How to treat menstrual disorders caused by the intrauterine device (IUD)

Patient's question:

Doctor, hello! I am a child born in 2002, and I got an IUD (intrauterine device) in 2003. One year after getting the IUD, my menstrual cycle, which used to be very regular at ten days, extended to thirteen or fourteen days. Additionally, occasionally, I would have a few streaks of blood after my period 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 my period, but after two courses, my cycle has not returned to normal. What should I do now? Also, my period lasts for ten days. If I have intercourse on the seventh or tenth day of my period, will it affect my menstrual cycle?

Doctor's answer:

Hello: Based on the situation you described, your condition is mostly attributed to the presence of an intrauterine device (IUD). Additionally, the sexual activity during your menstrual period also plays a certain role. During menstruation, women experience a decrease in the excitability of the cerebral cortex and a weakened immune response, making them more susceptible to infections. At the same time, the cervix is slightly open, the endometrium is shed, and the acidic secretions of the vagina are diluted by menstrual blood, reducing their ability to inhibit bacteria. If bacteria invade, it can easily lead to menstrual disorders and inflammation of the reproductive organs, which may even affect future fertility.
If sexual intercourse occurs during menstruation, the penis itself may carry bacteria, which can be introduced into the vagina during penetration. This can also damage the vaginal mucosa, further reducing its resistance and making it easier to contract infections. Therefore, young couples, especially newlyweds, should be fully aware of this. Seeking immediate gratification can lead to serious consequences.

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