Can I get an IUD inserted immediately after a hysteroscopy procedure?

Hysteroscopic surgery involves examining or treating the uterine cavity using a magnifying lens. Whether an intrauterine device (IUD) can be inserted immediately after hysteroscopic surgery mainly depends on the extent of surgical trauma and the individual's health condition. Generally, if the surgical trauma is minimal, recovery is quick, and there are no abnormalities in the patient's condition, immediate IUD insertion is possible and has little impact. However, if the surgical trauma is significant, postoperative adverse reactions are prominent, and recovery takes longer, it is generally not recommended to insert an IUD too soon, as this may interfere with recovery. The specific analysis is as follows:

If the purpose of hysteroscopic surgery is to treat conditions such as abnormal uterine bleeding, intrauterine adhesions, or endometrial polyps, the damage to the uterus and endometrium is relatively minor, and recovery after surgery is usually rapid. When patients have no symptoms such as abnormal vaginal bleeding or acute abdominal pain, an IUD can typically be inserted immediately. This has minimal impact on postoperative recovery and can also help prevent recurrence of intrauterine adhesions and reduce menstrual blood loss.

If the hysteroscopic surgery causes significant damage to the endometrium—such as endometrial injury, bleeding, or uterine perforation—immediate IUD insertion is usually not advised. Inserting an IUD under these circumstances may lead to serious complications, increase bleeding, and hinder the healing of the uterus and endometrium.

If severe abdominal pain, vaginal pain, or heavy vaginal bleeding occur after surgery, infection risks—such as intrauterine or vaginal infections—are likely. In such cases, IUD insertion within a short time after surgery is generally not recommended, as it may worsen the infection and intensify discomfort.

If there are any concerns, it is advisable to consult a doctor at the hospital first and make decisions accordingly. After surgery, it is also important to maintain healthy lifestyle habits, including good personal hygiene, a balanced diet, and avoiding strenuous physical activity.