What are the inspections for IUD insertion?

Many female friends think that IUD insertion is a simple minor operation and they can just go to the hospital and have it done after they have prepared themselves mentally. Actually, it’s not. Many women need to go to the hospital to have an IUD inserted during the best period of time. And before the IUD is inserted, some relevant examinations are required. Because not all female friends are suitable for IUD. So, what kind of inspections should be done when having an IUD inserted?

What tests should be done before having an IUD inserted?

The IUD is placed in the uterine cavity of women of childbearing age to achieve the purpose of contraception through mechanical stimulation and interference of chemical substances, avoiding the adverse reactions of general contraceptive drugs. The rings currently used in clinical practice are made of different materials, in different shapes, and each has its own characteristics, making them suitable for women with different physiques and needs. However, women still need to undergo some examinations before having an IUD inserted to determine whether they are suitable for contraception. To ensure the safety of the operation, an examination before IUD insertion is inevitable. So, what tests should be done before getting an IUD?

Before having an IUD inserted, women should undergo a gynecological examination to determine whether they are suitable for it. For example, women with genital malformations or tumors, dysmenorrhea or heavy menstrual flow, pelvic inflammatory disease, gonorrhea, or those with severe anemia, heart disease, or a history of ectopic pregnancy are not suitable for IUD insertion. Therefore, it is necessary for women to undergo gynecological examination, routine leucorrhea examination, B-ultrasound and other examinations before having an IUD inserted.

The examination items include gynecological examination and routine blood test. The person who has the ring removed needs to undergo peritoneal dialysis to check the position of the ring. This is because inserting an IUD when there is inflammation will aggravate the pelvic inflammation, causing the original inflammation to worsen, resulting in abdominal pain, fever, and increased white blood cell count. Moreover, the IUD is an exogenous substance, and the body will have a certain degree of rejection. If the IUD is inserted without curing the disease, it is easy to cause infection. Therefore, before having an IUD inserted, a pelvic examination should be done to rule out reproductive tract infection before the IUD can be inserted.

Does it hurt to have an IUD inserted?

IUD insertion is a long-term contraceptive measure. Many women who are preparing to have an IUD inserted want to know: does it hurt? Does it hurt to wear an IUD? Generally speaking, IUD insertion does not cause any pain. Most people now use painless IUD insertion, so there is no pain during the whole process.

IUD placement depends on the individual and is not suitable for everyone. After the IUD is inserted, due to the mechanical pressure of the contraceptive device, some people will experience side effects such as bleeding, pain, secondary infection, and reproductive tract damage, among which uterine bleeding is the most common. Some women may also experience increased menstruation, prolonged menstrual periods, or bloody vaginal discharge. Studies have shown that this is due to the IUD stimulating the endometrium, causing tissue chemical changes and producing local coagulation disorders.

Common hazards of having an IUD inserted include pain in one lower limb or lower back. In addition, the IUD can only prevent normal pregnancy in the uterine cavity, but cannot prevent abnormal pregnancy outside the uterus (i.e. ectopic pregnancy). Therefore, a small number of women with IUD may experience ectopic pregnancy.

If severe discomfort symptoms occur after IUD insertion, such as heavy bleeding, gynecological inflammation, etc., the IUD may need to be temporarily removed and replaced at an appropriate time, or the IUD may need to be abandoned and other contraceptive methods adopted. It is normal to experience a small amount of vaginal bleeding, back pain, and lower abdominal pain after the IUD is inserted. Mild cases do not require treatment and will heal on their own in about a week.