No menstruation for six months after IUD removal

Jun 01, 2023 Source: Cainiu Health

Dr. Lv Aiming

Introduction

Removing an IUD usually refers to taking out a contraceptive intrauterine device. If menstruation does not return within six months after IUD removal, possible causes may include pregnancy, endocrine disorders, or intrauterine adhesions. These can be managed through general treatments, medication, or surgical interventions. Other potential causes include amenorrhea, ovarian failure, or ovarian pathology. For an accurate diagnosis, patients are advised to undergo a thorough medical evaluation at a hospital.

Removal of an intrauterine device (IUD) typically refers to taking out the contraceptive ring. If menstruation does not resume within six months after IUD removal, possible causes may include pregnancy, endocrine disorders, or intrauterine adhesions. These conditions can be managed through general treatments, medications, or surgical interventions. Specific explanations are as follows:

1. Pregnancy

Generally, once the IUD is removed, normal contraception is no longer effective. If sexual intercourse occurred during this time, delayed menstruation may be due to pregnancy, which is usually a normal occurrence. It is recommended that patients visit a hospital for an ultrasound examination.

2. Endocrine Disorders

Delayed menstruation may also result from significant mental stress or excessive weight loss, which can disrupt the body's endocrine balance, leading to delayed ovulation and menstrual cycles. Patients may improve their condition with medications such as progesterone capsules, Wuji Baifeng Pills, or Yimucao Granules.

3. Intrauterine Adhesions

If proper personal hygiene measures are not taken after IUD removal, pathogens may enter the body and cause intrauterine adhesions. This can reduce endometrial shedding and lead to delayed menstruation. When necessary, hysteroscopic adhesion separation surgery may be performed to improve the condition.

Besides the above reasons, amenorrhea, ovarian failure, or ovarian lesions could also be potential causes. Patients are advised to undergo a thorough medical evaluation at a hospital to avoid delays in diagnosis and treatment.

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