Irregular menstruation, what is the reason?

Patient's question:

After giving birth to my second child, to prevent another pregnancy, I went to the hospital to have an IUD placed. Afterwards, I had some slight abdominal pain and a feeling of discomfort in my lower back. The symptoms disappeared within a few days, but my period still hasn't come for many days. I think it's like irregular menstruation. What could be the reason for this?

Doctor's answer:

After the intrauterine device (IUD) is placed, menstrual irregularities may reappear. This is primarily due to the IUD's impact on the control of endometrial tissue, leading to poor blood circulation in the endometrium and causing recurrent menstrual irregularities. This situation generally occurs within 1 to 3 months after the IUD insertion. Many medications can be used to regulate menstruation, which helps stabilize the condition. If the symptoms do not improve, it may be considered to remove the IUD and adopt alternative breastfeeding methods.

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