How to remove an intrauterine device (IUD) in patients with uterine atrophy
May 10, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
It is more difficult to remove an intrauterine device (IUD) in patients with uterine atrophy. Cervical ripening agents may be used first to soften the cervix, and then the IUD can be removed once the cervix has relaxed. Uterine atrophy causes the uterus to become smaller than normal, increasing the risk of IUD embedment. In such cases, follow medical advice for local vaginal medication. Once the cervix is sufficiently relaxed, the IUD can be removed via hysteroscopy or under anesthesia.
Generally, an intrauterine device (IUD) refers to a contraceptive device placed in the uterus. For patients with uterine atrophy, removal of the IUD can be more difficult. In such cases, medications may first be used to soften the cervix, and the IUD can then be removed once the cervix has relaxed. Specific details are as follows:
After uterine atrophy, the cervix, uterus, and vagina may all shrink, causing the uterus to become smaller than normal. This increases the risk of IUD embedding, making removal more challenging. As directed by a physician, topical estrogen medications—such as promestriene vaginal capsules, estriol cream, or estriol suppositories—can be applied vaginally to help dilate the cervical opening. Once the cervix is sufficiently relaxed, the IUD should be removed under the guidance of a healthcare professional, possibly using hysteroscopy or anesthesia, to prevent displacement of the IUD into the uterine muscle layer or abdominal cavity, which could cause physical discomfort.
It is recommended to maintain a balanced diet, practice good genital hygiene, and minimize potential damage to the uterus.
