The IUD, also known as the contraceptive ring, refers to a contraceptive device placed inside the female uterus. Because such devices used in the early days were all ring-shaped, they were called contraceptive rings. Contraceptive rings have the advantages of safety, effectiveness, reversibility, simplicity, and economy. The contraceptive efficiency rate is around 90%, but are there any harms of contraceptive rings? Are there any side effects? The basic principle of contraceptive ring Nowadays, hospitals prefer special IUDs when they prescribe IUDs, which contain estrogen or copper. Iodide ions can change the biochemical characteristics of cervical mucus, affect the specificity and capacitation of male sperm, aggravate aseptic inflammation of the uterine wall, affect the activity of enzymes essential for embryo implantation, reduce the implantation rate of sperm-egg embryos, and achieve the actual effect of contraceptive measures. The long-term stimulation of the contraceptive ring can make the woman's uterus secrete prostate hormone, which can enhance the effect of estrogen, promote uterine contractions and increase the peristalsis of the fallopian tubes, and increase the chance of pregnancy. Side effects of wearing an IUD Bleeding After the IUD is inserted, the uterus may contract due to the stimulation of the IUD or normal uterine contractions, which may cause friction and injury of the intrauterine mucosa and cause slight bleeding. In addition, the IUD can increase the activity of free fatty acid degrading enzymes, which is currently the main reason for bleeding after IUD insertion. A small amount of irregular vaginal bleeding does not require treatment. If the amount of bleeding increases, medication can be given to promote blood circulation. In severe cases, the ring can be removed. Infect Some women who have mild infection in the vagina or uterine cavity will have the infection aggravated after the insertion of the contraceptive ring. There are also a few who will develop sexual infection due to sterilization or lax operation. If infection occurs after the IUD is inserted, the IUD should be removed immediately and then appropriate anti-infection measures should be taken. IUD incarceration Some growth devices can be placed within the uterine muscle wall. If the insertion is shallow, it can still be pulled out with the IUD hook; if the insertion is deep, the cervix must be dilated to size 6-7 first, then the ring must be brought to the cervical opening, and two hemostatic forceps must be used to straighten and cut the ring wire before pulling it out. The operation should be slow and gentle. If necessary, the hook can be removed under the guidance of B-ultrasound to reduce the one-sidedness of the actual operation. If the ring is inserted very deeply, or even protrudes from the uterine wall into the pelvis, it should be removed by laparotomy or laparoscopy. Pregnancy with IUD Improper selection or insertion of an IUD may also lead to pregnancy while the IUD is in place. The contraceptive effectiveness rate of an IUD is only 90%, so there is still a certain probability of pregnancy while the IUD is in place. If a woman becomes pregnant while wearing an IUD, she should terminate the pregnancy immediately and replace it with a new one. Abnormal vaginal discharge There are many kinds of contraceptive rings. If you use a contraceptive ring with a tail thread, after the ring is inserted, the uterus may be rejected or the tail thread may cause discomfort in the cervix, which may cause an increase in cervical secretions and abnormal leucorrhea. This condition is mainly caused by the body's rejection, which usually stops after a period of time and does not require treatment. Common problems after IUD insertion 1. You should rest within 1 to 2 days after the placement of the contraceptive ring. You should not do heavy work within a week to prevent bleeding or the contraceptive ring falling off. 2. Pay attention to hygiene. After the placement of the contraceptive ring, you need to clean the vulva every day to keep it clean. You cannot take a sitz bath or have sexual intercourse within 2 weeks. 3. Regular maintenance is needed within one year after the placement of the ring, especially after the first menstruation after placement, the second in March to June, and the third after December. After that, have a follow-up visit every year. 4. Pay attention to nutritional supplements. After the placement of the contraceptive ring, you need to eat a reasonable diet and increase your nutrition appropriately, especially eat some foods rich in copper and protein to enhance the body's resistance and avoid side effects after wearing the ring. |
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