What should I do if my period doesn't come when I wear an IUD?

We all know that IUD is a long-term and effective contraceptive measure. This contraceptive measure does not need to be taken frequently like birth control pills. It only needs to insert the IUD into the uterus to achieve the contraceptive effect. Some people will experience irregular menstruation because of the IUD. This may be related to a person's physical fitness or the method of wearing the IUD.

So what should I do if my period doesn’t come when I’m wearing an IUD?

For women who have given birth, the most desired method is to find a long-term and effective contraceptive method, and the IUD is the most ideal choice. However, many women experience increased menstrual flow after the IUD is inserted, which has a significant impact on the work and life of these women. Therefore, timely treatment is required. Of course, before treatment, you must first understand the cause. So why does the menstrual flow become heavy after wearing an IUD? Which women should not wear an IUD? Next I will introduce them one by one for your reference.

What happens if my menstrual flow is heavy after having an IUD?

Heavy menstrual flow is a common condition for many women after having an IUD inserted, which can seriously affect women's life and work. Why does heavy menstrual flow occur after having an IUD inserted? The following is a detailed introduction:

Heavy menstrual flow in the early stages of wearing the ring

Doctors believe that normal menstrual bleeding should be 20 to 60 ml, and more than 80 ml is considered menorrhagia. Based on the rough estimate of sanitary napkin usage, the normal usage is to change it four or five times a day on average, with no more than two packs (10 pieces per pack) per cycle. If 3 packs of sanitary napkins are not enough and almost every sanitary napkin is soaked, it means that the menstrual flow is too heavy.

About half a year after the IUD is inserted, especially in the first three months, women are prone to adverse reactions such as heavy menstrual flow, prolonged menstrual period or mid-menstrual spotting. Some women may also experience a feeling of heaviness in the waist and abdomen. After the IUD is inserted, women may experience a small amount of vaginal bleeding, or a shortened menstrual cycle, heavier menstrual flow, or longer menstrual period. This is because the endometrium is compressed by the IUD and the cells undergo inflammatory infiltration. Over time, the symptoms will disappear as the uterus adapts.

Causes of excessive menstruation after wearing an IUD

First, the mechanical compression of the ring causes damage to the endometrium and vascular endothelial cells, releasing a large amount of prostaglandins, plasminogen factors, kinins and other substances, which increase vascular permeability and fibrinolytic system activity, leading to excessive menstruation.

Secondly, because the endometrium is compressed by the contraceptive ring, it will cause local congestion, edema, and even necrosis, forming ulcers and bleeding in the compressed area. This situation is related to the inadaptability of a few people. Generally, it can heal itself after a period of time, or it can recover quickly through treatment.

In addition, if you have a pelvic infection, it may cause excessive menstruation after having an IUD inserted. This is due to the long-term stimulation of inflammation, which affects the exfoliation, regeneration and repair of the endometrium, as well as the contraction of uterine blood vessels, leading to irregular menstrual cycles, excessive menstrual flow or irregular vaginal bleeding.

Warm reminder: Those who bleed too much can use hemostatic drugs as prescribed by the doctor, prevent infection, and supplement iron. If the treatment is not effective, consider removal or replacement. If it is still ineffective after replacement, it is recommended to use other contraceptive measures.