Patient's question:
I had a child and got an IUD. Since getting the IUD, my menstrual cycle is quite regular, but the first two days of my period have a heavier flow and the blood is dark, while the third and fourth days have very little flow. The duration lasts for 7 to 8 days. Is this normal?Also, I heard that an IUD needs to be replaced every five years—is that true? That would be so painful!
And before my period, my breasts get sore, but the pain goes away once my period starts—is this normal?
Doctor's answer:
According to your description, it is analyzed and considered that the issue is caused by the IUD. The contraceptive ring is a foreign object, and the body needs a period of adaptation after it is placed in the uterus. Most women using an intrauterine device (IUD) for contraception experience no adverse reactions, while a few may develop some side effects and complications. If symptoms such as lower back and sacral pain, lower abdominal fullness, bloody discharge, spotting, irregular vaginal bleeding, increased menstrual flow, or shortened menstrual cycles occur after insertion, mild symptoms generally do not require treatment, as the body will gradually adapt, and the symptoms will gradually subside or disappear on their own. For severe symptoms, medical treatment should be sought, and if the symptoms do not improve after treatment, the IUD should be removed and alternative contraception methods should be considered.