a few days and the amount of blood does not exceed the menstrual volume, so no treatment is required. Women who use IUDs for contraception sometimes experience bleeding during intercourse. This is because the IUD is a foreign body in the uterine cavity. Its mechanical pressure can cause local damage, necrosis, and ulcers of the endometrium, and there is a possibility of bleeding. In this case, the stimulation of sexual intercourse will inevitably cause bleeding. However, generally after a period of time, the bleeding will ease or disappear after the body adapts to the contraceptive ring.