What should I do if my lower back hurts after having an IUD removed?
May 14, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Lower back pain after IUD removal may be a normal physiological phenomenon, but it could also be caused by conditions such as endometritis or pelvic inflammatory disease. Additionally, disorders like adnexitis, cervicitis, or lumbar disc herniation might also lead to these symptoms. It is recommended to visit the hospital's gynecology, orthopedics, or relevant departments for timely diagnosis. After identifying the cause, treatment should be carried out according to the doctor's advice.
Lower back pain after IUD removal may be a normal physiological phenomenon, but it could also result from medical conditions such as endometritis or pelvic inflammatory disease. It is recommended to obtain a clear diagnosis and follow medical treatment accordingly. The detailed analysis is as follows:
I. Non-disease factors
During the IUD removal procedure, a cervical dilator is used to widen the cervical opening so that the IUD can be extracted. This process may stretch the cervical fibrous tissue, leading to mild lower back pain after surgery. It is advised to rest adequately and avoid exposure to cold; symptoms may thereby improve or resolve spontaneously.
II. Disease factors
1. Endometritis
After the procedure, reduced immunity may allow bacteria to enter the uterine cavity via the vagina, causing local inflammation of the endometrium. If the inflammatory response is severe, it may lead to abdominal pain, lower abdominal distension, and radiating discomfort such as low backache and rectal pressure. Patients are advised to take medications under a doctor's guidance—such as metronidazole tablets, gentamicin sulfate tablets, or doxycycline hydrochloride tablets—to help reduce inflammation.
2. Pelvic inflammatory disease (PID)
Persistent congestion and edema in the pelvic venous plexus, due to prolonged inflammatory stimulation, may lead to formation of masses, abscesses, or cysts, resulting in lumbosacral aching pain. Patients should, under medical supervision, take antibiotics such as levofloxacin capsules, metronidazole tablets, or cefaclor capsules to eliminate pathogens and control infection.
In addition, other conditions such as adnexitis, cervicitis, or lumbar disc herniation may also cause similar symptoms. It is recommended to visit hospital departments such as gynecology or orthopedics as early as possible for proper diagnosis. Once the underlying cause is identified, treatment should be carried out according to medical advice.
