Patient's question:
I had my period on the 25th of last month and had intercourse on the 30th. On November 4th, I had an IUD (AtraZenica) inserted. I haven't had my period yet. Could I be pregnant? I urgently need your answer. If I am pregnant, what method of abortion is safest and least painful?Doctor's answer:
Your condition is likely due to the effects of the intrauterine device (IUD). Generally, after inserting an IUD, symptoms such as lower back pain, irregular menstrual cycles, and increased menstrual flow may occur. Please do not worry too much; these symptoms will gradually return to normal.After inserting an IUD, women may experience mild lower back pain or discomfort. This is because the body is not yet accustomed to the IUD, and the uterus may contract. Over time, these symptoms will naturally subside. During this period, avoid heavy physical labor.
If a woman experiences light vaginal bleeding or a shortened menstrual cycle with heavier flow and prolonged periods after inserting an IUD, it is due to the IUD compressing the endometrium, leading to inflammatory cell infiltration. As time passes, the uterus will adapt, and the symptoms will disappear.
If a woman experiences increased leukorrhea after inserting an IUD, it is because the uterus has been stimulated, causing an increase in cervical secretions. This symptom usually gradually decreases three months after the IUD is inserted.
If a woman experiences prolonged menstrual bleeding after inserting an IUD, it may be due to an unsuitable size of the IUD or the shape of the uterus, leading to long-term compression of the endometrium and resulting in bleeding. In such cases, medication may first be used to reduce bleeding and strengthen uterine contractions. If medication is ineffective, surgical removal of the IUD may be considered.
Gynecology experts remind women that having an IUD inserted does not mean they can relax forever, as the IUD may also fall out, though many women are unaware of this. It is recommended that women have regular gynecological check-ups after inserting an IUD to check for potential IUD expulsion or embedding in the uterus. Generally, a check-up should be performed one month after insertion when menstruation has ended, followed by another check-up after three months. After that, follow-up checks can be conducted every six months to monitor the IUD's condition inside the uterus.