A dull, aching pain with a sensation of heaviness in the lower abdomen after having an IUD inserted

May 26, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Inserting an intrauterine device (IUD) refers to the placement of a contraceptive ring. Postoperative sensations of heaviness and mild abdominal pain in the lower abdomen may be caused by physiological factors or pathological conditions such as IUD displacement or pelvic inflammatory disease. Appropriate treatment should be based on the specific situation. The following is a detailed explanation: The IUD is a common form of contraception. During the procedure, the cervix and other areas must be exposed so that the IUD can be inserted into the uterine cavity.

Inserting an intrauterine device (IUD) refers to the placement of a contraceptive ring. After the procedure, a feeling of heaviness or mild pain in the lower abdomen may be caused by physiological factors, or it could result from pathological conditions such as IUD displacement or pelvic inflammatory disease. Appropriate management should be based on the specific situation. Detailed explanations are as follows:

I. Physiological Factors

The IUD is a common method of contraception. During the procedure, the cervix and other areas must be exposed so that the IUD can be inserted deep into the uterine cavity and positioned at the fundus of the uterus. The manipulation during insertion may touch the cervix and vagina, causing local congestion and swelling, which can lead to a sensation of heaviness or mild abdominal discomfort. This is considered normal and usually resolves spontaneously.

II. Pathological Factors

1. IUD Displacement

If intense physical activity occurs shortly after the procedure, friction between the IUD and surrounding tissues may cause the device to shift out of place. The structural components of the IUD may then irritate other parts of the uterus, resulting in these symptoms. It is recommended to visit a hospital where surgical intervention may be needed to reposition the IUD correctly.

2. Pelvic Inflammatory Disease (PID)

If proper sterilization is not performed before the procedure, improper technique may allow external bacteria to enter the vagina and multiply within the uterine cavity, leading to pelvic inflammatory disease. Inflammatory agents may spread upward and continuously irritate surrounding tissues, causing such symptoms. Symptoms often worsen after sexual intercourse. Patients are advised to take medications such as levofloxacin hydrochloride capsules or moxifloxacin hydrochloride tablets under medical supervision.

In addition, similar symptoms may also be caused by other conditions such as enteritis, intestinal obstruction, or uterine fibroids. If these symptoms persist for a prolonged period after the procedure, individuals should seek medical attention at a hospital as soon as possible.

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There is blood streaking during the ovulation period every month after having an IUD inserted.

Inserting an IUD (intrauterine device) refers to the placement of a contraceptive device inside the uterus. Experiencing blood streaks during ovulation each month after IUD insertion may be due to normal ovulation, irritation from the IUD, or bacterial infection. During ovulation, as the follicle passes through the vagina and exits the body, slight bleeding or blood-tinged discharge may occur, which is considered a normal ovulatory phenomenon and does not require special intervention.

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What causes extremely light or almost no menstrual bleeding after having an IUD inserted?

Using the Mirena intrauterine device (IUD), which contains levonorgestrel, suppresses endometrial proliferation and leads to a significant reduction in menstrual flow. Inflammatory stimulation may cause endometrial adhesions, reducing endometrial shedding. Additionally, in patients with polycystic ovary syndrome (PCOS), elevated levels of androgens result in anovulation. In such cases, unopposed estrogen stimulates endometrial proliferation without progesterone counteraction, leading to only minimal endometrial shedding.

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Do I have to lie down on the day of getting an IUD?

After having an IUD inserted, whether additional bed rest is needed depends on certain adverse reactions. For individuals without obvious symptoms, normal activities can be resumed after the procedure; absolute bed rest is not necessary, but heavy physical labor should be avoided. For those experiencing significant abdominal pain or bleeding, it is recommended to rest in bed for 1–2 days, resuming normal daily activities only after the body has recovered and discomfort has subsided.