Why does the abdomen become particularly large after IUD removal?

Removal of an intrauterine device (IUD) generally refers to taking out the contraceptive device placed in the uterus, and "abdominal bloating" usually refers to a visibly enlarged abdomen. In general, abdominal enlargement after IUD removal may be caused by pregnancy, indigestion, endocrine disorders, endometritis, or polycystic ovary syndrome (PCOS). Patients should promptly visit a正规 hospital to determine the underlying cause and receive appropriate treatment accordingly. Specific analyses are as follows:

1. Pregnancy

If sexual intercourse occurred prior to IUD removal, pregnancy may have already taken place. After removing the IUD, the abdomen may appear significantly enlarged due to the ongoing pregnancy. This is considered normal and typically does not require special treatment.

2. Indigestion

After IUD removal, frequently consuming large amounts of food without adequate physical activity may lead to indigestion. Accumulation of undigested food can result in abdominal distension. It is recommended to apply warm compresses to the abdomen, which may help promote gastrointestinal motility and relieve discomfort.

3. Endocrine Disorders

Endocrine imbalances after IUD removal may lead to abnormal hormone levels, affecting the body's metabolic rate and potentially causing weight gain and abdominal enlargement. Patients may take medications such as Jia Wei Xiao Yao Wan, Wu Ji Bai Feng Wan, or Yi Mu Cao Granules under medical guidance to improve symptoms.

4. Endometritis

If proper post-procedure care is neglected after IUD removal, infection may develop in the endometrial tissue. Inflammatory stimulation can lead to congestion, edema, and inflammatory exudates in the endometrium, resulting in abdominal swelling. Patients should receive drug treatment under a doctor’s supervision, such as doxycycline hydrochloride tablets, minocycline hydrochloride tablets, or azithromycin dispersible tablets.

5. Polycystic Ovary Syndrome (PCOS)

PCOS is an endocrine and metabolic disorder associated with genetic and environmental factors. Individuals with pre-existing PCOS may experience abdominal enlargement after IUD removal, often accompanied by menstrual irregularities, irregular cycles, and reduced menstrual flow. Under medical supervision, patients may be treated with medications such as cyproterone acetate tablets, clomiphene citrate tablets, or dydrogesterone tablets.

In addition, conditions such as endometrial polyps or uterine fibroids may also contribute to these symptoms. Diagnosis should be confirmed through tests such as vaginal discharge examination and ultrasound imaging, followed by individualized treatment. Avoid self-medicating to prevent adverse drug reactions.