Patient's question:
Doctor, hello! I am a child born in 2002, and I got an IUD (intrauterine device) in 2003. After one year of having the IUD, my menstrual cycle extended from the original 10 days to 13 or 14 days, and occasionally, I would still have a few streaks of blood after the menstruation ended. In November 2005, I visited a doctor who said there were no other issues but that it might be related to the IUD. They prescribed Motherwort Granules to be taken during menstruation. However, after two courses of treatment, my cycle has not returned to normal. What should I do now? Additionally, my menstruation lasts for 10 days. If I have sexual intercourse on the 7th or 10th day of my period, will it affect my cycle?Doctor's answer:
Hello, for the uterus, an IUD (intrauterine device) is a foreign object. The uterus's rejection function causes the uterine muscles to continuously contract, attempting to expel the IUD. At this time, symptoms such as lower back pain, abdominal pain, increased vaginal discharge, and heavier menstrual flow may occur. After insertion, some women may experience increased menstrual flow, while others may have prolonged periods with intermittent bleeding, or bloody vaginal discharge with a large volume. Research suggests that this is caused by the IUD stimulating the endometrium, leading to chemical changes in the tissue and local coagulation disorders. The treatment for bleeding involves clinical use of medication to reduce blood loss, and sometimes anti-inflammatory treatment may be required.