What is the reason for increased menstrual flow after releasing the ring?

Patient's question:

I have had a heavier menstrual flow since I removed the IUD. Every time it's a lot. What could be the reason?

Doctor's answer:

Hello, menstruation is the periodic vaginal bleeding or uterine bleeding that occurs in a woman throughout her reproductive life. Every month or so, the endometrium undergoes a cyclical change of being supported by thickening, vascular proliferation, glandular growth and secretion, as well as the collapse and shedding of the endometrium accompanied by bleeding. This physiological cycle is called the menstrual cycle. The menstrual cycle of women begins on the first day of menstruation and ends the next time menstruation occurs. It varies from 21 to 36 days, with an average of about 28 days. The duration of menstruation is generally 3-7 days, with an average of 5 days.

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