What symptoms may occur if the IUD is displaced downward?

Apr 23, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
After downward displacement of the IUD, it may stimulate the lower uterine segment and cervical canal endometrium, causing mechanical damage to the endometrium, which can lead to irregular vaginal bleeding, increased menstrual flow, or prolonged menstrual spotting. Due to the mismatch between the shape of the IUD and the lower uterine segment or cervical canal, abnormal uterine contractions may occur, resulting in abdominal pain and discomfort. It may also stimulate increased cervical mucus secretion, leading to symptoms of excessive discharge.

If an intrauterine device (IUD) descends, symptoms such as abnormal bleeding, abdominal pain, and increased vaginal discharge may occur. Regular follow-up examinations are necessary to monitor the IUD's position, and if displacement is detected, the IUD should be removed promptly. Specific analyses are as follows:

1. Abnormal bleeding

After IUD descent, it may irritate the lower uterine segment and cervical canal lining, causing mechanical damage to the endometrium, which can lead to irregular vaginal bleeding, increased menstrual flow, or prolonged menstrual spotting.

2. Abdominal pain

When the IUD shifts position, its shape may no longer conform to the lower uterine cavity or cervical canal, leading to abnormal uterine contractions and resulting in abdominal discomfort or pain.

3. Increased vaginal discharge

A displaced IUD can also stimulate increased secretion of cervical mucus, leading to excessive vaginal discharge and a higher risk of developing vaginitis.

In addition to the above symptoms, IUD displacement may also increase the risk of unintended pregnancy. If IUD descent is suspected, patients should promptly visit a hospital for ultrasound evaluation of the IUD's position and have it removed when necessary, while adopting alternative contraceptive methods.


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