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Experiencing abdominal and back pain after intercourse three months after insertion of the Mirena IUD.

Jun 01, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
The term "Mirena" refers to the levonorgestrel-releasing intrauterine system, and abdominal pain refers to stomach ache. Abdominal pain and lower back pain occurring after intercourse three months following insertion of the levonorgestrel-releasing intrauterine system may be related to factors such as improper posture, bacterial vaginosis, or cervicitis. Patients can manage these symptoms through daily lifestyle adjustments, topical medications, or oral drug treatments.

The Mirena refers to the levonorgestrel-releasing intrauterine system, and stomach pain refers to abdominal pain. Experiencing abdominal pain and lower back pain after intercourse within three months of insertion of the levonorgestrel intrauterine system may be related to factors such as improper posture, bacterial vaginosis, or cervicitis. Patients can manage these symptoms through lifestyle adjustments, topical medications, or oral drugs. Specific analyses are as follows:

1. Improper Posture

If a patient engages in excessive sexual activity or uses inappropriate positions during intercourse, it may lead to muscle tension or tearing, resulting in symptoms such as abdominal pain and lower back pain. Reducing the frequency of intercourse appropriately and correcting poor postures may help alleviate discomfort.

2. Bacterial Vaginosis

The use of a levonorgestrel-releasing intrauterine system may increase the risk of inflammatory infections. If the vagina becomes infected with bacteria, inflammatory conditions may develop, leading to symptoms such as post-coital abdominal pain, back pain, and increased vaginal discharge. Treatment may include medications such as metronidazole vaginal suppositories or tinidazole suppositories, used as directed by a physician.

3. Cervicitis

After insertion of the levonorgestrel intrauterine system, poor personal hygiene or incorrect placement of the device may lead to bacterial infection and subsequent cervicitis, causing symptoms such as painful intercourse, lower abdominal discomfort, and aching pain in the lower back. Treatment may involve antibiotics prescribed by a doctor, such as penicillin V potassium tablets or amoxicillin capsules.

In addition to the common causes listed above, conditions such as endometriosis or cervical polyps may also contribute. If symptoms persist without improvement, patients should seek medical evaluation at a hospital, undergo appropriate diagnostic tests, and receive targeted treatment under medical guidance.

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