When to remove the IUD? Remove the IUD according to the situation

Many women delay removing the IUD placed in their uterus. If a woman has become accustomed to the IUD, does not have any gynecological inflammation, and it does not affect menstruation, it does not need to be removed. If it needs to be removed, the right time must be chosen. It is best to remove it within one week after menstruation.

1. Take-out time:

(1) The best time to do this is 3 to 7 days after the menstrual period ends, as the endometrium is thin and easy to remove, and bleeding is not much.

(2) In case of menstrual disorders or persistent uterine bleeding, the specimen can be collected at any time or before menstruation, and a diagnostic curettage can be performed, with the scrapings sent for pathological examination.

(3) If an artificial abortion is required during pregnancy with an IUD, the IUD should be removed at the same time. Depending on the location of the IUD, you can decide to remove the device first and then suction the uterus or suction the uterus first and then remove the device.

(4) For those who need to have their device removed due to sterilization, the device must be removed first and then sterilization should be performed.

(5) The device should be removed six months after menopause to avoid prolonged menopause and uterine atrophy that makes operation difficult. For patients who have been in menopause for a long time, 2 mg of nialstradiol can be taken one week before surgery.

Although the IUD removal is a minor operation, it is not a direct vision operation and depends entirely on the surgeon's feel. In addition, some patients have difficulty removing the IUD because it has been in place for a long time. Therefore, before the operation, you should first understand the type of IUD and confirm that the IUD is in the uterine cavity, such as the tail thread can be seen at the cervical opening, or confirmed by X-ray or B-ultrasound. IUDs with tail threads can be removed in the outpatient clinic, while IUDs without tail threads must be removed in the operating room. It can be removed with a ring hook or a long curved forceps according to the different types of IUDs. If the IUD is buried in the endometrium or partially incarcerated, it should not be removed hard. If necessary, it can be hooked under B-ultrasound monitoring; if the ring is broken, the ring thread can be clamped with a long curved vascular forceps and slowly pulled out. Do not find someone who is not a doctor to illegally remove the ring, otherwise it will cause serious consequences such as organ damage and infection.

2. Precautions after IUD insertion

1 In the first few days after the placement of the IUD, you may experience symptoms such as lower abdominal discomfort and back pain. At the same time, the cervix is ​​loose and the IUD is easy to fall off, so you need to rest for two days after the operation and should not do heavy physical labor within a week to prevent the IUD from falling off.

2. After the IUD is placed, pay attention to cleaning the mucus in the cervical canal to prevent bacteria from entering the uterine cavity. The mucus there is wiped off when the IUD is placed, and the endometrium may be slightly damaged due to the surgical operation. Therefore, the local resistance is reduced in the short term. If you do not pay attention to hygiene, it is easy to cause infection. Therefore, after the IUD is placed, the vulva should be kept clean, and bathing and sexual intercourse are prohibited within two weeks to avoid infection.

3. Pay attention to bleeding after the IUD is inserted. During the process of inserting the IUD, the cervix or endometrium may be scratched, causing a small amount of vaginal bleeding, which usually lasts for 3 to 7 days. This is a normal phenomenon. If the amount of bleeding is heavy, or the bleeding time exceeds one week, you need to go to the hospital to check the cause of the bleeding so that it can be treated in time.