Is a gynecological examination required before getting an IUD after a cesarean section?

Patient's question:

All symptoms: I gave birth via cesarean section and my baby is now 7.5 months old. However, sometimes when I urinate, I still feel a dull ache in my lower abdomen with a sensation of heat and dryness. At night, I sometimes wake up in pain from needing to urinate urgently.
Onset time and cause: It started after the cesarean section. A doctor mentioned it might be related to the catheter.
Treatment history: No treatment has been administered.
Help needed: Could you please tell me what this condition might be? Is it possible to get an IUD insertion under these circumstances?

Doctor's answer:

Hello, based on the situation you mentioned, you have been having a cesarean section for half a year, and it is time for you to get an IUD. Before inserting the IUD, you only need to confirm that you are not pregnant and do not need an ultrasound. However, a gynecological examination is required to check for any inflammation. If there is inflammation, it is necessary to treat it first.
In your case, it is possible to have a urinary tract disease, which does not affect the insertion of the IUD. However, if the inflammation spreads upward and infects the bladder, it could be more problematic. You can have an ultrasound to check the condition of your bladder and a urine test to see if there is any inflammation. Additionally, make sure not to hold your urine, as it is not good for your health.

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