! ! ! Urgent! ! ! Will you menstruate (immediately) after wearing intrauterine device?

It's normal for a child not to have menstruation for four months. It usually takes six months to come. You don't have to worry. Whether menstruation will come after wearing a ring depends on personal situation. You don't have to worry. Wearing a ring will not affect breast milk. Wearing a ring is to prevent pregnancy again. Actively respond to the national family planning work. It is more important to protect our health and prevent the harm caused by pregnancy and abortion.

The following is the introduction of IUD by Li Yi, the chief physician of the Family Planning Department of the Second Hospital of Tianjin Medical University, for your reference.

"Ring" is the most commonly used long-term contraceptive measure for women of childbearing age in China, and often a ring can be placed in the body for more than ten years.

The scientific name of "ring" is intrauterine device, which is placed in the uterine cavity of women of childbearing age to achieve the purpose of contraception through mechanical stimulation and chemical interference. It does not inhibit ovulation and does not affect the female endocrine system, thus avoiding the adverse reactions of general drug contraception. After years of practice and improvement, most of the intrauterine devices currently used in clinic are copper-containing or drug-containing intrauterine devices, and the stent materials are plastic, polyethylene, memory alloy and so on. And their shapes are not single, such as round, T-shaped, V-shaped, Y-shaped, chain-shaped and so on. Different materials and shapes of intrauterine devices have their own characteristics, which can be applied to women with different constitutions and needs.

Do you know what kind of intrauterine device you are suitable for?

For most healthy women of childbearing age, copper-containing T-shaped "ring" or new body 380 "ring" is the first choice. T-shaped "ring" is cheap and effective in contraception. The ring body consists of plastic bracket and copper wire. Because of the high copper content and poor elasticity of plastic stent, the "ring" has more side effects of postoperative bleeding and abdominal pain. Those who can't adapt to T "ring" can try to use the new 380 "ring", which is imported from Germany with moderate price and excellent technology. The polyethylene stent is soft and supple, which reduces the stimulation to the uterine wall, and has little adverse reaction after operation, which is easy for users to accept.

Contraception with IUD has a certain failure rate, which is mostly caused by "outside the ring", that is, IUD automatically discharges from uterus. However, "out of the ring" is mostly related to the user's cervical relaxation, so such women should carefully choose intrauterine devices. Mycu IUD can be tried. The ring body is V-shaped, which is consistent with the shape of uterine cavity. The bracket is made of memory alloy, which has good compliance and is not easy to deform. Both ends are copper particles, which are not easy to fall off. Another feature of this ring is that it has no tail silk, so it reduces the incidence of reproductive tract infection and sexual discomfort. Of course, the lowest removal rate is the Belgian imported Ginny ring, which looks like a micro chain and consists of six copper sleeves and polypropylene surgical sutures. Because the whole ring body has no bracket, its shape is relatively free and can change with the uterine cavity. At the same time, one end of the ring is embedded in the myometrium of the uterine wall, so the shedding rate is low.

In addition, some women usually have more menstrual flow, but they want to use intrauterine devices. What should they do? It is best to choose a medicated intrauterine device. The IUD is imported from Germany, and its appearance is the same as the new 380 "ring", except that the longitudinal wall of the IUD is wrapped with a medicine (contraceptive) tube. Once the IUD is placed in the uterine cavity, the medicine in the medicine column will be released slowly in a small dose, and it will only act on the inner side of the uterine cavity without affecting all the systems of the whole body, thus obviously reducing the menstrual flow and avoiding the adverse reactions of ordinary contraceptives. Because the whole ring body does not contain copper, women who are allergic to metal can also try it.

In short, there are many kinds of intrauterine devices, so all female friends must know clearly before putting them on, and try to choose the right ring to avoid unnecessary trouble.

For more than 30 years, IUD has been the main contraceptive measure. As a safe, effective, simple and economical reversible contraceptive method, IUD is also popular among women. However, many women are deeply worried about the use of IUD. Here are some topics that readers are most concerned about.

Will the intrauterine device be embedded in the uterus and cannot be taken out?

Many women are worried that the IUD will be embedded in the uterine muscle wall after being placed for so long. In fact, this kind of worry is unnecessary. This is because the IUD is placed in the uterus, not attached to the uterine muscle wall. The endometrium undergoes a periodic change of shedding, bleeding, discharge and regeneration once a month, so that the IUD will not be fixed on the endometrium, let alone grow on the myometrium of the uterus, so it will not be embedded in the uterus.

At present, it is considered that stainless steel metal rings can be used for 15-20 years; Silicone, plastic or other types of copper-containing intrauterine devices can be placed for 5-7 years. There are also experts in our country who take endometrium for pathological examination at the same time when taking the ring, and compared with those who have not taken the ring, they find that there is no difference between the two. So, if there is no other discomfort after putting on the ring, don't worry.

Is it foolproof to place an intrauterine device for contraception?

After Xiao Zhang was put on the ring, the amount of menstruation began to increase and the menstrual period was prolonged. This menstrual period is more than ten days. I went to the hospital for an ultrasound examination and found that the IUD was gone and I was pregnant. Xiao Zhang is puzzled: since the intrauterine device was put in, why did it fall off again?

The reason why the IUD falls off is that the size and shape of the IUD do not match the uterine cavity, and the supporting force of the material is insufficient. In addition, for the uterus, the IUD is a foreign body, and the rejection function of the uterus makes the uterine muscles constantly receive it in an attempt to crowd out the IUD. At this time, there may be backache, abdominal pain, increased leucorrhea and increased menstrual flow. Therefore, in the first few months after placing the IUD, the IUD is most likely to fall off. With the passage of time, the uterus and IUD will "coexist peacefully". The longer the IUD is placed, the less likely it will fall off.

The intrauterine device will fall off and lead to pregnancy, so will the ring be pregnant? Xiao Ceng has been wearing a ring for 78 years. This time she went to the hospital to see irregular menstruation. The doctor examined her and told her that she was pregnant. She can't believe that wearing a ring will make her pregnant for a while. The possible reasons for the occurrence of intrauterine device (IUD) are as follows: IUD is located in a low position in the uterine cavity, close to the cervix, and can not inhibit the implantation and development of fertilized eggs; The size of the IUD does not match the size of the uterine cavity, or the IUD has been deformed and lost its contraceptive effect, and the endometrium has no response to the IUD, which cannot achieve the contraceptive effect.

Do you want to have a baby before taking out the IUD?

After the intrauterine device is placed in the uterine cavity, due to its special local function, it can produce wonderful non-bacterial inflammatory reaction in the endometrium, interfere with the combination of sperm and eggs and the implantation and development of fertilized eggs in the endometrium, thus achieving the purpose of contraception. Of course, wearing a ring can't be repaired. When Xiao Li is going to have an abdominal MRI, the imaging doctor will ask her to go to the gynecology department to take out the IUD first, and then do an MRI examination to avoid metal objects affecting the image quality. In addition, there are some complications caused by ring, which can be considered after conservative treatment fails; When the ring reaches its service life or menopause, it should be taken out in time.

The purpose of releasing intrauterine devices is to prevent pregnancy. Now that menopause is over and IUD is not needed for contraception, there is really no need for IUD to stay in the body. In addition, when releasing the IUD, the doctor puts in an appropriate type of IUD according to the size of the uterine cavity. After menopause, ovarian function decreases, estrogen level decreases, reproductive organs begin to shrink, uterine cavity shrinks, and cervix tightens, but intrauterine devices will not become smaller. If it is not taken out in time, it will make it difficult to take out the intrauterine device. Therefore, menopausal women should take out the ring in time, and there is no need to leave foreign bodies (intrauterine devices) in the body.

Can I only take x-rays through the ring?

X-ray monitoring of IUD can make IUD play a better role, which can meet the requirements and is cheap, so X-ray is often used in traditional IUD puncture. So, is it only X-ray that can be used to connect rings? Xiao Zhang has irregular menstruation after wearing the ring. The doctor suggested that she do B-ultrasound to see the condition of IUD. Xiao Zhang took the doctor's B-ultrasound list and looked puzzled. Listen to the girls, the ring is X-ray, how can the doctor open a B-ultrasound? The doctor explained that B-ultrasound can also check the condition of IUD in the body. Some rings don't develop under X-ray, and Xiao Changcan can't tell what ring he is wearing. In addition, according to B-ultrasound, he can also learn about the uterus and its accessories by the way. Xiao Zhang listened to the explanation and went to check it happily.

In recent years, more and more people have proposed to use ultrasound examination instead of X-ray examination for three reasons: first, X-ray has certain radioactive damage to human body, which is not suitable for long-term repeated examination; Secondly, the size and shape of human uterus vary greatly. X-ray fluoroscopy can not accurately identify the position of the ring and the adjacent relationship between the ring and the uterus, but ultrasound examination has advantages. Thirdly, with the development of high-tech, there are many birth control rings that can't penetrate X-ray, which leads to the development of birth control rings in X-ray fluoroscopy. In view of this, fluoroscopy is gradually replaced by ultrasound.