Patient's question:
After getting an IUD, I took some anti-inflammatory medication, and my menstrual flow has improved slightly. Only one day had the heaviest flow, while the other days were okay. The period didn't last as long, but my leukorrhea increased, and I often needed to use pads. Especially in the days before my period, the leukorrhea was more abundant, along with slight itching. In May 2010, I visited a large hospital, and they said I had mild inflammation. They prescribed "Anti-Cervicitis Tablets" and "Metronidazole Vitamin B6 Tablets" for anti-inflammation and suppositories. After using them for a week, I didn't feel any improvement; instead, I noticed that I often felt like water was leaking from below. What could be the reason for this? What should I do? I sincerely ask the doctor to reply in your busy schedule. Thank you!Doctor's answer:
IUD insertion is a long-term contraceptive method, but it is also a foreign object relative to the human body. Within the first year after insertion, especially in the first six months, rejection reactions may cause increased menstrual flow, prolonged periods, and increased vaginal discharge.The increased vaginal discharge could be due to non-sterile procedures during insertion or infection caused by the IUD string. It could also be a non-inflammatory reaction leading to increased discharge. Your examination has shown that the increased discharge is due to mild inflammation, so medication is required.
Recommendations:
1. If your IUD has a string, it is recommended to switch to an IUD without a string.
2. The discharge resembling water is the medication dissolving in the vagina. If there is no itching, it means the medication is still effective.
3. Based on my observation, taking Anti-Cervicitis Tablets during the menstrual period may cause increased bleeding and prolonged periods. Therefore, it is recommended to take Anti-Cervicitis Tablets after the menstrual period.