Patient's question:
Medical Description: I have had an IUD for 8 years. A few days ago, I felt a lower abdominal heaviness. A hospital ultrasound indicated that the IUD had shifted. What could be the reason for this?Past Treatment and Effect: The doctor suggested removing the IUD and replacing it, but I haven't had it removed yet.
Desired Help: Should I remove the IUD immediately? The doctor said this type of IUD doesn't need to be removed.
Doctor's answer:
1. Perforation of the uterus during insertion, leading to the IUD being directly placed into the abdominal cavity.2. Long-term pressure from a specific tip of the IUD on the uterine wall, resulting in secondary uterine perforation and expulsion from the uterine cavity or insertion into nearby organs.
3. During the first IUD insertion, the uterus may become sensitive to the IUD and experience abnormal contractions, which can expel the device.
4. Inexperienced operator, failure to place the IUD at the fundus of the uterus.
5. The recipient's own conditions may be unsuitable for IUD insertion, such as an overly loose cervix, severe cervical erosion, or uterine malformation, all of which increase the risk of IUD expulsion or pregnancy with an IUD in place.
6. Related to factors such as the material, weight, shape, size, and texture of the IUD.
7. IUD insertion during lactation. After stopping breastfeeding, the uterus returns to its original size, making the IUD relatively smaller and more prone to expulsion or pregnancy with an IUD in place.
Why does the IUD shift?