When should I remove the IUD?

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Le Nhat Nguyen - Obstetrician-Gynecologist - Vinmec Danang International Hospital. Doctor has more than 20 years of experience in the field of Obstetrics and Gynecology.
Using an IUD is one of the most popular methods of contraception in Vietnam because of its low cost, ease of implementation and high efficiency. However, in some cases, women are advised to remove the IUD to avoid adverse effects on health and fertility.

1. What is an IUD?

An IUD is a small device, usually T-shaped, that is placed in the uterus to prevent a fertilized egg from implanting in the uterus, effectively preventing pregnancy. The advantage of the IUD method is that the procedure is simple, low-cost and effective immediately from the time of IUD insertion to 5 years later. In addition, the IUD can also limit the amount of blood lost during the menstrual cycle, reduce menstrual pain, reduce the risk of uterine fibroids and the risk of pelvic inflammation. At the same time, the IUD does not cause discomfort during married life.
The IUD is recommended for women of reproductive age (from 18 to 49 years old).

2. In case you should not use the IUD

The IUD is a very widely used method of contraception. However, there are some cases when it is not recommended to put on an IUD.
2.1. The absolute case of not inserting an IUD Pregnant or suspected of being pregnant. Genital tract infections. Endometritis after childbirth, after septic abortion in the past 3 months. Abnormal uterine bleeding of unknown cause. Genital tract malignancy. 2.2. Cases should not be inserted IUD Women have not had children. There is a history of ectopic pregnancy, tubal reconstruction. Heart valve disease. Have a blood clotting disorder. Psychiatric abnormalities interfere with loop monitoring. Endometriosis, uterine fibroids. Genital prolapse II, III. There is a high risk of sexually transmitted diseases. History of copper allergy, Wilson's disease, abnormal absorption of copper metabolism.

3. When should I remove the IUD?

When is the best time to remove the IUD? Obstetricians and gynecologists recommend that women remove the IUD in the following cases:
Expiry date: The plastic IUD has a shelf life of 5-7 years, the stainless steel ring has a shelf life of 5 to 7 years. 10 to 15 years shelf life. At the end of this time, the IUD is easily broken, causing gynecological diseases. Removing the expired ring is essential, especially for women who have reached the end of their reproductive years. Bleeding during IUD insertion: Women who have continuous bleeding after insertion, irregular periods, and other uncomfortable symptoms should remove the IUD. Intend to get pregnant. Actively want to remove the ring when the ring is wide, misplaced, causing uterine perforation but has not yet fallen into the abdominal cavity. Women with acute pelvic inflammatory disease, uterine malignancy, cervical ectropion should remove the ring for easier and more effective treatment. Women who have gone through menopause 6 months because at this time, the contraceptive effect of the ring is no longer there. Note: Some women get pregnant while the IUD is still in their body. When facing this situation, pregnant women should visit major hospitals for advice on choosing the safest option.

4. Some notes when removing the IUD

When removing the IUD, women need to pay attention to the following issues:
Women who come to the period of IUD removal but are not healthy or are in an acute illness will temporarily not take the IUD until they recover. health recovery. Women with an infection of the genital organs need to completely treat the infection before removing the ring. The procedure to remove the IUD should be performed on the day near the end of the menstrual period. Should not have children immediately after removing the ring because it will adversely affect the development of the fetus. The best time to have a baby is after 2-3 months of removing the ring so that the uterus is completely stable. After removing the ring, women need to follow the doctor's instructions in taking anti-inflammatory drugs, avoiding inflammation and adhesions to the uterus. If unfortunately the IUD enters the abdominal cavity, urgent laparoscopic surgery is required to remove the ring. After that, women should rest for 2-3 weeks before going back to work to avoid adverse health effects later. Abstain from vigorous exercise and heavy work immediately after removing the ring. During the first hour after removing the ring, women should not walk much, up and down stairs. For 1 week after removing the ring, women should avoid heavy sports activities or swimming, climbing. Abstain from douching the private area, soak in a water bath to avoid causing gynecological infections. Abstain from sex immediately after removing the IUD to avoid causing vaginal bleeding and gynecological diseases caused by inflammation. After removing the ring 7-10 days, you can resume married life.

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