The disadvantages of getting an IUD
Release time : 06/21/2025 09:30:01
With the relaxation of the two-child policy, many people in their reproductive years have opted to have a second child.
I went to the gynecologist for a physical exam because I was feeling unwell, and while there, I noticed that many women were asking the doctor to remove their intrauterine devices. They claimed they wanted to have a second child.
Women are compelled to undergo a series of examinations, endure the agony of cervical ring removal, and it is also known that there are drawbacks associated with cervical ring removal.
Then what are the disadvantages of taking out the ring? What are the disadvantages of ring ring? In addition to increasing the possibility of women being infected with bacteria, women may also experience adverse reactions of varying degrees after ring ring. What are the disadvantages of ring ring? Let's take a look at the next one.
1. Women with bleeding and menstrual abnormalities have a small amount of bleeding in the short term after placing the ring. The reason is that the endometrium was scraped when placing the contraceptive ring. The bleeding usually lasts for several days, and the blood volume does not exceed the menstrual volume and does not require treatment.
If the intrauterine device is placed in the second half of the menstrual cycle, because the endometrium is in the secretory period, the endometrium is thickened, the blood vessels are rich, and there may be more bleeding.
In addition, the contraceptive ring increases the activity of fibrinolytic enzymes, leading to the dissolution of fibrin and the destruction of blood coagulation function, resulting in increased bleeding volume.
After some women are placed on the ring, their body's prostanoids will also increase, which will not only lead to platelet aggregation dysfunction, but also increase the frequency of uterine contractions, causing increased bleeding and dysmenorrhea.
If you have diseases such as bleeding tendency, coagulation dysfunction, chronic endometritis, or excessive menstruation, forcing the ring can also lead to excessive menstruation.
Deformation, distortion, and abnormal position of the contraceptive ring, becoming embedded in the uterine wall, can also cause increased bleeding or dysmenorrhea.
Pressure on the contraceptive ring by the endometrium may be uncomfortable, causing local congestion, edema, and even necrosis, forming ulcers and bleeding at the compressed site.
Generally, it can heal itself over time or be treated.
2. Endometrial fibrosis, intrauterine device is essentially a foreign body in the human body.
It is common knowledge in medicine that foreign bodies in the human body can cause mechanical damage, chronic inflammation and fibrotic lesions to local tissues.
After 10 to 12 years of ring ring, fibrotic lesions will occur in the endometrium.
3. The mechanism of uterine perforation caused by uterine perforation is not clear. It is generally believed that it may be caused by inappropriate uterine size or improper operation by doctors.
In addition, when women engage in strenuous exercise, the contraceptive ring may also cause damage to the uterus due to inertia.
Abnormal uterine contractions, possibly due to the compression of the intrauterine device, may also cause uterine perforation.
4. If the fetus implants in the fallopian tube without reaching the uterus, it is an ectopic pregnancy.
The contraceptive principle of the intrauterine device is to alter the environment in the uterus, causing miscarriage. It only acts locally within the uterus and thus can only prevent normal pregnancy within the uterus but not ectopic pregnancy.
5. Symptoms of lower limb or back pain, especially after the insertion of an IUD, may occur within 10 days post-insertion in women. These symptoms usually gradually subside within about a month.
This is because the contraceptive ring placed in the uterus acts as an "intruder" to the uterus, especially when it is too large or located at a low position. The uterus contracts to expel this "intruder," which leads to dysmenorrhea characterized by lower abdominal and back pain.
Inserting an intrauterine device (IUD) can lead to women experiencing lower back pain. 6. Contraceptive implantation, also known as IUD-associated pregnancy.
Due to the lower success rate of intrauterine contraception (IUCD) compared to oral contraceptives and sterilization, women should take precautions after getting an IUCD to prevent pregnancy.
7. If the uterine mucosa is very fragile, it can easily get infected with bacteria and viruses during insertion of the IUD or after insertion, which may cause uterine infection and lead to excessive bleeding, prolonged menstrual periods, and dysmenorrhea.
After placing or removing an IUD, if a woman experiences gradually worsening lower abdominal pain and fever within 2 to 3 days, the possibility of infection should be considered. It is advisable to seek medical attention promptly.
8. Vaginal discharge is increased due to changes in the vaginal fluid and cervical mucus, which may increase the secretion of vaginal discharge.
After ruling out the possibility of infection, it will generally reduce itself without treatment.
9. Influence on marital life: If the contraceptive ring is equipped with a tail, if the tail is too hard or of an inappropriate length, it can cause pain during sexual intercourse for the male and even injuring him when he penetrates.
A doctor may cut the tail to only remain within the cervix.
During the procedure, a minority of patients may experience a complex reaction involving both the heart and brain. This can occur due to intense mental stress or local stimulation during surgery (such as when dilating the cervix). Symptoms typically include pallor, dizziness, chest discomfort, nausea, vomiting, even sweating, decreased blood pressure, accompanied by bradycardia and cardiac arrhythmias, among other manifestations of increased parasympathetic nerve activity. In severe cases, syncope or convulsions may occur.
11. In a minority of cases, damage to other organs may lead to the intraperitoneal penetration of the intrauterine device (IUD), resulting in its displacement into the peritoneal cavity, potentially located within the bladder, pelvis, or omentum.
The principle of the contraceptive method with the ring is that it can prevent conception. However, there are certain side effects to this method. Let's start by discussing the reason for these side effects.
The normal procedure of human pregnancy is that the female ovary releases an egg, the sperm fertilizes it at the fallopian tube ampulla, and then the embryo develops into a blastocyst inside the fallopian tube, which then travels to the uterus to implant and grow.
To artificially prevent conception, one must block any one of the steps. A ring blocks the "implantation" step in the womb.
The intrauterine device (IUD) is placed in the uterus of women during their reproductive years. When an embryo intends to implant itself within the uterus, the IUD will continuously move and scrape against the uterine wall, causing a sterile inflammation in the uterus. This condition prevents the embryo from properly implanting and becoming pregnant within the uterus, thereby achieving contraception.
The diagram of the procedure for using a ring: From the principle behind the use of a ring as contraception, it is evident that it essentially involves the insertion of a long-term gentle abortion into the female uterine cavity. This process or the insertion itself increases the likelihood of bacterial infection in the female uterus, thereby increasing the chances of women developing gynecological diseases.
What should be noted before and after the insertion of an intrauterine device? Although an intrauterine device is a minor surgery, it is still important to minimize any side effects. Moms should be well-informed about the precautions necessary for this procedure.
What should be noted when using the intrauterine device (IUD)? 1. Women should choose an appropriate size of the IUD to reduce the occurrence of side effects.
2. If there are conditions such as genital inflammation, sexually transmitted diseases, illnesses, or unknown causes of vaginal bleeding before the placement of an intrauterine device (IUD), it is not advisable to perform the procedure. This is a very important point in the pre-procedure instructions for IUD placement.
3. Inserting an intrauterine device (IUD) within 3 to 7 days after menstruation has ceased is considered the standard and optimal timing for its placement. It can be used as an emergency contraception or a regular method of contraception within 120 hours following unprotected intercourse.
4. All types of rings have a certain service life; T copper rings are 8-10 years, mother body is 5 years, copper crown rings are more than 10 years.
When the ring you're wearing has reached its expiration date, you should consult with a doctor to have it replaced or switch to another contraceptive method.
The service life of different rings varies, and it is also possible to place a ring after three months postpartum.
However, it should be noted that postpartum women, even without menstruation, may still be pregnant, which is commonly referred to as "hidden pregnancy." Therefore, postpartum women who have not yet menstruated should first seek a medical examination to confirm the absence of pregnancy before inserting an IUD.
Following the birth of a child, it is advisable to rest adequately. The first three days may present with slight vaginal bleeding and an increased amount of discharge.
However, it can dissipate on its own and does not require treatment.
6. After the female undergoes an uterine thread insertion, she should rest for three days and avoid strenuous physical work in the first week to prevent the thread from falling off. She should also refrain from sexual intercourse within two weeks.
7. Pay attention to personal hygiene, and abstain from tub baths for three weeks; showering is acceptable.
8. Within half a year, pay attention to whether the ring is loosened; you can visit a hospital for an ultrasound examination.
Six months later, if the menstrual cycle is still irregular, it is necessary to seek a gynecological examination.
9. Regular check-ups are recommended, with the first examination occurring after the first menstrual period following the insertion of the intrauterine device (IUD), followed by a second check-up within 3 to 6 months post-insertion, and then a third check-up at full 12 months post-insertion. Subsequent annual checks will be conducted thereafter.
What should be done if there are adverse reactions to the IUD? After a woman has been fitted with an IUD, if she experiences any adverse reactions, depending on the circumstances, it may be necessary to visit a hospital for further examination.
1. Upon placement, there may be a slight amount of vaginal bleeding and lower abdominal discomfort, which usually resolves on its own.
The main complication of placing an intrauterine contraceptive device is bleeding.
The main symptoms are excessive menstrual bleeding, prolonged menstruation period, irregular bleeding during the menstrual cycle.
Generally speaking, after the insertion of a ring, there will be some bleeding, but it will not exceed one week.
If bleeding lasts more than one week, or if the amount of blood is as much as that of a menstrual period, it is considered an abnormal response.
Should there be excessive bleeding, abdominal pain, or fever, seek medical attention at a medical facility.
2. Dynorrhea is observed in cases where the vaginal discharge increases and the intrauterine device may cause endometrial sterile inflammation and foreign body reaction, thus leading to increased secretions, especially pronounced when the device has a tail.
In cases where necessary, anti-inflammatory medication may be administered.
3. The excessively stiff or improperly long tail can cause pain during intercourse for the man and may even injure him when he is penetrated.
The tail can be trimmed to only remain within the cervical canal.
4. Abdominal pain and lower back soreness are caused by the contraction of the uterus after placement of the contraceptive device, sometimes due to an oversized device or its positioning below the uterus.
For mild cases, treatment is not required and the condition will gradually adapt.
For severe cases, try indomethacin or other anti-inflammatory drugs for symptomatic treatment.
If symptoms persist, replace them with an appropriate type of birth control device.
Upon confirmation by ultrasound that the contraceptive device has migrated, it can also be corrected.
During the surgery, a combination of cardiac and cerebral reactions was observed. In such cases, intravenous administration of Atropine at a dose of 0.5 mg can generally alleviate the condition within 5 minutes. However, if there is no improvement after an observation period of about an hour, it is advisable to remove the contraceptive device.
If any of the following symptoms occur, seek immediate medical attention: severe abdominal pain, fever, pelvic pain, or an increase in vaginal discharge.
There is a possibility of the menstrual cycle not shifting or there may be pregnancy.
Irregular uterine bleeding.
During sexual life, pain.
Excessive bleeding, irregular bleeding, or continuous bleeding, etc.
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If you feel unwell, it is recommended to seek medical attention immediately, and the medical diagnosis and treatment will be subject to offline diagnosis.