Four months without a menstrual period, can the IUD be removed?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. I haven't had my period for four months. Can I have the intrauterine device removed?

Doctor's answer:

In your case, it may be due to empty cold menorrhea or delayed menstruation caused by blood deficiency and insufficient nourishment. The deficiency of Qi and blood in the Chong and Ren channels leads to emptiness of the blood sea after menstruation. Combined with Qi deficiency and blood stagnation, there is a lack of power to circulate, which triggers menorrhea. The prescription uses Angelica sinensis, white peony root, and prepared rehmannia to nourish blood and regulate menstruation; safflower, Ligusticum chuanxiong, Curcuma zedoaria, and Cyperus rotundus to activate blood. It is recommended to use modified Weng Jing Decoction for treatment. The occurrence of menstrual disorders not only affects the patient's health but also leads to gynecological diseases. Therefore, it is best to have a vaginal examination in the gynecology department of the hospital to identify the cause and then receive symptomatic treatment. Pay attention to personal hygiene and keep the perineal skin clean.

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