Does it hurt when I put the IUD in?
Does it hurt when I put the IUD in? There are many ways of female contraception. The IUD is well known for its safety, speed, and effectiveness. Different types of IUDs work in different ways. Here is the answer to whether it hurts to insert the IUD. Does it hurt during pregnancy? 1
It usually doesn’t hurt to insert the IUD, but you will usually feel pain when removing it due to reasons such as the IUD becoming incarcerated.
If the contraceptive ring becomes lodged in the cervix, it will cause pain. Currently, there are two main types of contraceptive rings in clinical practice. One is the fixed intrauterine device, which requires special equipment to fix the ring at the bottom of the uterus for fixed contraception. There will be a brief and slight pain when the ring is inserted, but it will subside soon. Another kind of contraceptive ring is the levonorgestrel intrauterine system, which can release progesterone regularly. It can not only prevent pregnancy, but also treat diseases such as menorrhagia. The installation of the levonorgestrel intrauterine system is painless. The doctor will select the appropriate type and model of IUD for placement based on the size and shape of the uterus.
After installing the IUD, women should pay attention to rest, avoid fatigue, and try to avoid strenuous exercise and heavy physical labor for half a month. Avoid sex or bathing for a month, but you can shower.
After the IUD is inserted, you should go to the hospital for regular check-ups. Generally, you will be reviewed 1 to 3 months after the operation, and once a year after 6 months. The main purpose is to understand the position of the IUD. If the menstrual flow is normal before the IUD, The menstrual flow may increase slightly after the IUD is inserted. This is a normal reaction of the IUD. If the menstrual flow exceeds twice the amount, it is abnormal. You should go to the hospital for a timely review to understand the position of the IUD and rule out pathological changes in the uterine cavity. Such as endometrial polyps, fibroids, etc. Does it hurt when the IUD is inserted? 2
What should you pay attention to after inserting the IUD?
Pay attention to rest after inserting the IUD.
Head after inserting the IUD Symptoms such as lower abdominal discomfort and backache may occur in a few days. At the same time, the cervix is ??loose and the IUD is easy to fall off. Therefore, you need to rest for two days after the operation, and you should not do heavy physical labor within a week to prevent the IUD from falling off. .
Pay attention to cleaning after inserting the IUD.
The mucus in the cervical canal can prevent bacteria from entering the uterine cavity. When the IUD is inserted, the mucus there is wiped off, and the endometrium is also affected by it. The surgical operation may cause slight damage, so the local resistance is reduced in the short term. If you do not pay attention to hygiene, it is easy to cause infection. Therefore, you should keep the vulva clean after inserting the IUD, and prohibit bathing and sexual intercourse within two weeks. To avoid causing infection.
Pay attention to bleeding after inserting the IUD.
During the process of inserting the IUD, the cervix or endometrium may be abraded and cause vaginal bleeding. A small amount of bleeding usually lasts for 3 to 7 days. This is normal. If the bleeding is heavy or the bleeding lasts for more than a week, you need to go to the hospital to check the cause of the bleeding for timely treatment.
Pay attention to regular check-ups after inserting the IUD.
After inserting the IUD, you should go to the hospital for regular check-ups. Generally, check-ups are done once a month, 3 months, half a year and a year after the operation. , and then check it once a year. Through the inspection, you can find out in time whether the IUD is still in the uterine cavity, or whether the position of the ring is normal.
Pay attention to prevent the IUD from falling off when inserting it
Women with loose cervix and heavy menstrual flow may have the IUD fall off during menstruation, so they should pay attention to the ring when going to the toilet during menstruation. If it does not fall out with the blood, if it is found to fall off, take other contraceptive measures in time, and wait until the next menstruation to go to the hospital for another IUD insertion.
How to check the intrauterine ring
X-ray fluoroscopy
The most common method to check the intrauterine ring is X-ray fluoroscopy. Under imaging, you can observe whether there is an IUD in the uterine cavity and whether the position of the IUD in the uterine cavity is normal.
However, X-ray fluoroscopy is not accurate in determining the position of the IUD, and the plastic IUD is displayed at the lower part of the fluoroscopy, so X-rays cannot be used to check the plastic IUD.
B-ultrasound diagnostic instrument detection
Using B-ultrasound detection can not only determine whether there is an IUD in the uterine cavity, but also determine the position, size and shape of the uterus, and then determine the IUD. It is located in the uterine cavity, and B-ultrasound diagnosis has no side effects of radiation, so both metal rings and plastic rings can be detected.
Metal alarm device detection
Metal rings can also be detected with a metal alarm device. It can only determine whether there is an IUD in the uterine cavity, but it cannot determine whether the metal ring is in the uterine cavity. is the position normal.
What are the side effects of the IUD?
After getting the IUD, you should pay attention to your diet and eat more iron-rich foods, such as lean meat and pork. Liver, eggs, beans, fresh fruits and vegetables, based on the principle of reasonable nutrition and balanced diet, can effectively prevent the body's physical energy consumption due to the side effects of ring release.
Normal leucorrhea is in the form of white paste or egg white, with a highly viscous texture, no fishy odor, and a small amount. If the leucorrhea appears abnormal after the ring is inserted, you should pay attention to it and go to the hospital for examination to confirm. Is it due to ring insertion or other gynecological diseases?
If it is caused by the birth control ring, you need to consider whether the birth control ring you chose is inappropriate or caused by other pathological factors. If the leucorrhea abnormality is serious, it is best to remove the birth control ring. Does it hurt when I put the IUD in? 3
So what is the principle of the IUD? Let me introduce Little Bear Baby Network below.
Introduction to the principle of the birth control ring
1. The principle of the steel birth control ring
Through the release of copper ions in the birth control ring, the sterility of the endometrium can be increased Sexual inflammation; interfering with the enzyme system of the endometrium, such as reducing the activity of some enzymes in the endometrium during the secretory phase, and these enzymes are necessary conditions for implantation; it may also change the biochemical composition of cervical mucus and affect sperm activity and capacitation. or survive. These local changes all increase the antifertility effect.
2. The principle of progesterone IUD
Through the release of progesterone, it interferes with the normal cyclic changes of the endometrium, causing the endometrium to have a higher progesterone level.
Thus the glands atrophy. Interstitial decidualization, these changes are not conducive to implantation; or may affect sperm transport or capacitation. High-dose 18-methylnorethindrone IUD may inhibit ovulation and change the properties of cervical mucus, making it unfavorable for sperm penetration.
3. The principle of prostaglandins
The long-term stimulation of the IUD causes the endometrium to produce prostaglandins. On the one hand, prostaglandins can enhance uterine contraction and fallopian tube peristalsis, prompting fertilized eggs with insufficient development and division to be sent to the uterine cavity in advance, affecting implantation; on the other hand, large amounts of prostaglandins can strengthen the effect of estrogen, causing the uterus to The decidual reaction of the endometrium is inhibited during pregnancy, which is not conducive to implantation of the fertilized egg.
The mechanism of uterine perforation caused by the IUD is not clear. It is generally believed that it may be caused by the inappropriate size of the uterus or improper operation by the doctor. In addition, when women exercise strenuously, the IUD in the body may cause damage to the uterus due to its sharp shape and physical inertia. Unexplained uterine contractions may also squeeze the IUD and cause uterine perforation.
How does the IUD prevent pregnancy?
Once the intrauterine device is placed, it immediately produces a contraceptive effect and has no direct impact on the whole body. Fertility can be restored quickly after removal. In addition to acting as a mechanical obstacle, it can also interfere with implantation and change Mechanisms such as the intrauterine environment play a contraceptive role.
1. Interference with implantation. Long-term foreign body stimulation leads to an inflammatory reaction and the production of prostaglandins.
2. Affect the development of fertilized eggs. The endometrium is compressed and ischemic, and local fibrinolytic activity is enhanced, causing the blastocyst to be dissolved and absorbed.
3. Changes in the natural environment within the uterine cavity. Phagocytes have the function of engulfing sperm.
4. The increase of inflammatory cells in the uterine cavity can be harmful to the embryo.
5. The immune tolerance against the blastocyst implantation causes the blastocyst to disintegrate.
The main contraceptive mechanism of progestin-containing intrauterine devices is that endometrial glands atrophy and decidual reaction occurs in the stroma, interfering with and destroying the synchronization of fertilization and implantation. In addition, progesterone inhibits ovulation, thickens cervical mucus, and affects sperm entry into the uterine cavity, further enhancing the contraceptive effect.
What harm will the birth control ring cause?
Experts said that there are generally two types of adverse reactions caused by IUDs. The first is pain in the lower limbs or waist. IUDs are foreign bodies to the uterus and can cause contractions and pain. The second is that the endometrium is scratched by the insertion of the IUD, resulting in a small amount of bleeding for a period of time after the IUD is inserted, or increased bleeding and prolonged menstruation.
Experts also said that the most common reason for IUDs to be used beyond the expiry date is that they are "in service". As age increases, the weight and volume of the uterus decrease, but the IUD does not shrink, so it is easy to penetrate and cause abdominal pain. In severe cases, it may even penetrate outside the uterus, irritate the abdominal cavity and cause adverse reactions. IUDs can easily damage the surface of the endometrium and accelerate uterine degeneration.