What should I do if there is still bleeding seven or eight days after having the IUD removed?
Jan 24, 2024
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Removal of an intrauterine device (IUD) usually refers to taking out the device from the uterus. In general, if bleeding persists for seven or eight days after IUD removal, it may be caused by excessive fatigue, onset of menstruation, resuming sexual activity too early, cervicitis, or endometritis. Patients should promptly seek medical attention at a正规 hospital and receive appropriate treatment based on the underlying cause. In daily life, patients should pay attention to personal care and maintain good hygiene of the genital area.
Removal of an intrauterine device (IUD) typically refers to taking out the device from the uterus. In general, if bleeding persists for seven or eight days after IUD removal, it may be caused by excessive fatigue, menstrual onset, resuming sexual intercourse too early, cervicitis, or endometritis. Patients should promptly visit a正规 hospital for evaluation and receive appropriate treatment based on the underlying cause. Specific analyses are as follows:
1. Excessive Fatigue
The process of removing an IUD may cause some damage to the vaginal mucosa. If adequate rest is not obtained after the procedure and the patient engages in excessive physical activity, the injured tissue may fail to heal properly, leading to prolonged bleeding. It is recommended that patients get sufficient rest and avoid overexertion. Symptoms usually resolve spontaneously after a period of time.
2. Menstrual Onset
If the IUD is removed during menstruation, bleeding is a normal physiological occurrence. There is generally no need for concern or special treatment. However, maintaining good personal hygiene—such as regular bathing and frequent changing of underwear—is important.
3. Resuming Sexual Intercourse Too Early
After IUD removal, the body may be relatively weak. Engaging in sexual intercourse too soon can increase intrauterine pressure and lead to abnormal vaginal bleeding. It is advised to avoid sexual intercourse and tub baths for at least two weeks after IUD removal to prevent infection.
4. Cervicitis
Cervicitis is usually caused by poor sexual hygiene or vaginal bacterial imbalance. Due to inflammatory irritation, patients may experience abnormal vaginal bleeding, external genital itching, and increased vaginal discharge. Under medical guidance, patients may take medications such as Fuke Qianjin Tablets, Kangongyan Tablets, or Kangfuyan Capsules for treatment.
5. Endometritis
If personal hygiene is neglected after IUD removal, bacteria may enter the uterus through the vagina and cause endometritis. Inflammatory stimulation can lead to shedding of the endometrial lining, resulting in prolonged bleeding. Some patients may also experience lower abdominal pain, increased vaginal discharge, and backache. Under a doctor’s supervision, patients may be treated with antibiotics such as levofloxacin hydrochloride capsules, minocycline hydrochloride tablets, or amoxicillin capsules.
In daily life, patients should pay attention to proper care, maintain genital cleanliness, and avoid infections. If any discomfort occurs, prompt medical consultation and treatment are recommended.
