Bleeding again half a month after the IUD was inserted

Bleeding half a month after the IUD is inserted is likely due to the damage to the endometrium caused by the IUD. It may also be due to infection caused by sexual intercourse during the IUD insertion. Therefore, it is recommended that the symptoms of bleeding half a month after the IUD is inserted should be taken seriously. As for the cause of bleeding half a month after IUD insertion, you can understand the following content clearly.

Causes of bleeding after IUD insertion

There are two main aspects to preventing uterine bleeding after IUD insertion. First, those with a history of bleeding tendency or pelvic disorders with coagulation function should not have the IUD inserted. Those with a history of chronic pelvic inflammatory disease may easily experience recurrence of inflammation and lead to excessive bleeding after IUD insertion, which is also a contraindication. Second, medical personnel should carefully select subjects, carefully detect the uterine cavity and choose contraceptive rings, and strictly follow aseptic operations. People with IUDs should go to the hospital for regular checkups to reduce the rate of removal. In normal times, those who wear the IUD should pay attention to proper nutrition. If they find that their menstrual flow is too heavy, they should eat more iron-rich foods. If necessary, they can also take iron-containing blood-enriching medicines. This can reduce the chance of anemia and there is no need to remove the IUD.

Bleeding after IUD insertion may be caused by the mechanical pressure of the IUD, which causes damage to the endometrium and vascular endothelial cells, releasing a large amount of prostaglandins, plasminogen activators, kinins and other substances, which increase vascular permeability and fibrinolytic system activity, leading to menorrhagia. Use hemostatic drugs, prevent infection, and supplement iron. If treatment is ineffective after three months, consider removing or replacing it. If it is still ineffective, it is recommended to use other contraceptive measures.

(1) Take adequate rest and avoid heavy physical labor. Generally, you should rest for 1-2 days after the ring is placed. Do not do heavy physical labor within a week to avoid the ring falling off and bleeding.

(2) Pay attention to hygiene and avoid infection. After the IUD is inserted, the vulva should be washed every day to keep it clean. Do not take a bath in a basin within 2 weeks, and do not have sex within 2 weeks to avoid infection.

(3) Pay attention to bleeding after the IUD is inserted and the ring falls off. If you find that the vaginal bleeding is heavy, more than double the normal menstrual blood volume or the bleeding time is long, and the menstrual cycle changes are obvious, you should go to the hospital for examination. In the first 3 months, you should also pay attention to whether the ring falls off.

If uterine bleeding occurs after the IUD is inserted, is it necessary to remove the IUD? If there is excessive bleeding after the IUD is inserted, you should go to the hospital for examination first to find out the cause of the bleeding and deal with it. If there are no abnormalities in other aspects, you should take medicine or injection treatment under the guidance of a doctor. After 2 to 3 menstrual cycles, the bleeding will generally decrease and the intrauterine device does not need to be removed. If the treatment is ineffective and the bleeding is heavy, it may cause anemia. At this time, the contraceptive ring should be removed and other contraceptive methods should be used instead.