What should I do about intrauterine device bleeding

Patient's question:

When I got an IUD, but after insertion, it kept bleeding. It bled for about a year and didn't stop. Later, I had it removed. Now I've inserted a new one, and it's been three days, but it's still bleeding. What should I do?
Past Treatment and Effectiveness:
I never received any treatment; I just had it removed. I received intravenous drips and medication.
Help Needed:
What should I do now? If it still doesn't work, what should I do?

Doctor's answer:

Hello, your condition is caused by the IUD. After the contraceptive device is placed in the uterus, the body needs a period of adaptation. Most women using an intrauterine device (IUD) for contraception experience no adverse reactions, while a few may have symptoms such as lower back and sacral pain, lower abdominal fullness, bloody discharge, spotting, irregular vaginal bleeding, increased menstrual flow, or shortened menstrual cycles. For mild symptoms, treatment is generally not required, and the symptoms will usually disappear on their own as the body adjusts.
It is recommended that if you experience prolonged bleeding or other abnormalities, you should switch to another form of contraception. If you have not had a menstrual period, the IUD should not be removed. It is advisable to first visit a hospital for examination and confirmation to rule out any abnormalities. Then, you should return to the hospital to have the IUD removed 3-7 days after your next menstrual period. If you are currently experiencing heavy vaginal bleeding, the IUD should be removed promptly.

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