What happens if the IUD moves downward?

The reason why a woman's IUD moves downward may be because it is the first time she wears it. The uterus is more sensitive to the IUD and contracts, causing it to move downward. In severe cases, the IUD may be expelled from the body. It may also be that breastfeeding has just stopped and the uterus has just returned to its original state, and the IUD is relatively small so it may move down.

1. When the IUD is inserted for the first time, the uterus is sensitive to the IUD and contracts, which can easily cause the IUD to move downward, and in severe cases, the IUD may be expelled. This situation may also occur sometimes if the operator is not technically proficient and the ring is not placed in the fundus of the uterus.

2. For those who have the IUD inserted during breastfeeding, after stopping breastfeeding, the uterus returns to its original state, but the IUD is relatively small, which can easily cause the IUD to move downward, fall off, or cause pregnancy.

3. The patient's condition is not suitable for IUD placement, such as a loose cervix, severe cervical erosion, or uterine malformations such as a septate uterus, a bicornuate uterus, or a unicornuate uterus, all of which can easily cause the IUD to move downward.

After the IUD is moved downward, it no longer has any contraceptive effect. Moreover, the downward-moving contraceptive ring compresses the endometrium and causes local tissue necrosis and inflammatory response, leading to excessive menstrual cycles, prolonged menstruation, shortened menstrual cycles, or irregular vaginal bleeding and other adverse reactions, which may cause pregnancy with the ring. The downward movement of the IUD can also affect sexual life. During sexual intercourse, the uterus will contract and the wife will also experience abdominal pain. If the ring is too large, uterine contractions will be painful and even cause vaginal bleeding. Nowadays, painless IUD removal is implemented. There may be a small amount of vaginal bleeding or bloody leucorrhea after IUD removal, which will disappear naturally in one or two days. This is caused by the stimulation of the endometrium and cervix by IUD removal. It is a normal phenomenon. If the bleeding is heavy or lasts for a long time, you should seek medical treatment in time. Removing the ring is generally not painful, but it is recommended that if there is inflammation, active treatment should be sought.