29 years old, after putting in the intrauterine device 2 years ago, menstruation lasted for more than 10 days to stop

Patient's question:

Medical Description: 29 years old, 1. Two years ago after the intrauterine device (IUD) insertion, menstruation did not stop for a long time, and post-coital leukorrhea with blood streaks. 2. History of cervical erosion (degree 2) and cervical enlargement. Treatment history and effectiveness: Previously took Gongxuening capsules, which improved the condition slightly, but it returned the following month. Desired help: What medicine should be taken?

Doctor's answer:

Hello, your condition first falls under menstrual irregularity, and it's best to regulate it. The ovulation period can still be calculated based on the method of fourteen days before the next menstrual period. If your menstrual cycle is regular, calculating fourteen days before the next menstrual period is sufficient. In your case, excessive menstrual bleeding and prolonged cycles after IUD insertion, along with vaginal bleeding during sexual activity, may indicate the presence of gynecological inflammation, or it could be a side effect due to an unsuitable IUD. It is recommended that you first undergo a routine gynecological examination to check if it is a recurrence of cervical erosion or other gynecological inflammation for targeted treatment. If gynecological inflammation is ruled out, it may be that the IUD is not suitable for you, and it is best to remove it promptly.

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