When do you get your period after Mirena removal? Women Health. How to replace or remove the Mirena coil

total 123,880 consultations

Intrauterine device (IUD)

The intrauterine device is a fairly reliable, but not suitable way for everyone to prevent unwanted pregnancy. To understand whether this method of contraception is suitable for a woman, it is necessary to exclude a number of diseases and carefully weigh the pros and cons.

Related articles:

Elena asks:

Is it better to use oral contraceptives or use condoms or other means of protection? Which spiral to choose?

information about the consultant

Hello, Elena! The intrauterine device and the condom are too different methods of contraception to compare them. If you have a disordered sex life (that is, you have more than one sexual partner), you should not even think about an intrauterine device. Only condoms will protect you from sexually transmitted infections, the risk of contracting which in this case is very high. If you are nulliparous, again an intrauterine device is not indicated, it is better to use condoms or oral contraceptives (for more details, see the article Methods of modern contraception (protection against unwanted pregnancy) on our portal). If you have given birth and do not have significant gynecological diseases that could be a contraindication for the installation of an intrauterine device, you need to consult a doctor who will select the optimal type of device for you, as well as its size. In any case, before you start using one or another method of contraception (intrauterine device, oral contraceptive pill), it is better to consult a gynecologist. Take care of your health!

Olga asks:

Good afternoon, I'm getting ready to remove the spiral. I want to prepare myself mentally and informatively. I read and understand that it is better to undergo a course of anti-inflammatory therapy after it is removed. Tell me what to pay attention to?

information about the consultant

Hello! Removing the intrauterine device is a manipulation associated with the risk of trauma to the mucous membrane of the genital organs. The consequence of a violation of the integrity of the epithelial cover of the uterus and vagina is inflammation and the possible addition of a secondary infection. In such a situation, prophylactic use of anti-inflammatory and antiseptic agents is recommended. It is better to use medicines of natural origin, and not immediately use “heavy artillery”, which can disrupt the natural balance of vaginal microorganisms. Vagikal may be recommended as the drug of choice in this case.
The main active ingredient of the drug is calendula officinalis. Calendula contains salicylic and pentadecylic acids, which cause the death of streptococci and staphylococci and have anti-inflammatory effects. Calendula helps accelerate tissue regeneration and the formation of new functional cells, promotes the orderly development of the vaginal epithelium and also prevents the formation of scar tissue.
Before using the drug, you should consult your doctor. Be healthy!

Evgeniya asks:

I got the IUD installed a month ago, the blood smears and flows, the doctor said it’s taking root, but I also have some kind of blackness that smears and I also have erosion, should I remove the IUD or what do you recommend?

information about the consultant

Hello, Evgenia! It is believed that within three months after the installation of the intrauterine device, the body adapts to it. Which can be manifested by bloody discharge of varying severity. However, if spotting turns into uterine bleeding, this is an indication for removal of the IUD, since such bleeding can cause the development of severe anemia. Heavy bleeding indicates that this method of contraception is not suitable for a particular woman. Discuss further tactics with your doctor. Take care of your health!

Irina asks:

Good afternoon, I have had an intrauterine device for about 25 years. During the abortion, the doctors gave me an IUD without telling me about it. I found out about her 10 years later. I don’t experience any particular discomfort. What are the dangers of using it for such a long time? They say that it can grow into the uterine cavity and can only be removed by completely removing the entire uterus? Thanks for the answer

information about the consultant

Hello Irina! Leaving the intrauterine device in the uterine cavity for such a long time is indeed fraught with complications. The spiral could indeed have become so firmly fused with the mucous membrane of the uterus that it would be very, very difficult to remove it. In such cases, removal of the IUD may result in severe uterine bleeding. If you decide to remove the IUD, contact a gynecological clinic that can perform surgical interventions, so that if complications arise, you can receive the necessary assistance. Take care of your health!

Julia asks:

In November 2009 I installed an IUD, and took tests after installing the IUD, and found out that I had ureoplasmosis, but the doctor did not remove the IUD and prescribed treatment. I took the entire course, but since then my lower abdomen has been hurting and my back has been strained. Tell me, is it possible to become infected with ureoplasmosis while swimming in the sea, since I still don’t know how I could have become infected, I have had one partner for a long time, and is it possible to remove the IUD without waiting for my period? Thank you in advance

Obstetrician-gynecologist

information about the consultant

Hello, Julia!
Carry out a control examination for ureoplasma for yourself and your sexual partner. This infection could have come to you a long time ago (of course, not when swimming in the sea) and did not manifest itself in any way, which did not force you to be examined. You must understand that there are several causes of aching pain in the lower abdomen (problems of the spine, urinary tract, gastrointestinal tract). If, with the help of tests, ultrasound and related specialists, the doctor has ruled out such causes, you can remove the IUD. It is best to do this on the 2-3rd day of menstruation, since this way the cervix is ​​less damaged.

INNA asks:

Hello! My question is: if you get pregnant while the IUD is in place, can you give birth? Or abortion?

information about the consultant

Hello, Inna! If pregnancy occurs while using an intrauterine contraceptive, then the device is removed from the uterine cavity at an early stage. This procedure is covered by the prescription of drugs that prevent abortion, and usually takes place without any special complications for the woman and the fetus. Our portal contains a video film Removing the intrauterine device, which shows the process of removing the intrauterine device. Be healthy!

Albina asks:

HELLO, I'M 36 YEARS OLD, I GAVE BORN 5 MONTHS AGO TO HIS THIRD CHILD. TWO DAYS AGO I INSTALLED A MULTILOAD SPIRAL. THE TEMPERATURE THIS MORNING HAS RISED TO 37.5 DEGREES. IT ACHES IN THE BONES, THERE ARE NO SYMPTOMS OF COLD OR FLU, DISCHARGE: BLOOD WITH MUCU. COULD TEMPERATURE BE THE CAUSE? BE A SPIRAL? THANK YOU IN ADVANCE!!!

Obstetrician-gynecologist of the second category, Ph.D.

information about the consultant

Hello, Albina. If all the rules for inserting an intrauterine contraceptive are followed, there should be no increase in temperature. Perhaps the reason is an insufficiently complete examination before inserting the IUD. It cannot be ruled out that there was an inflammatory process (chronic, sluggish) in the uterine appendages, and the introduction of the IUD contributed to its exacerbation. Before the insertion procedure, the doctor was required to examine you and, optimally, prescribe an ultrasound. If there are signs of an inflammatory process, the insertion of an IUD is contraindicated. Also, you should have taken a smear for flora and, if an inflammatory process in the vagina was diagnosed, treatment was prescribed and only then an IUD was inserted. If sexually transmitted infections are suspected, it is recommended to exclude their presence and, if necessary, treat with subsequent laboratory monitoring. When an infectious process is diagnosed, the spiral promotes its spread into the uterine cavity and appendages. In any case, you need to be examined by the doctor who installed the intrauterine contraceptive to exclude the development of complications. Self-medication is not recommended.

Allah asks:

The IUD has been in place for 14.5 years now. My periods are regular and painless. At the medical examination, doctors say the IUD is in place normally. Does it need to be removed?

Gynecologist

information about the consultant

Hello Anna.
Any spiral should not stand for more than 5 years. Conventional non-hormone-containing intrauterine devices are installed for a period of 3 years, levonorgestrel-containing Mirena devices are installed for a period of 5 years. A longer stay of the IUD in the uterine cavity can contribute to the oxidation of the metal contained in the IUD core, the development of chronic inflammatory processes in the uterus, and contribute to the development of a background for precancerous conditions. I recommend that you remove the spiral with a mandatory cytological examination of the print from the spiral.

Lisa asks:

Hello, I have a question! It’s been 1 month since I was fitted with the Nova T coil, before and during sex I have very little lubrication, and there was no unpleasant feeling of friction, and this has never happened before. After sex, spotting appears. Why does this happen, maybe the spiral is not suitable for me?

Gynecologist

information about the consultant

Hello Lisa.
After installing the IUD, for some time the uterus adapts to the presence of a foreign body in it, this may be accompanied by increased bleeding during menstruation. The appearance of intermenstrual discharge, pain in the abdomen, and a feeling of discomfort. To reduce negative feelings during sex, use lubricants at first to additionally moisturize the vagina and reduce friction. And it is advisable that you contact a gynecologist for an examination and ultrasound - the IUD may be in the wrong position in the uterus.

Inna asks:

Hello uv. specialists! I got an IUD 6.5 years ago. I understand that the time has come to change it. But I have some kind of fear. When the spiral was installed, the process was painful. There was even a feeling that a little more and I would lose consciousness. I once had a vaccum, the painful sensations are a little similar. When removing the spiral, I probably also expect the same sensations? It's getting scary. Thank you in advance.

Obstetrician-gynecologist of the highest category

information about the consultant

Hello Inna! If your IUD’s “whiskers” are not torn off, then removing it at the end of menstruation will most likely not be difficult. There are usually no unpleasant sensations, or they may be minimal. Usually, after the IUD is removed, a cytological imprint is made from the coil.
However, the IUD needs to be removed as soon as possible. You have already exceeded the recommended period of use of the IUD. If the IUD is used for a long time, the “whiskers” may come off or the spiral may grow in. In such a situation, separate diagnostic curettage will be required.
Take action!

Inna asks:

I am 34 years old. I gave birth. The intrauterine device was in place for 5 years. It has now been removed. Inflammation of the ovaries is observed. I plan to undergo a course of treatment and put the IUD back on. The doctor recommends hormonal. What kind of spiral is this and is it possible to find an alternative? Which one?

Obstetrician-gynecologist

information about the consultant

The intrauterine hormone-containing system is a special device that releases the hormone (levonorgestrel). Its effect is not only contraception, but also in the treatment of hormonal-dependent diseases (endometriosis, some forms of uterine fibroids, endometrial hyperplasia, heavy and painful menstruation). If you are healthy and only need contraception, you can use any copper-containing IUD. If you need treatment, then only combined oral contraceptives (COCs) can be an alternative to the hormone-containing system.

Elena asks:

I have had fibroids for 5 weeks. Is it possible to get a hormonal IUD in such cases?

Obstetrician-gynecologist of the highest category, MD.

information about the consultant

good day, Elena! Indications and contraindications for the installation of a hormonal IUD should be assessed by your supervising gynecologist during an in-person appointment. In general, the use of the IUD is not contraindicated only in the absence of heavy, prolonged, painful menstruation and in the presence of a single sexual partner. The undeniable advantage of the hormonal IUD is its therapeutic and prophylactic properties, which conventional IUDs cannot boast of. It corrects long, painful, heavy menstruation and can be used to treat uterine fibroids. Be healthy!

Julia asks:

I am 45 years old. To prevent the formation of polyps and enlargement of fibroids, on the advice of a doctor, I received a hormonal IUD. 0.5 years have passed. During this time, the face became covered with “teenage” acne, then red flaky spots appeared on the eyelids, weight gain, and causeless irritability appeared. What can be recommended in this case: remove the IUD or take any medications that reduce the side effects of hormones?

Obstetrician-gynecologist, clinical resident of the Department of Obstetrics, Gynecology and Reproductology

information about the consultant

Good afternoon The symptoms you described are typical for the use of any hormonal drug (including a hormonal IUD), however, the same symptoms may appear without connection with the IUD. Once a clear connection is established between the use of a hormonal IUD and the onset of symptoms, it is necessary to remove the IUD and choose a treatment method that is right for you. At the same time, research (examination, smears, colposcopy, cultures, ultrasound, hormones) is mandatory both to remove the IUD and to select a new treatment method. Be healthy!

Julia asks:

Please tell me, I can’t decide which is better than an IUD or birth control pills. I already have 1 child and I’m not planning another pregnancy in the next 2-3 years. I have no gynecological problems.

information about the consultant

Hello Julia! Each modern contraceptive (intrauterine device, oral contraceptives) has its own advantages. The placement of an intrauterine device is not associated with the need to take contraceptive pills daily and does not affect liver function. But oral contraceptives are not associated with the introduction of a foreign body into the uterus and are able to regulate hormonal disorders and associated problems (oily skin, acne, excess body weight, premenstrual syndrome, etc.). Therefore, choosing a means of contraception is a very delicate matter, in which many factors are taken into account, not just the presence of children and the absence of gynecological problems. Contact your gynecologist for an in-person consultation - a specialist will help you choose a contraceptive that suits you personally. For more information about different methods of contraception, see the article Methods of modern contraception (protection against unwanted pregnancy) on our medical portal. Take care of your health!

Elena asks:

Hello! I have had the coil for 2 years. Do I need to take ascorutin to reduce monthly bleeding? Thank you.

Obstetrician-gynecologist, reproductive specialist

information about the consultant

Good afternoon, Elena Askorutin in no way affects the reduction of bleeding during menstruation. At best, it strengthens the walls of small capillaries. If you are concerned about heavy bleeding during menstruation, the first thing you should do is contact your doctor so that he can determine whether the IUD is installed correctly or whether there are any other pathological processes that can lead to heavy bleeding. If the blood loss is large, then most likely you will also have anemia, for this you need to take iron supplements. (for example - actiferrin, hemofer, tardiferon, totema, sorbifer durulex, fvenofer, fenyuls). All these drugs contain either 2- or 3-valent iron and can be taken according to two schemes: the first scheme is when you start taking the drug a couple of days before your period and finish 2-3 days after the end of your period. The second regimen is simply taking the drug for 30 days. Take according to the instructions (in terms of the number of tablets, capsules). It would be a good idea to do a general blood test to understand whether there is anemia and how severe it is.

total 131 pages

The intrauterine device is one of the most reliable and convenient methods of birth control. There is no hassle with it, similar to taking pills, no inconvenience, like with a condom.

The IUD has only a local effect, without affecting the entire body. But since it remains in the uterine cavity for a long time, it is natural that menstruation after the IUD, as well as during it, can change their characteristics.

There are different types of IUDs, they are not suitable for every woman, so it is important to pay attention to menstruation and everything that accompanies it.

Read in this article

Read more about the IUD and its effect on the reproductive system

Modern spirals have the shape of the letters T, S or rings and are made of plastic with the addition of metal. The contraceptive effect is ensured by:

The impact of the device is aimed at the organs directly involved in the process of menstruation. Therefore, menstruation with a spiral may have different parameters than without it.

Only a doctor should insert an IUD after a thorough examination of the woman for infectious diseases and inflammatory processes in the uterus. Since it must be located in the cavity of the organ, the natural question is: when is the IUD placed before or after menstruation?

Access to the uterine space is through the cervical canal. This is a rather narrow “corridor,” especially for nulliparous women. Traumatizing it is extremely undesirable, as it carries the risk of infection and appearance. Damage to the cervix may be a negative circumstance for subsequent births.

It is more advisable to insert the IUD during menstruation:

• The cervix is ​​slightly open more widely than usual and has a soft consistency;
• The insertion of the IUD will be precise and painless;
• The reproductive system is undergoing an update, which will help it quickly adapt to the presence of a foreign object.

But what about the discharge? Can't it interfere with the doctor? This consideration leads to the question of what day of menstruation the IUD is placed on. With a 3-day menstruation, it is better to do this on the last day. If it lasts 4-7 days, it is also closer to the end, for example, 2-3 days before it. In this case, by the time the IUD is inserted, menstruation is no longer so intense as to prevent the gynecologist from seeing the working field. But the cervix has not yet narrowed enough to make inserting the IUD difficult.

What about other days?

Installation of an intrauterine device

For some women, the doctor prescribes the installation in addition to their critical days. But they doubt whether the IUD is inserted without menstruation. In principle, doing this on other days of the cycle is not prohibited. It’s just that many specialists prefer to do the installation in the last days of menstruation. This way you can be sure that the patient is not pregnant.

But if there is urgency in protection, you should not be afraid and doubt whether it is possible to insert the IUD without menstruation. This is often done to women who have recently had a successful birth. In order for the hormonal IUD to work immediately, it is administered a week after the start of the cycle.

For many, their critical days are already over by this time, and the IUD is thus installed “dry”. The process may be a little more painful. But local anesthetics will help relieve the sensations, and the manipulation itself lasts no longer than 5 minutes.

Dates of menstruation with an IUD

Menstruation during the spiral should normally come on schedule. But since the body has suffered stress associated with its introduction, and also needs to adapt to the presence of a foreign object in the uterus, a small amount is acceptable. It is also made possible by a shock to the nervous system, which provides hormonal accompaniment of the cycle.

In this case, if there is a spiral, a delay in menstruation is likely due to a deficiency of certain substances, which causes a prolonged wait. Its increase is facilitated by installation outside critical days. But the wait for menstruation should not be longer than 3 weeks. And when it exceeds this period, the woman urgently needs to see a doctor.

A short delay in menstruation with the IUD is not an alarming signal if it is observed only for 3-4 cycles. The period of adaptation may well be that long. When this happens for longer, it makes sense to consult a specialist.

If a woman has an IUD and has not had her period for a long time, then it is possible that conception has occurred. This probability is very small, but it should not be denied at all.

This also requires immediate consultation with a specialist. To avoid this, you should use other methods of protection for a couple of weeks after inserting the IUD.

First menstruation and IUD: nature of discharge

The nature of menstruation in most women changes towards increased discharge and duration. The spiral makes it possible due to its irritating effect on the endometrium and changes in the composition of the cervical mucus.

We must also not forget about unstable hormonal levels due to installation-related stress. The spiral makes the first menstruation be especially intense. A woman may need more than 1 pad for 3-4 hours. If she also feels severe pain and severe weakness, she may need medical help immediately.

But normally, menstruation, although it goes beyond what is usual for a particular woman, does not pose any danger. And if they are stronger than before, they are removed with antispasmodics.

If there is no effect from the medications, or severe bleeding occurs, you should consult a doctor immediately. This could mean severe inflammation, the body’s rejection of the IUD, or injury to the uterus. The spiral must be removed immediately.

During the remaining days of your period immediately after inserting the IUD, you should not use tampons. They increase the risk of infection in the internal genital organs and may interfere with adaptation to the spiral.

Installed intrauterine device

Through the cycle after installation

Gradually, the body restores hormonal balance, which brings menstruation after the introduction of the IUD to the usual norm for a particular woman. If their intensity remains at the level of the first, this may indicate that the body does not accept this method of contraception or type of contraceptive.

In some women, due to existing diseases and past surgical interventions, the IUD increases the risk of its occurrence. Therefore, the test will not be superfluous.

Heavy menstruation

The first period after the IUD normally comes within 30-40 days. They may be delayed for the reasons mentioned above, or when the IUD was removed urgently. Menstruation can be heavy, which is associated with hormonal imbalances.

The spiral for a long time interfered with the normal development of the endometrium and prevented the maturation of the egg. This could not but have an impact on the functioning of the ovaries. Discharge becomes intense due to:

• Inflammation arising in the reproductive system. In most cases, it is the culprit, so it is important to monitor the cycle in collaboration with a doctor;
• Damage to the uterus. The process of removing an IUD is much simpler and shorter than insertion, but injury is still likely. It happens that parts of the contraceptive remain inside the organ. In this case, discharge will be observed from the very beginning after removal. And the pain, which normally should go away soon, will remain for a long time and may intensify.

How menstruation goes after the IUD depends on the diseases the woman has. In some of them, the IUD is prescribed not only as a means of preventing pregnancy, but also as a treatment for existing or preconditions for the occurrence of endometrial hyperplasia.

When the IUD is removed, menstruation may return to its previous form due to the fact that the factors that provoke the abundance of discharge are again in force.

Removing the IUD and scanty periods

What is an IUD?

An intrauterine device (IUD) is a small plastic device inserted into the uterus to prevent pregnancy. Modern models are made of plastic and contain metal or a drug (copper, silver, gold or progestin).

What types of intrauterine devices are there?

Modern intrauterine devices are small plastic or plastic-metal devices. Their dimensions reach approximately 3x4 cm. Typically, copper, silver or gold are used to make spirals.

The appearance of most spirals resembles the shape of the letter “T”. The T-shaped shape of the spirals is the most physiological, as it corresponds to the shape of the uterine cavity.

1-27 — variants of spiral shapes. One thing in common is that they all act as a “foreign body”.

28 - Lipps loop. Spirals of this exact shape were common in the USSR. They were produced in three sizes. It was very inconvenient to insert them, since the disposable conductor, which is now attached to each spiral and is made of transparent polymer, was missing; they used a metal conductor, with which it was difficult to control the insertion process. Therefore, complications such as perforation (perforation) of the uterus occurred more often than at present.

29-32 — T-shaped spirals or “teshki” are modern modifications of metal-containing spirals. 33 - also “teshka”. An extremely convenient option for insertion and removal. Due to the fact that the “shoulders” are pulled into the conductor, the manipulation is almost painless.

34-36 - multi-loud or umbrella coils. They perform their function perfectly, but when inserting and removing them, the cervical canal is often injured. There are also cases of defragmentation (when the “hangers” come off the rod).

Which spirals are better?

There is no ideal spiral that would suit everyone without exception. This issue is decided by the gynecologist individually for each woman.

How does the IUD work?

The effect of the IUD consists of several factors:

• thickening of cervical mucus (i.e. mucus of the cervical canal), which makes it difficult for sperm to penetrate into the uterine cavity;
• a change in the properties of the endometrium (the mucous membrane of the uterine cavity), which makes it unsuitable for the implantation (of) an egg;
• due to the effect of a foreign body, the peristalsis of the fallopian tubes increases, which accelerates the passage of the egg through them, during which time it does not have time to reach the degree of maturity required for implantation.

How to use an IUD?

During a short, simple procedure, the doctor inserts an IUD into the uterine cavity.

If you want to make sure that the IUD is in the uterus, you can insert your fingers into the vagina and feel the plastic strings attached to the IUD.

If pregnancy is desired, you can ask your doctor to remove the IUD. Your fertility will be restored immediately.

What are the advantages of this method of contraception?

• High efficiency, comparable to the effectiveness of hormonal contraceptives. To some extent, IUDs are more reliable than hormonal pills because there is no danger of missing pills. When using the IUD, absolutely no action is required on the part of the woman to maintain the contraceptive effect, and, therefore, any possibility of error or accident is eliminated.
• Provides protection from pregnancy for a long time (from 5 to 7 years depending on the type of IUD).
• Use is not associated with sexual intercourse.
• Compared to all other contraceptive methods, the intrauterine device is the cheapest contraceptive method. Despite the fact that the cost of one IUD is many times higher than the cost of one package of birth control pills or one regular package of condoms, recalculating its cost over 5 years (the usual period of wearing one IUD) shows its undeniable superiority in economic terms.
• Unlike birth control pills, metal or plastic IUDs, which do not contain hormones, have absolutely no overall “hormonal” effect on the body, which many women (in some cases justifiably) fear. For this reason, IUDs, which do not contain hormones, are recommended as the primary method of birth control for women over 35 years of age, with active smoking, or with other conditions that make the use of birth control pills impossible, but require a very high level of protection against unwanted pregnancy.
• The spiral is not felt at all during sexual intercourse and does not interfere with partners.

What are the disadvantages of the method?

• Unlike, for example, a condom, an IUD does not protect against sexually transmitted diseases.
• Installation and removal of the IUD should only be performed by a doctor.
• After installation of the IUD, side effects are possible.

What side effects might there be?

Installation of an intrauterine device can lead to some complications, but not all women wearing the device develop complications. Modern research shows that more than 95% of women wearing IUDs consider them to be a very good and convenient method of contraception and are satisfied with their choice.

During or immediately after installation (for all types of spirals):

• Perforation of the uterus (extremely rare);
• Development of endometritis (very rare).

During the entire period of use of the spiral (for metal-containing or plastic spirals without hormones):

• Menstruation may become heavier and more painful.
• There may be bloody vaginal discharge between periods.
• Women with sexually transmitted infections (STIs) are at greater risk of developing pelvic inflammatory disease.
• In some cases, expulsion (complete or incomplete loss) of the IUD from the uterus is possible.

When should an IUD not be installed?

Contraindications for installing the IUD are determined by a gynecologist. Only a specialist can determine exactly how safe it is to install a spiral in your case.

An IUD cannot be installed if:

• You think you might be pregnant.
• You have more than one sexual partner.
• There is an acute form of inflammatory diseases of the cervix or pelvic organs, including STIs.
• Over the past three months, inflammatory diseases of the pelvic organs have been observed.
• Vaginal bleeding of unknown origin is observed.
• There is a fast-growing one, also if the myomatous node deforms the uterine cavity.
• There is cancer of the genital organs.
• There is a severe form of anemia (hemoglobin<90 г/л).

• There is a high risk of contracting an STI.

How to prepare for installing a spiral?

The procedure for inserting an intrauterine device cannot be performed in the presence of any sexually transmitted infections or other gynecological diseases, therefore, before installing the device, the gynecologist conducts a general gynecological examination, taking smears to determine the degree of cleanliness of the vagina and a smear for oncocytology, in some cases an ultrasound is necessary. research. If any infections or gynecological diseases are detected, the insertion of the IUD is postponed until cured.

Before installing the spiral:

How to behave after inserting the IUD?

Within 7-10 days after installing the spiral, you cannot:

• Have sex;
• Do douching;

After 7-10 days it is necessary to undergo a follow-up examination.

Be sure to see your doctor sooner if:

• Within a few days of having the IUD installed, you have a fever, very heavy vaginal bleeding, abdominal pain, or an unusual vaginal discharge with a foul odor.
• Any time after inserting the IUD, you feel the IUD in your vagina, notice that the IUD has moved or fallen out, or if you notice your period is 3-4 weeks late.

What is the follow-up?

If menstruation does not occur within 4-6 weeks after insertion of the IUD, seek advice. You should contact us for a preventive examination at least once a year, and at any time if you have questions or problems.

What symptoms should you see a doctor for?

Application is necessary if:

• You suspect pregnancy.
• You have heavy vaginal bleeding (heavier or longer than usual).
• You experience severe abdominal pain;
• pain is felt and bleeding occurs during sexual intercourse.
• There are signs of infection, unusual vaginal discharge, chills, and fever.
• You cannot feel the IUD strings or feel that they are shorter or longer than before.

Will there be any changes in how you feel and the nature of your menstruation after the insertion of an IUD?

After installing IUDs without hormones, the following changes are possible:

• Your periods become more painful, slightly longer, and more abundant than before the IUD was installed.
• Spotting bloody discharge from the vagina may be observed, before or after menstruation, sometimes (less often) and in the interval between two menstruation.
• In some cases, due to increased pain during menstruation and irregular bleeding, women are forced to stop using the IUD and remove it before the end of the period.

After installing the IUD with hormones (in particular):

• There may be a significant shortening of menstruation and a decrease in the total amount of bleeding during menstruation.
• Approximately 20% of women using Mirena experience complete disappearance of menstruation (amenorrhea). The restoration of menstruation in this case occurs only after the IUD expires and is removed from the uterus. It is reliably known that the disappearance of menstruation in women using Mirena is not associated with inhibition of the ovaries (as with the use of oral contraceptives), but with the suppression of the development of the uterine mucosa by small doses of hormones.
• Despite the fact that many women are afraid of the disappearance of their periods, there is no reason to consider it dangerous to health. Moreover, this effect of hormonal IUDs can even be beneficial, since it significantly improves a woman’s quality of life and is an effective method of treating anemia, which many women with long and heavy periods have. The Mirena IUD is used to treat severe uterine bleeding.

How is the intrauterine device removed?

Removal is usually done after 5-7 years (depending on the modification of the spiral). But if the woman wishes, this can be done at any time. The reason may be the desire to become pregnant or the occurrence of any complications.

Before removal, the same examination is carried out as before insertion of the spiral. If necessary, vaginal sanitation (improvement) is prescribed.

Removal is done by pulling the spiral tendrils at a certain angle. In some cases, for example, in the case of wearing a spiral beyond the prescribed period, removal must be carried out in a hospital setting, with anesthesia, by curettage of the uterine cavity.

Within 4-5 days after removing the IUD you cannot:

• Have sex;
• Use vaginal tampons (you can use regular pads);
• Do douching;
• Take a bath, visit a sauna or steam bath (you can take a shower);
• Engage in heavy physical labor or intense exercise.

Removing the IUD does not cause changes in the menstrual cycle. The exception is the Mirena IUD, when worn, there is an absence of menstruation or scanty cyclic bleeding. After Mirena removal, the menstrual cycle usually returns in about 3-6 months.

Be sure to consult a doctor if, within a few days after removing the IUD, you have a fever, very strong vaginal bleeding, abdominal pain, or unusual vaginal discharge with an unpleasant odor.

Is it possible to remove the spiral yourself?

Do not under any circumstances try to do this!

The spiral is removed by pulling on the tendrils, which may break before it is removed. After this, the IUD can only be removed instrumentally and only by penetrating the uterine cavity. In addition, the mustache may break as the spiral passes through the cervical canal and it will get stuck there. Take my word for it, it is very painful.

To remove the IUD, be sure to consult a gynecologist.

How often should the coil be changed?

Metal-containing spirals (for example, copper or gold) can be used for 5-7 years without replacement. IUDs with hormones (for example, Mirena) require replacement every 5 years.

Can I get pregnant if I wear an intrauterine device?

Pregnancy in women wearing an intrauterine device is extremely rare. The probability of pregnancy when using copper coils is no more than 8 chances out of 1000 during the year. When using IUDs with hormones, the chance of getting pregnant is reduced to 1 in 1000 within a year.

In this case, the course of pregnancy is no different from the course of a normal pregnancy, the spiral is located behind the membranes, and during childbirth it is born along with the placenta. Many women are afraid that the IUD may grow into the child’s body. These fears are unfounded, since the child’s body is surrounded by and. Pregnant women who have the IUD are observed to be at risk.

The risk of pregnancy increases significantly if the IUD becomes dislodged or falls out of the uterus. This happens especially often after menstruation, when the IUD can be thrown out of the uterine cavity along with the rejected tissue.

In this regard, all women who wear the IUD are recommended to check the presence of the IUD in the uterus at least once a month by feeling the antennae of the IUD deep in the vagina. If you previously felt the antennae of the spiral well, but can no longer find them, contact your gynecologist, as the spiral may have fallen out and you did not notice it.

How do I know if I am pregnant while wearing the IUD?

If While wearing a non-hormonal intrauterine device, your period is delayed by more than 2-3 weeks, you need to take a home pregnancy test and consult a doctor.

Could the IUD interfere with my ability to get pregnant in the future?

The contraceptive effect of intrauterine devices is easily reversible and disappears soon after their removal from the uterine cavity. The probability of pregnancy occurring within 1 year after removal of the IUD reaches 96%.

Planning a pregnancy is possible as early as the next month after removal of the intrauterine device.

Inserting and removing an intrauterine device is a quick and simple procedure, but after it the body needs time to adapt. The rehabilitation period progresses differently and is accompanied by atypical manifestations. Menstruation after the spiral can be scanty or, conversely, abundant. Many people experience irregular menstrual cycles and delays. The nature of menstruation also changes after the removal of the IUD, since the long-term presence of a foreign body inside the uterus affects the organ. During the period when the body gets used to the new state, any uncharacteristic symptom cannot be ignored.

The process of inserting an intrauterine contraceptive and subsequent adaptation is stressful for the body. The nervous system suffers, hormonal levels become unstable. The consequences of the changes taking place are very different. Most often, periods with a spiral occur on schedule, in some cases failures are possible. The woman may feel pain and severe weakness. Some experience an increase.

Intensity and abundance are usually associated with the irritating effect of the spiral on the uterine mucosa. In addition, suppression of the endometrium becomes one of the reasons for delayed periods. Late menstruation can be caused by other factors.

Reasons for the delay of critical days

A delay in menstruation after installation of the IUD is not a pathology. The regularity of the cycle will be restored over time. Much will depend on the quality and composition of the installed product.

Normalization of the cycle with the hormonal intrauterine system is faster. Delays in menstruation are more common with metal-containing products. When a failure is accompanied by severe pain, the contraceptive is removed ahead of time.

If you haven't had your period for more than two weeks, take a pregnancy test. If there is no discharge for a long time, conception should not be ruled out. The spirals move from their place, descend into the cervical canal and simply fall out. This is unlikely, but this happens due to the poor quality of the product, improper installation or the individual characteristics of the female body.

Full physiological recovery after installation of an intrauterine contraceptive occurs after 3 months. If during this time the cycle has not returned to normal, and pregnancy is accompanied by painful symptoms, contact a gynecologist.

Causes of heavy and prolonged menstruation

The first periods after installation of the IUD are scanty. An increase in discharge is observed from the second month, heavy menstruation should end by the end of the third, when the hormonal levels stabilize. If the course of the cycle follows a different scenario, and their volume does not decrease, visit a gynecologist. There is a possibility of complications developing. The most common include:

• damage to the uterus;
• displacement of the contraceptive into the abdominal cavity;
• anemia;
• bloody and purulent discharge;
• risk of developing inflammatory processes.

When agreeing to use an intrauterine device, a woman should know how many days her period lasts while wearing the IUD, what is its intensity and how the condition changes with possible complications. Spotting and cramping pain in the abdominal area indicate incorrect positioning or displacement of the contraceptive product.

Prolonged periods, accompanied by an increase in body temperature, indicate the onset of inflammation in the reproductive system. Excessive brown blood loss with increasing pain is a common sign of intrauterine pregnancy.

It is important to understand that all problems of the reproductive system do not go away on their own, and without the participation of a doctor it is impossible to identify the cause of atypical behavior of menstruation after the IUD.

There are several. A separate article on our website will tell you more about them.

Menstruation after removal of the IUD

The course of menstruation after removing a contraceptive is an indicator of the impact of the IUD on the female body. Much depends on how long the product spent in the uterus. The longer it was in the cavity, the longer it will take for the endometrium to recover.

It will take from 2 weeks to several months to normalize the cycle and complete rehabilitation of the body. This depends on the period of use of the intrauterine system, the age and health of the woman, the degree of thinning of the uterine lining and other factors.

Irregularity of menstruation after removal of the IUD is often associated with complications. Infectious and inflammatory diseases are considered the most dangerous. Any abnormalities, including hormonal disorders, affect not only the regularity of discharge. The nature and duration of menstruation may change. This leads to large blood losses and deterioration of health.

How to prevent and eliminate adverse reactions

The development of complications when using non-hormonal IUDs is observed much more often. Hormonal ones are more reliable and safe, but in any case, when choosing the type and shape of the product, you must take into account the doctor’s recommendations.

In most cases, difficulties and undesirable reactions with the IUD arise due to the installation of low-quality IUDs and underestimation of contraindications. Among them are sexually transmitted diseases, infections and inflammations of the genital tract, and tumors. When pathology is detected after installation of an intrauterine contraceptive device, the IUD can be removed.

The experience of the specialist who will do the installation is very important. Errors during this medical procedure lead to numerous side effects.

Wearing time is of great importance. The foreign body is removed after the expiration date. If this is not done, health problems may occur.

After installing or removing the coil, no specific care is required. It is enough to follow traditional hygiene rules, regularly see a gynecologist and do what the doctor recommends.

How long does it take for the monthly spiral to arrive? Why is there a delay after the IUD is removed or how does your period go after the IUD is removed?

Currently, many ways have been invented to avoid unwanted pregnancy. The Mirena device is the name given to one of the most effective intrauterine devices, according to doctors. Manufacturers say that installing a spiral of this type allows you to achieve a result that can be equated to complete sterilization of a woman.

Intrauterine devices do not cause any harm to health at all, provided that the system is installed correctly. This spiral is very often used by gynecologists as a means to significantly reduce the intensity of menstrual bleeding.

Intrauterine devices have always had great advantages over hormonal contraceptives. The most important advantage of the IUD is that it does not affect a woman’s hormonal levels. The spiral is classified as a mechanical device that prevents pregnancy.

The spiral has a local effect, unlike drugs that affect the entire body. The only thing that a woman installing an intrauterine device needs to prepare for is the fact that the long-established nature of menstruation may change after the installation of a contraceptive system.

It is worth noting right away that different types of spirals may differ from each other in their design and the same spiral may not be suitable for two different women. Therefore, doctors have to select a specific type of IUD based on the individual characteristics of each patient’s body. First of all, the doctor pays attention to the characteristics of the menstrual cycle and the nature of the discharge during menstruation.

All modern spirals have one of the standard types. One group includes spirals similar to the Latin letter “T”, others like the Latin letter “S” and the simplest ones are shaped like a ring. The material used to make the spirals is plastic. Metals are used in small quantities in the production of spirals.

The contraceptive effect is based on three methods of influence:

• The spiral affects the mucus formed on the cervix in such a way that it thickens greatly and the sperm loses the mobility so necessary for fertilizing the egg.
• In the second case, the coil does not allow the endometrium to form sufficiently. A fertilized egg cannot implant on an immature endometrium.
• The third method of action is to increase contractions of the fallopian tubes. An already fertilized egg passes through the tube so quickly that it does not have time to prepare for attachment to the wall of the uterus.

Installation

The IUD cannot be installed if you are already pregnant. Therefore, every woman undergoes a thorough examination, the main purpose of which is to exclude the presence of infectious diseases and to ensure that there are no foci of inflammation, primarily in the uterus.

Only a doctor has the right to install a spiral, and it does not matter which type of spiral is installed. The complexity of the process of installing an intrauterine device is that it is necessary to gain access to the area that is located on the other side of the cervical canal.

The diameter of this section of the reproductive system is quite small, especially in women who have not yet become mothers. The likelihood of injury during manipulation is very high.

Considering the special environment in the cervical canal area, a small number of bacteria entering the wound can cause severe inflammation that can spread to the uterine cavity.

Therefore, it is necessary to install the spiral extremely carefully! In addition, infection on the cervix will inevitably lead to the formation of erosions. Therefore, the IUD is most often installed during menstruation, when the cervical canal is slightly dilated and more convenient for better insertion of the IUD. In addition, the neck at this time has a softer consistency.

Another positive aspect of introducing the IUD during menstruation is that all affected parts of the reproductive system will begin to quickly recover after menstruation, and this process will simplify and speed up the adaptation of tissues to a foreign object.

Many women are concerned about a completely logical question in such a situation: where will the discharge from the uterus go if a device is installed during menstruation? Therefore, doctors install an intrauterine device on the last day of menstruation, when the discharge is already insignificant in volume. A small amount of discharge will not interfere with the doctor’s installation of the spiral, and the doctor will clearly see the result of the manipulations he performs.

This approach to the process does not mean that the spiral cannot be installed on ordinary days. But in this case, the quality of the installation will be much higher, which means that complications will be avoided. In addition, the just ended period will guarantee that the woman is not pregnant.

If necessary, the doctor administers local anesthesia. The entire installation process takes very little time. For example, a device such as Mirena can be installed in the last days of menstruation or immediately after a medical abortion.

An important condition is the absence of infection in all parts of the reproductive system. This IUD should not be inserted immediately after birth; installation must be delayed for at least six weeks.

Before installing the Mirena, the cervix is ​​treated with an antiseptic solution. After installing the system, the woman should not have any discomfort. If the patient begins to complain of pain, the coil is removed, since most likely it was installed incorrectly.

The manufacturer of the spiral does not exclude allergic reactions to the material from which the system was made. Most often, the culprit of allergies is the metal present in the spiral. Mirena is not recommended for use in nulliparous patients.

Period

The nature of menstruation changes after the installation of an intrauterine device due to the fact that it affects those parts of the reproductive system that are directly involved in the process of menstruation.

The menstruation that will occur after installing the IUD will always be different from what it was before. A woman can feel the difference by the example of her first menstruation with an intrauterine device installed.

The first periods after installation of the device should begin in accordance with the usual calendar, exactly on schedule. But it is quite possible that menstruation will begin with a slight delay, which is not a sign of pathology, but is caused by stress received by the body during installation of the IUD.

For this reason, a slight hormonal shift may occur, which will be the culprit for the delay. If the IUD was installed on normal days, the likelihood of a missed period increases significantly. But in any case, the delay should not exceed three weeks. Otherwise, you will have to see a doctor.

The presence of the IUD does not prevent the onset of menstruation. If the delay lasts several cycles, then you should consult a doctor, since the IUD does not completely guarantee the absence of pregnancy, and a small percentage of the risk remains. In this case, the spiral must be removed.

The first periods after installation of the IUD are more abundant and longer. The reason for this is the irritating effect of the spiral. The composition of the mucus in the cervical canal also changes and therefore the volume of discharge increases slightly compared to what it was before the spiral.

At the same time, a woman may experience hormonal changes due to stress, which make the discharge more abundant. A woman should not be alarmed if she uses two or three more pads per day than usual. This phenomenon can be considered normal.

You should consult a doctor if she feels weak and dizzy due to heavy periods. In this case, a visit to a medical facility cannot be delayed, as these symptoms may indicate bleeding in the uterus. A woman in this condition needs urgent help.

Simply, heavy discharge is not dangerous and does not require treatment. Minor pain that may accompany the onset of menstruation can be removed with the help of antispasmodics. Increased pain during this period is explained by the presence of the spiral.

If the pain is felt in the form of contractions, and these contractions occur against the background of heavy discharge, you should consult a doctor. Such pain may be a sign of incipient inflammation in the uterus. If no measures are taken, the IUD will begin to be rejected, and the inflammation will increase significantly. It will be very difficult to stop such a process.

Until the start of her first period, after installing the IUD, and during it, a woman should closely monitor her health in order not to miss pathology.

Over time, the patient’s body will fully recover and everything related to menstruation will return to normal. This should happen one cycle after the installation of the intrauterine device. If a woman experiences discomfort after this time, the IUD will have to be removed and other methods of contraception selected.

It is quite acceptable if within three months menstruation will be longer than before using the IUD. The duration of the discharge is determined by the irritating effect of a foreign object on the mucous layer of the uterus.

The appearance of discharge outside menstruation is also considered normal during this period. Such discharge is not abundant. All this is the body’s response to the introduction of the spiral, which needs time to get used to the foreign object. In addition, it is necessary to remember that until the coil is removed, the discharge will always be more abundant, but its volume will be within acceptable limits.

Minor pain during menstruation may be present throughout the entire period of use of the device. If the pain bothers the woman greatly, the IUD will have to be removed. In this case, the benefits of using the spiral will not be commensurate with the suffering it causes. In addition, with this development of events, there is a high probability of developing inflammation and anemia.

It is possible that the first period after installing the IUD has passed, and then the delay begins. This state of affairs is not normal and it is necessary to consult a doctor in order to determine the reason for the absence of menstruation. In the presence of a spiral, the existence of a fertilized egg outside the uterine cavity is possible.

Mirena

The Mirena IUD, unlike conventional types of IUDs, is capable of introducing hormones into the body. The progestins it contains completely eliminate possible pregnancy. It thickens the mucus of the cervical canal and inhibits the development of the endometrium, thus preventing implantation of the fertilized egg.

Modern contraception consists of a wide range of devices and medications. Some people prefer hormonal drugs, but they have a large number of contraindications and side effects. These days, the intrauterine device is very popular. If it is installed correctly and all rules of use are followed, the contraceptive effect reaches 99%. In most cases, female representatives who use this device report unusual discharge after installing the spiral. How safe they are, what is considered normal, and when to sound the alarm, we will discuss in this article.

Features of installing a spiral

The intrauterine device is a method of contraception that has proven itself over many years. It is a T-shaped gynecological device made of plastic or metal. Some IUDs contain a progestin hormone or copper. These include the levonorgestrel-releasing Mirena system.

The action of the spiral is due to stopping the penetration of sperm into the upper parts of the female reproductive system, egg transport and fertilization. The Mirena coil also thickens the cervical mucus, which blocks endometrial proliferation. Due to this root effect, the effect of the contraceptive is quite long, sometimes even reaching several years.

The spiral is installed quickly and painlessly. However, some contraindications for IUDs should be taken into account. These include:

• various types of genital neoplasms,
• inflammatory processes in the components of the genitourinary system,
• various uterine injuries, including postoperative ones,
• bleeding of unknown etymology,
• cardiovascular diseases,
• diabetes.

Apart from a small number of contraindications, this contraceptive has no disadvantages. The advantages also include the fact that it can be used at any age, even teenagers. For example, often at an early stage, when menstruation still sometimes makes itself felt. The product helps to avoid pregnancy and smooth out hormonal changes.

The spiral does not affect other systems and organs of the female body, it can be used for up to 10 years, and the price is affordable for any category of the population. But with Mirena, given its hormonal components, side effects may occur. Whatever IUD you choose, it should only be installed by a competent specialist, as previously prescribed by your doctor.

As a rule, the IUD should be inserted at the end of menstruation. This procedure lasts about 15 minutes. Fixing it in the uterine cavity is painless; local anesthesia is most often used.

What discharge is considered normal during an IUD?

Discharge after placement of the IUD is a common occurrence that causes concern for those who use it for the first time. There is no need to worry, because in most cases this is the norm. Experts say that such symptoms after the installation of an intrauterine device are a common side effect, which most likely means a normal reaction of the body rather than a pathological one.

Basically, this is a brown discharge that can begin a few days after the installation of the IUD, and it can last from several days to several months.

It is worth considering that this device is inserted shortly before the end of the menstrual period, therefore, spotting after installation may be the planned end of menstruation. This may be copious discharge of bloody mucus or minor spotting. It is also normal for such manifestations to occur between periods.

After insertion of the IUD, discharge may also occur due to the fact that small vessels of the endometrium (internal tissue of the uterus) were affected. Such bleeding is insignificant, but may be accompanied by nagging pain.

Brown discharge with a spiral may be a natural reaction of the body to a foreign object. This phenomenon can drag on for even six months. It is also not a violation of the change in the nature of menstruation: bleeding may become much stronger, or vice versa, the amount of blood will decrease.

After installing Mirena, the body may react to externally administered hormones with brown discharge. After a while, the hormonal balance will resume, and these phenomena will disappear.

If the bleeding does not go away for a long time, and the pain does not leave you, you should consult a doctor, because this is already a deviation from the norm.

Pathological discharge when using a spiral

Infection

This contraceptive is designed to protect a woman from unwanted pregnancy, but it does not perform a barrier function against various infections, viruses and fungi. Moreover, it is a kind of conductor for them and in some situations may even be the root cause of inflammation of the pelvic organs. This may be indicated by excessive bleeding with discomfort, or the presence of an unpleasant odor or greenish or yellowish mucus color.

Fixture offset

One of the complications that can cause bleeding during the installation of the coil is its loss or displacement. This includes both spontaneous violation of the position and rejection by the body. A foreign body is a fairly large load on a well-functioning reproductive system, so it can take this device for too long, letting it be known by bloody smears, or not take it at all.

To avoid displacement of this remedy, it is not recommended to lift heavy objects, apply pressure, or have sex in the first 2 weeks after implantation. It is recommended to regularly check that the coil is in place to prevent movement. This can lead to injury to the genitourinary system, as well as unwanted pregnancy.

In 0.02% of cases of installation of this contraceptive, bleeding may be caused by damage to or puncture of the uterus. This occurs due to improper insertion or placement of the device. The phenomenon is very rare, but it does happen. In this situation, the main thing is to consult a doctor in time to avoid inflammatory processes and pathological injury.

Ectopic pregnancy

Since no contraceptive means can guarantee a 100% result, conception may still occur with the IUD. But if this happens, it will most likely be in the form of an ectopic pregnancy. A sure sign of this is brown and bloody discharge with increasing and prolonged pain. Follow the link to see pregnancies may appear.

The spiral has “tendrils” that expand the walls of the uterus. In rare cases, this may be indicated by an increased amount of blood released during menstruation.

Whatever the reason, you need to contact a specialist to determine the cause of the discharge. It is worth remembering that the problem does not go away on its own, and large blood loss can lead to anemia and other serious consequences.

The intrauterine device is one of the most reliable means of contraception, second only to subcutaneous hormonal implants in effectiveness. However, its use has several inconveniences, one of which can be considered the removal of this medical device. Usually, a copy that has served its useful life is removed during a woman’s menstruation; removal of the IUD without menstruation is resorted to less often, trying to reduce possible physical discomfort to a minimum. Despite this, the procedure can be performed on any day of the cycle at the request of the patient.

Removing the IUD

Common reasons for removing an intrauterine device are:

• replacing a used one with a new one;
• the need for surgery or other gynecological treatment;
• switching to another type of contraception;
• desire for pregnancy;
• a device that is physically inappropriate.

Often, one week before the planned removal procedure, the doctor advises to refuse sexual intercourse or start using barrier protection if the woman does not want pregnancy. The reason is the increased risk of conception after removal of the IUD, since a small amount of sperm may be present near the cervical canal and penetrate the uterine cavity.

You should go to the gynecologist’s office on the penultimate day of your period; the IUD is usually removed when menstruation has not ended. This makes the device easier to fold and slide out, and the soft walls of the uterus, contracting, help push it out. In the absence of menstruation, the contraceptive is removed in urgent cases, and the discomfort felt is slightly higher.

During the procedure, the doctor acts in almost the same way as during a regular examination: the woman is in a chair, a dilator is placed inside the vagina, and the spiral is grabbed by the antennae with tweezers and carefully removed. To reduce discomfort and pain, local anesthesia in the form of a spray is allowed.

In most cases, menstruation does not go astray after removal of the IUD, however, sometimes there is a risk of slight irregularities. Possible complications are likely when part of the spiral grows into the mucosa. In this case, the device must be removed using hysteroscopy or laparoscopy. As a result, damage to the endometrium occurs. Bleeding and subsequent cycle disturbances are possible.

Read also 🗓 Your period started 10 days earlier

Restoring the cycle after removing the spiral

After removal of the IUD, most women do not lose their periods. Common changes: a reduction in their number, which can be explained simply - the impact of the foreign body on the uterine cavity stops, and bleeding becomes weaker.

If the IUD was removed during menstruation, their next arrival is possible exactly on schedule. However, a shift in menstruation in time, or slight delays, may also be possible. The risk increases if you remove the device without having your period. The reason may be insufficient growth of the endometrium and difficulties with its rejection.

After removal of the hormonal intrauterine device, there is likely to be a slight fluctuation in hormonal levels, due to which there may also be a delay in the next menstruation. If the cycle has gone wrong before, this reaction of the body almost always occurs.

You should consult a doctor in case of a positive test result, absence of menstruation for more than 2 months, severe pain during menstruation, purulent or green clots in the discharge, and other disorders.

Heavy periods

An increase in the amount of discharge after removal of the coil is possible in rare cases. Normally, heavy bleeding is possible on the first day of the onset of critical days. This picture is explained by the individual characteristics of the location of the endometrium and the cessation of the influence of the spiral on it. If the bleeding becomes more and more profuse over and over again, in order to exclude the possibility of illness, it is better to consult a doctor. One of the common reasons for increased menstruation is the development of uterine fibroids.

Delayed menstruation

The shift in critical days can be by 1–2 weeks, sometimes menstruation is absent for up to 1–2 months. In all cases, after 10–12 days of a missed period, a pregnancy test should be performed, since a small probability of conception remains.

In addition to a normal pregnancy, an ectopic pregnancy is also possible, which poses a great threat to the health and life of a woman.

Situations in which there are no periods for a long time after removal of the IUD may signal the development of a hormonal imbalance or an inflammatory disease. If the delay occurs due to adhesions or inflammation of the appendages, it is accompanied by pain in the abdominal cavity. With the penetration and development of infections, purulent discharge from the genital tract, a feeling of itching, and severe discomfort may appear.

The intrauterine device is one of the most reliable and convenient methods of birth control. There is no hassle with it, similar to taking pills, no inconvenience, like with a condom.

The IUD has only a local effect, without affecting the entire body. But since it remains in the uterine cavity for a long time, it is natural that menstruation after the IUD, as well as during it, can change their characteristics.

There are different types of IUDs, they are not suitable for every woman, so it is important to pay attention to menstruation and everything that accompanies it.

Read in this article

Read more about the IUD and its effect on the reproductive system

Modern spirals have the shape of the letters T, S or rings and are made of plastic with the addition of metal. The contraceptive effect is ensured by:

The impact of the device is aimed at the organs directly involved in the process of menstruation. Therefore, menstruation with a spiral may have different parameters than without it.

Only a doctor should insert an IUD after a thorough examination of the woman for infectious diseases and inflammatory processes in the uterus. Since it must be located in the cavity of the organ, the natural question is: when is the IUD placed before or after menstruation?

Access to the uterine space is through the cervical canal. This is a rather narrow “corridor,” especially for nulliparous women. Traumatizing it is extremely undesirable, as it carries the risk of infection and occurrence. Damage to the cervix may be a negative circumstance for subsequent births.

It is more advisable to insert the IUD during menstruation:

• The cervix is ​​slightly open more widely than usual and has a soft consistency;
• The insertion of the IUD will be precise and painless;
• The reproductive system is undergoing an update, which will help it quickly adapt to the presence of a foreign object.

But what about the discharge? Can't it interfere with the doctor? This consideration leads to the question of what day of menstruation the IUD is placed on. With a 3-day menstruation, it is better to do this on the last day. If it lasts 4-7 days, it is also closer to the end, for example, 2-3 days before it. In this case, by the time the IUD is inserted, menstruation is no longer so intense as to prevent the gynecologist from seeing the working field. But the cervix has not yet narrowed enough to make inserting the IUD difficult.

What about other days?

Installation of an intrauterine device

For some women, the doctor prescribes the installation in addition to their critical days. But they doubt whether the IUD is inserted without menstruation. In principle, doing this on other days of the cycle is not prohibited. It’s just that many specialists prefer to do the installation in the last days of menstruation. This way you can be sure that the patient is not pregnant.

But if there is urgency in protection, you should not be afraid and doubt whether it is possible to insert the IUD without menstruation. This is often done to women who have recently had a successful birth. In order for the hormonal IUD to work immediately, it is administered a week after the start of the cycle.

For many, their critical days are already over by this time, and the IUD is thus installed “dry”. The process may be a little more painful. But local anesthetics will help relieve the sensations, and the manipulation itself lasts no longer than 5 minutes.

Dates of menstruation with an IUD

Menstruation during the spiral should normally come on schedule. But since the body has suffered stress associated with its introduction, and also needs to adapt to the presence of a foreign object in the uterus, a small one is acceptable. It is also made possible by a shock to the nervous system, which provides hormonal accompaniment of the cycle.

In this case, if there is a spiral, a delay in menstruation is likely due to a deficiency of certain substances, which causes a prolonged wait. Its increase is facilitated by installation outside critical days. But the wait for menstruation should not be longer than 3 weeks. And when it exceeds this period, the woman urgently needs to see a doctor.

A short delay in menstruation with the IUD is not an alarming signal if it is observed only for 3-4 cycles. The period of adaptation may well be that long. When this happens for longer, it makes sense to consult a specialist.

If a woman has an IUD and has not had her period for a long time, then it is possible that conception has occurred. This probability is very small, but it should not be denied at all.

This also requires immediate consultation with a specialist. To avoid this, you should use other methods of protection for a couple of weeks after inserting the IUD.

First menstruation and IUD: nature of discharge

The nature of menstruation in most women changes towards increased discharge and duration. The spiral makes it possible due to its irritating effect on the endometrium and changes in the composition of the cervical mucus.

We must also not forget about unstable hormonal levels due to installation-related stress. The spiral makes the first menstruation be especially intense. A woman may need more than 1 pad for 3-4 hours. If she also feels severe pain and severe weakness, she may need medical help immediately.

But normally, menstruation, although it goes beyond what is usual for a particular woman, does not pose any danger. And if they are stronger than before, they are removed with antispasmodics.

If there is no effect from the medications, or severe bleeding occurs, you should consult a doctor immediately. This could mean severe inflammation, the body’s rejection of the IUD, or injury to the uterus. The spiral must be removed immediately.

During the remaining days of your period immediately after inserting the IUD, you should not use tampons. They increase the risk of infection in the internal genital organs and may interfere with adaptation to the spiral.

Installed intrauterine device

Through the cycle after installation

Gradually, the body restores hormonal balance, which brings menstruation after the introduction of the IUD to the usual norm for a particular woman. If their intensity remains at the level of the first, this may indicate that the body does not accept this method of contraception or type of contraceptive.

In some women, due to existing diseases and past surgical interventions, the IUD increases the risk of its occurrence. Therefore, the test will not be superfluous.

Heavy menstruation

The first period after the IUD normally comes within 30-40 days. They may be delayed for the reasons mentioned above, or when the IUD was removed urgently. Menstruation can be heavy, which is associated with hormonal imbalances.

The spiral for a long time interfered with the normal development of the endometrium and prevented the maturation of the egg. This could not but have an impact on the functioning of the ovaries. Discharge becomes intense due to:

• Inflammation arising in the reproductive system. In most cases, it is the culprit, so it is important to monitor the cycle in collaboration with a doctor;
• Damage to the uterus. The process of removing an IUD is much simpler and shorter than insertion, but injury is still likely. It happens that parts of the contraceptive remain inside the organ. In this case, discharge will be observed from the very beginning after removal. And the pain, which normally should go away soon, will remain for a long time and may intensify.

How menstruation goes after the IUD depends on the diseases the woman has. In some of them, the IUD is prescribed not only as a means of preventing pregnancy, but also as a treatment for existing or preconditions for the occurrence of endometrial hyperplasia.

When the IUD is removed, menstruation may return to its previous form due to the fact that the factors that provoke the abundance of discharge are again in force.

Removing the IUD and scanty periods