Patient's question:
I have irregular periods all year round, but the amount of blood flow is very heavy every time I have my period. Can I get an IUD in this condition?Doctor's answer:
People with excessive menstrual flow are generally not recommended to use an IUD because the contraceptive device can increase the activity of fibrinolytic enzymes. Elevated enzyme activity can lead to fibrinolysis, disrupting blood coagulation function and thereby increasing blood loss. The heavier bleeding observed in the first three months and six months after insertion is likely related to the IUD, as it is caused by irritation from the device. If bleeding remains heavy beyond this period, it should be considered whether there is an infection related to gynecological inflammation.