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What should a 70-year-old elderly person do if they haven't removed their intrauterine device (IUD)?

Dec 31, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
The "ring" refers to an intrauterine device (IUD). For a 70-year-old elderly woman who has not had her IUD removed, management strategies may include maintaining personal hygiene, undergoing regular gynecological examinations, receiving physical therapy, medication treatment, and IUD removal. If discomfort occurs, prompt medical attention is recommended. Normally, elderly individuals should undergo regular gynecological check-ups and maintain good personal hygiene. Family members should provide psychological support to help safeguard the overall physical and mental health of the elderly person.

Generally speaking, "ring" refers to an intrauterine device (IUD). For a 70-year-old elderly woman who still has an IUD in place, the following measures can be considered: maintaining personal hygiene, undergoing regular gynecological examinations, receiving physical therapy, undergoing medication treatment, or having the IUD removed. If discomfort occurs, prompt medical consultation is recommended. Detailed explanations are as follows:

1. Maintain Personal Hygiene

Wash the external genitalia at least once daily, keeping it clean and dry. Gently clean the external genital area with warm water and a clean towel or cotton ball, avoiding the use of harsh cleansers. Regularly change underwear and maintain cleanliness.

2. Regular Gynecological Examinations

It is recommended that elderly women undergo regular gynecological examinations, including imaging techniques such as ultrasound, to determine the position of the IUD and the condition of the uterus. Gynecological exams can help monitor the IUD's position and uterine status, enabling timely detection and management of any potential issues.

3. Physical Therapy

If the IUD is correctly positioned and the patient's physical condition is unsuitable for surgery, physical therapy may be considered. By massaging and manipulating specific acupoints and meridians, blood circulation can be improved, helping to relieve abdominal discomfort caused by the IUD.

4. Medication Treatment

Under a physician's guidance, medications such as estradiol tablets, ethinylestradiol and cyproterone acetate tablets, or mifepristone tablets may be used. These medications can enhance the elasticity of the reproductive tract, potentially reducing pain and trauma during IUD removal.

5. Removal of the IUD

If the IUD causes significant discomfort, such as abdominal pain or vaginal bleeding, or if it becomes embedded in the uterine muscle layer, removal should be considered. To ensure the safety and effectiveness of the procedure, the individual should visit a formal hospital and undergo IUD removal surgery under a physician's supervision. This involves removing the IUD from the uterine cavity via a surgical procedure.

In daily life, elderly women should undergo regular gynecological check-ups, maintain personal hygiene, and receive psychological support from family members to jointly safeguard their physical and mental health.

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