IUD displacement is mainly caused by using an unsuitable contraceptive device or not adjusting it for a long time. In addition, factors such as a loose cervix, cervical erosion, uterine contractions, and menstrual blood flushing can also cause the IUD to shift downwards.
When an IUD shifts downwards, it may retract from the uterine cavity to the lower end, potentially leading to a "pregnancy with the IUD in place." If the shift is significant, it can even result in the IUD falling out completely. So, how should we handle a shifted IUD?
Should the ring be removed if it's moved downwards?
If your IUD has shifted downwards, it should be removed. Once an IUD has shifted, it generally loses its contraceptive effect. To avoid unwanted pregnancy, it should be removed promptly. IUD removal is typically performed 3-7 days after a woman's normal menstrual period ends. Before removal, an ultrasound and vaginal discharge test are necessary. If vaginitis is present, it must be treated before removal. After removal, the IUD should be replaced and reinserted promptly. However, IUD removal and insertion should be performed by a doctor at a reputable gynecological hospital. Never seek treatment at an unregulated clinic to avoid gynecological infections.
How to determine if an IUD has shifted downwards?
Generally speaking, when an IUD shifts or falls out, the person with the IUD will not feel anything. However, some people with IUDs may experience the following symptoms when the IUD shifts.
1. Painful intercourse
The reason why a descending IUD can affect sexual life is mainly because when the IUD descends, the tail of the IUD protrudes from the cervix into the vagina, or the tail string is relatively hard. When intercourse occurs, the penis may collide with the tail or tail string of the IUD, which can lead to pain during intercourse.
2. Lower back pain and abdominal pain
One of the most common symptoms of a displaced IUD is lower back pain and abdominal pain. An IUD that is too large or positioned too low can pose significant health risks to women. Some women experience this because the IUD acts like an "outsider" to the uterus, and the uterus contracts to expel it, causing abdominal pain.
Besides the obvious symptoms mentioned above, the removal of an IUD can also cause complications, including severe cases such as vaginal bleeding or ectopic pregnancy. Therefore, every woman with an IUD should have regular checkups at the hospital. If symptoms such as lower back pain, abdominal pain, painful intercourse, vaginal bleeding, irregular menstruation, or inflammation persist after IUD reinsertion, it is best to consult a doctor. If treatment is ineffective, other contraceptive methods such as condoms or birth control pills should be considered.
