Can I remove the IUD if I have inflammation of the cervix?

Women who have had an IUD inserted must remember the doctor's instructions and go to the hospital regularly to remove it. There are many things women should pay attention to when removing the IUD, such as they must rest more after removing it, preferably for two or three days, and they should not have sex within a short period of time, and they cannot take a bath in a tub, etc. In addition, necessary examinations must be carried out before removing the IUD. So can women with cervicitis have their IUD removed normally?

Can I remove the IUD if I have inflammation of the cervix?

Do not remove the IUD if the cervix is ​​inflamed to avoid bacterial infection. At the same time, active treatment is required. When the cervix is ​​damaged, it may cause symptoms such as bleeding and pain. So for your own health, do not have sex.

Treatment of cervicitis:

1. Acute cervicitis

The main treatment is antibiotics.

(1) Empirical antibiotic treatment For patients with the following high-risk factors for sexually transmitted diseases (such as age under 25 years, multiple or new sexual partners, and unprotected sexual intercourse), empirical antibiotic treatment against Chlamydia is used before the results of pathogen testing are obtained.

(2) Antibiotic treatment targeting pathogens For those who have acquired pathogens, choose antibiotics targeting the pathogens. Since Neisseria gonorrhoeae infection is often accompanied by chlamydial infection, if it is gonococcal cervicitis, in addition to using anti-Neisseria gonorrhoeae drugs, anti-chlamydial infection drugs should also be used during treatment.

(3) Treatment of sexual partners: If the pathogens of cervicitis patients are Chlamydia trachomatis and Neisseria gonorrhoeae, their sexual partners should be examined and treated accordingly.

Different lesions are treated with different treatments. For patients who present with erosive changes, if it is asymptomatic physiological columnar epithelial ectopia, no treatment is required. For erosive changes accompanied by increased secretions, papillary hyperplasia or contact bleeding, local physical therapy can be given, including laser, freezing, microwave and other methods. Traditional Chinese medicine treatment can also be given or used as an auxiliary treatment before or after physical therapy. However, cervical intraepithelial neoplasia and cervical cancer must be excluded by screening before treatment.

2. Chronic cervicitis

(1) Chronic endocervical mucositis For persistent endocervical mucosal inflammation, it is necessary to understand whether there is reinfection with Chlamydia trachomatis and Neisseria gonorrhoeae, whether the sexual partner has been treated, and whether vaginal microbiome imbalance persists. Treatment is directed at the cause. For those whose pathogens are unclear and there is no effective treatment, physical therapy can be tried.

(2) For cervical polyps, polypectomy is performed and the removed polyps are sent for pathological histological examination.

(3) Cervical hypertrophy generally does not require treatment.