Patient's question:
Experts,I would like to ask, what kind of intrauterine device (IUD) is harmless to the body? I heard from a friend that placing an IUD can cause irregular menstruation and affect sexual life. Is this true? I had a cesarean section two years ago, and I miscarried a child in October. I am very anxious to know, please experts reply to me. Thank you!
Doctor's answer:
Hello: Bleeding and pain are the main reasons why women stop using intrauterine devices (IUDs), accounting for more than half of the cases where the device is removed prematurely. Approximately 15% are removed within the first year, and 7% within the second year. The removal of the device should be performed by a doctor or nurse.The intrauterine device may sometimes fall out on its own. The first-year dropout rate is about 10%, and it usually occurs within the first few months. Younger women and nulliparous women have a higher dropout rate. Most IUDs are equipped with a nylon string to facilitate regular checks for displacement, especially after menstruation. If the string is not found, an additional contraceptive method should be used, and a medical examination is necessary to confirm whether the device is still in place. 20% of women become pregnant without realizing that the IUD has fallen out.
Uterine perforation is a serious but rare complication of intrauterine devices. The risk rate is approximately 0.1%. Perforation is often asymptomatic and is usually detected during ultrasound or X-ray examinations when the string cannot be found. An IUD that has perforated the uterus and entered the abdominal cavity must be removed to prevent damage to the intestines.
Temporary infection of the uterus may occur during IUD insertion and is usually resolved within 24 hours. Infections of the uterus or adnexa that appear 30 days after insertion are often unrelated to the IUD placement and are more commonly caused by sexually transmitted infections. Unless the infection is severe or accompanied by pregnancy with an IUD in place, the device is generally not removed during treatment. Women using intrauterine devices do not have a higher incidence of pelvic inflammatory disease (PID) compared to those who do not. If a woman has pelvic inflammatory disease or has multiple sexual partners, the risk of infection to the uterus and adnexa