What causes brown discharge during ovulation after having an IUD inserted?
May 11, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
After ovulation, during the ovulatory phase, a drop in estrogen levels within the body leads to partial shedding of the endometrium, resulting in bleeding. If the inserted intrauterine device (IUD) does not match the size of the uterine cavity, it may cause inflammatory changes in the endometrium, leading to blood vessel rupture or mechanical irritation and subsequent bleeding. Cervicitis causes congestion and edema of the cervical mucosa, making it thin and fragile; thus, it is prone to damage and bleeding when subjected to external stimuli.
Brownish discharge during ovulation after having an intrauterine device (IUD) inserted is mostly caused by physiological ovulatory bleeding due to hormonal fluctuations, but it may also result from pathological factors such as IUD displacement or cervicitis. The specific analysis is as follows:
I. Physiological Causes
After ovulation, a temporary drop in estrogen levels can lead to partial shedding of the endometrium, resulting in light brownish discharge. This phenomenon is unrelated to the IUD and is considered a normal physiological occurrence that does not require treatment.
II. Pathological Causes
1. IUD Displacement
The IUD is a foreign body; if its size does not match the uterine cavity, abnormal movement or displacement may occur, continuously irritating the cervix and causing bleeding.
2. Cervicitis
Inflammation of the cervix causes congestion and edema of the cervical mucosa, making it thin and fragile. It may easily bleed when subjected to external stimuli. This condition is not closely related to the IUD and is often accompanied by symptoms such as increased vaginal discharge and odor. Treatment may include medications such as Bao Fu Kang suppositories, Xiao Mi suppositories, or Kang Gong Yan tablets, as directed by a physician.
In addition, conditions such as cervical polyps, endometritis, or cervical cancer may also cause similar symptoms. It is recommended to undergo ultrasound and cervical examinations to identify the underlying cause and receive appropriate treatment.
