Postpartum IUD should be checked before 8 golden periods are most suitable

Many people believe that the IUD will have an impact on women's health. In fact, experts believe that the IUD is a relatively safe, effective, simple, economical, reversible and relatively recommended contraceptive method. "The contraceptive rate of IUDs is usually above 80% to 90%, and is recommended for women of childbearing age."

When is the right time to insert the IUD after childbirth?

You can consider inserting an IUD immediately after a normal birth, 42 days after birth, 3 months after birth, and 6 months after a cesarean section. If menstruation has resumed, the IUD should be inserted 3-7 days after the menstruation ends; if menstruation has not yet resumed, pregnancy should be ruled out before inserting the IUD.

When is it not suitable to have an IUD

If abnormal conditions such as lochia retention, uterine bleeding, and postpartum infection occur after delivery, you should wait until the disease is cured before considering IUD insertion.

Choice of IUD

During breastfeeding, the uterine cavity is smaller and the uterine wall is thinner. The doctor should measure the uterus and choose an intrauterine device of appropriate size. After stopping breastfeeding and the uterus returns to normal, it is necessary to replace it with a slightly larger intrauterine device.

Types of IUDs

There are many types of intrauterine contraceptive devices. After years of practical improvements, the devices currently used in clinical practice are mostly copper-containing or drug-containing devices. The stent materials are plastic, polyethylene, memory alloy, etc., and the shapes are not single, including round, T-shaped, V-shaped, Y-shaped and chain-shaped.

Contraceptive devices made of different materials and in different shapes have their own characteristics, and therefore can be suitable for women with different physiques and needs. The surgeon needs to make a comprehensive judgment based on the size and shape of the mother's uterus and the previous placement of the ring, and choose the appropriate shape and model of the ring.

What discomfort may occur after the ring is inserted?

Since the IUD is a foreign body to the body, the uterus's response to the foreign body is to attempt to expel it through contraction. Therefore, the main discomforts after IUD insertion include lower abdominal discomfort, mild back pain, increased leucorrhea, slight vaginal bleeding or increased menstrual flow. It takes some time for the uterus to adapt to the "ring". These discomforts will generally disappear gradually within 3 months and no special treatment is required.

What should you pay attention to after the ring

The following issues should be noted after the IUD is inserted: rest for 1-2 days and avoid heavy physical labor within 1 week to prevent the "ring" from falling off and bleeding; keep the vulva clean and do not take a bath or have sex within 1 week; pay attention to whether the "ring" falls off within the first 3 months; have regular check-ups, generally follow up once every 3 months, 6 months, and 12 months after "insertion", and then have a review once a year.

How the IUD works

Whether it is an inert contraceptive device or an active contraceptive device, it does not directly destroy the endometrium, nor does it achieve the purpose of contraception by scraping the uterine wall to cause miscarriage as rumored. Instead, it indirectly interferes with the implantation of the fertilized egg through prostaglandins, progesterone, copper ions, etc. “After the released copper ions are absorbed by the endometrium, they will only increase the local copper ion concentration, and will not affect the copper ion concentration in the whole body, nor will they cause harm to other parts of the human body.

In addition, sterile inflammation is a normal rejection reaction of the human body. This inflammatory reaction is mild and does no harm to the body itself. ”

Effects of IUDs

Although the IUD interferes with the implantation of the fertilized egg, the endometrium still develops according to the normal menstrual cycle, and removal of the IUD does not affect pregnancy. "In addition, IUDs containing progesterone (such as Mirena) also have the effect of treating diseases. Progesterone can calm the uterine muscles and reduce discomfort such as bleeding and dysmenorrhea."

IUD insertion is a minor operation and does not require hospitalization. Postpartum mothers who are considering having an IUD inserted should go to the hospital at the appropriate time as mentioned above, first undergo a gynecological examination, routine leucorrhea examination, and have their temperature taken. If no abnormalities are found, they can go to the outpatient operating room to have the IUD inserted.