Is it okay to not remove the IUD after menopause?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? Can I remove the IUD without menopause?

Doctor's answer:

The patient is very happy to have resolved your questions. If you have already entered menopause, then the function of the ovaries will increase, and the level of estrogen will rise again, leading to the issue of uterine atrophy. If there is an intrauterine device (IUD) in the uterine cavity, it is crucial to remove it promptly upon entering menopause. Otherwise, as the uterus atrophies, the IUD may penetrate the uterine wall and enter the pelvic cavity, causing severe bleeding or pelvic inflammatory disease, which may lead to unnecessary risks.

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