Patient's question:
After inserting the IUD, menstruation has been continuous for two years. During the removal of the IUD, cervical edema was observed. How to obtain good treatment and prevent cervical edemaDoctor's answer:
After insertion of the intrauterine device (IUD), skin irritation may occur, which could be due to mechanical pressure from the IUD causing damage to the endometrium and endothelial cells. This leads to the release of substances such as prostaglandins, plasminogen activator, and kinins, enhancing vascular permeability and fibrinolytic system activity, resulting in excessive menstrual bleeding. Use of hemostatic drugs, prevention of infection, and iron supplements should be administered. For those who do not show improvement after three months of treatment, consider removal or replacement of the IUD. If the condition remains unresolved, alternative contraceptive measures should be considered.