How long does it take to change the IUD?

Everyone knows that after installing an IUD, the probability of pregnancy will be reduced. But do you know how often the IUD needs to be replaced? Most people may not know this and think that once an IUD is installed, it will be a lifelong thing and they would not consider replacing it. However, if you have an IUD installed and become pregnant after having sex, you will need to replace the IUD. Of course, there are other situations where you may need to replace your IUD.

In what cases should the ring be removed?

Those who have had the ring for more than 5 to 10 years and need to replace it with a new one.

Those with irregular vaginal bleeding or other symptoms that have not responded to treatment. If there is heavy vaginal bleeding or infection, the IUD should be removed promptly.

Those who wish to have another child.

One year after sterilization. For those who have been in menopause for more than half a year, it is recommended to remove the IUD.

Those who have serious side effects and want to change their contraceptive method.

If a woman is pregnant with an IUD, it can be removed during abortion.

Side effects or complications after having an IUD

Some women may experience side effects or complications after having an IUD inserted.

(1) Bleeding

It is currently believed that the increased activity of fibrinolytic enzymes caused by the IUD is the main cause of bleeding, and the use of 6-aminoacetic acid can reduce bleeding. A small amount of irregular vaginal bleeding usually does not require treatment; if the bleeding is heavy, medication can be used to stop the bleeding. If the treatment is ineffective, the ring can be removed. If the bleeding persists for a long time, anti-infection treatment is required.

(2) Backache and abdominal distension

It may be caused by the IUD being too large or positioned too low, causing uterine contractions. You can try antispasmodics first. If they are ineffective, you can choose a new ring.

(3) Infection

In a few cases, ascending infection may occur due to lax disinfection or aseptic operation. After it happens, the ring should be removed first, and then appropriate treatment should be taken.

(4) IUD incarceration

Individual developmental organs may be embedded within the uterine muscle wall. If the insertion is shallow, it can still be pulled out with the ring hook; if the insertion is deep, the cervix must be dilated to size 6-7 first, then the ring must be brought to the cervical opening, and two hemostatic forceps must be used to straighten the ring wire, cut it, and then pull it out. The operation should be slow and gentle. If necessary, the hook can be removed under the guidance of B-ultrasound to reduce the blindness of the operation. If the ring is deeply embedded or has even penetrated the uterine wall into the pelvic cavity, it should be removed by laparotomy or laparoscopy.

(5) IUD falls out

It often happens within the first year of wearing the IUD, especially when it falls off during the first three months of menstruation. The natural shedding of the IUD is related to the ring being too large or too small, not being placed at the bottom of the uterine cavity, poor quality of manufacturing materials, insufficient support, loose cervix of the recipient, excessive labor intensity or heavy menstruation. Therefore, follow-up observation should be paid attention to in the first year after IUD insertion.