Intrauterine device, Obstetrics and Gynecology FAQ

Impact of Early and Delayed IUD Removal on Contraceptive Effectiveness

Issues related to early and delayed removal of the intrauterine device (IUD)? Hello, I would like to ask the doctor about the intrauterine device (IUD) that is supposed to be in place for three weeks (21 days). However, after removing it, menstruation occurs within two to three d...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it is possible to remove the device early, rest for 7 days, and then insert a new one without affecting its contraceptive effectiveness. The method of leaving it in for four weeks before inserting a new device may result in reduced efficacy in th...

Impacts of Leaving an IUD in Place for Over a Decade

Intrauterine device (IUD) not removed? Hello, doctor. I apologize for the interruption, but I would like to ask about an intrauterine device (IUD) that has been in place for about ten years and has not been removed. I recently went to the hospital for an examination, and an ultra...

Dr. Zhang Kunmin Reply:
Hello, based on your description, it would be best to inquire about the types of contraception that are suitable for long-term use within the uterus. If you have concerns about their suitability, you may want to consult a physician to evaluate whether a surgical procedure is nece...

Can I Insert an IUD Before a Trip for Safe Intimacy?

I want to have the intrauterine device (IUD) inserted earlier? I expect my period to start around October 30, and I plan to go out with my boyfriend on November 3 (we are in a long-distance relationship and don't see each other often). I understand that the contraceptive rin...

Dr. Zhang Kunmin Reply:
Hello, based on your description, not using the contraceptive device or oral contraceptives as recommended may lead to irregular menstrual cycles. You may consider using an intrauterine device (IUD) or adhering to the scheduled use of oral contraceptives and the contraceptive dev...

Does Showering with a IUD Affect Its Effectiveness?

Does rinsing the IUD with shower water affect its effectiveness? During a shower, the intrauterine device (IUD) slipped out a bit, so I rinsed it with the showerhead for about 5 seconds, then inserted it back. However, since it wasn't inserted properly, I took it out again a...

Dr. Cao Guotao Reply:
Hello, it generally does not have an impact. Wishing you good health.

Is It Safe to Have Unprotected Sex Four Days After IUD Insertion?

Four days after inserting the contraceptive ring, unprotected intercourse? Hello doctor, this is my first time using an intrauterine device (IUD). I had it inserted on September 26 and 27 (the 3rd and 4th days of my menstrual period). On September 30 (during the safe period), I h...

Dr. Zhang Kunmin Reply:
Hello, the user: When using an intrauterine device (IUD) for the first time, it is necessary to use an additional contraceptive method for seven days after insertion. If your period is more than a week late, it is still advisable to check for pregnancy. Thank you! Wishing you pea...

Can You Get Pregnant After Removing a Birth Control Ring?

The likelihood of becoming pregnant after removing an intrauterine device (IUD) three weeks after insertion and having sexual intercourse the following day is relatively low, but not zero. The IUD is designed to provide immediate contraception upon insertion, but once it is remov...

Dr. Zhang Kunmin Reply:
Hello, the effectiveness of an IUD can reach up to 99% when used correctly, including during the week of removal. Thank you! Wishing you peace and health. Dr. Chang

Understanding Copper IUD: Common Concerns and Symptoms

Indications for the Copper T Intrauterine Device (IUD) 1. Is it normal to experience irregular bleeding 4-5 months after having an intrauterine device (IUD) inserted? 2. Is it normal for menstruation to occur approximately 14 days apart? 3. Can excessive fatigue, heavy liftin...

Dr. Chen Zhiyu Reply:
It is recommended to schedule a follow-up appointment for evaluation and consultation. Thank you.

Why Is My IUD Slipping? Understanding Issues with Contraceptive Devices

There seems to be an issue with the usage? I am currently using the third intrauterine device (IUD), and the previous two were normal. However, in the last three days before the insertion of the third one, it keeps slipping down to the vaginal opening, which did not happen with t...

Dr. Cao Guotao Reply:
Hello, you can continue to use it, but it should be placed in the cervix. Wishing you good health.

Non-Invasive Contraceptive Options: Seeking Guidance in Northern Taiwan

Contraceptive issues? I am considering contraception because my body is very prone to pregnancy. I have looked online and am more inclined towards non-invasive methods, particularly the contraceptive injection, as I tend to forget things. I'm worried about allergies to patch...

Dr. Cao Guotao Reply:
Hello, Taiwan currently does not have this type of contraceptive injection available. You might consider getting an intrauterine device (IUD). If it is inserted and you experience no discomfort, it can be replaced every five years. Wishing you good health!

Understanding Irregular Bleeding After IUD Use: Common Causes Explained

I would like to inquire about the intrauterine device (IUD)? Your girlfriend has been using an intrauterine device (IUD) for a while and is considering taking a break for a month. However, her menstrual cycle has passed, and she is still experiencing light bleeding, which can be ...

Dr. Zhang Kunmin Reply:
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraceptive pills, diet, polycystic ovary syndrome, uterine or cerv...

Understanding Irregular Bleeding After IUD Use: Common Causes Explained

Understanding Irregular Bleeding After IUD Use: Causes and Concerns

I would like to inquire about the intrauterine device (IUD)? Your girlfriend has been using an intrauterine device (IUD) for a while and is considering taking a break for a month. However, her menstrual cycle has already passed, and she is still experiencing ongoing light bleedin...

Dr. Zhang Kunmin Reply:
Hello, the factors that can affect the menstrual cycle or cause intermenstrual bleeding are numerous, including age, environment, lifestyle, stress, emotional instability, weight changes, medications, emergency contraception, diet, polycystic ovary syndrome, uterine or cervical l...

Can You Use Breast Enhancement Products with IUDs?

Intrauterine Device (IUD) and White Coats (Medication Consultation) Hello, doctor. I would like to ask if it is safe to take breast enhancement products like Bai Gao Ke while using an intrauterine device (IUD) long-term? Additionally, is it true that long-term use of an IUD does ...

Dr. Zhang Kunmin Reply:
Hello, the use of intrauterine devices (IUDs) and oral contraceptives is generally advised to be avoided in conjunction with health foods or medications containing female hormones. It is recommended to discontinue their use for a period to allow the ovaries to resume ovulation fo...

Managing Dizziness and Headaches Before and After Menstruation

Dizziness before and after menstruation? Hello, doctor. I often experience dizziness and headaches before and after my menstrual period. The dizziness worsens after my period starts, to the point where I sometimes need to lie in bed all day and can't do anything. Occasionall...

Dr. Zhang Kunmin Reply:
Hello, the symptoms of dysmenorrhea can include not only lower abdominal cramps during menstruation but also nausea, vomiting, headaches, anxiety, fatigue, diarrhea, dizziness, bloating, breast tenderness, mood swings, back pain, and fainting. The onset of symptoms may occur 1-2 ...

Understanding the Risks of Pregnancy with Mirena IUD Use

Mirena IUD Hello doctor, my girlfriend and I first used the Mirena IUD on April 14th (the fourth day of her menstrual cycle). We had unprotected intercourse on April 27th, during which I removed the IUD but forgot to reinsert it until about four hours later. What is the likelihoo...

Dr. Huang Yuande Reply:
This should be ineffective, and it is recommended to have an intrauterine device (IUD) inserted as soon as possible, preferably within one week after the event.

Can Vaginal Administration of Painkillers Help Alleviate Menstrual Cramps?

Routes of absorption for analgesics? Hello doctor, I have primary dysmenorrhea and have been taking painkillers for many years to relieve the menstrual pain. During each menstrual period, I take about 6 to 8 painkillers. A more troublesome issue is that I often experience gastroi...

Dr. Cao Guotao Reply:
Hello, it seems that there are currently no analgesic suppositories available. Theoretically, it should be possible, but they are not yet on the market. Wishing you good health.

Understanding the Nuances of the Mirena IUD: Your Questions Answered

Issues with the Mirena IUD? Hello, Doctor. I would like to ask: 1. After removing the first NuvaRing after three weeks, should the second new ring be inserted seven days later or on the first or second day of menstruation? (I found differing opinions from Dr. Tsao Kuo-Tao and D...

Dr. Huang Yuande Reply:
1. The intrauterine device (IUD) is typically inserted before ovulation to provide immediate protection, and it is most suitable to be inserted right after menstruation ends. 2. Similarly, it depends on whether these seven days fall within the ovulation period, but the likeliho...

Understanding IUD Use: Timing and Concerns for New Users

Use of Intrauterine Device (IUD) for Contraception I started using an intrauterine device (IUD) on March 25. My menstrual period began around 00:15 on that day, and I had the IUD inserted at 22:00. I would like to ask: 1. Can I have unprotected sex on the evening of April 1? 2. I...

Dr. Cao Guotao Reply:
Hello, engaging in sexual activity should not result in pregnancy, and the contraceptive device can be removed without issue. Wishing you good health.

Understanding the Continuous Protection of IUDs: Your Questions Answered

Mirena IUD Hello, can you please tell me if an intrauterine device (IUD) provides continuous protection when used correctly? For example, I had an IUD inserted on Sunday, February 26, and removed it three weeks later on March 19 to take a one-week break. I then reinserted the IUD...

Dr. Zhang Kunmin Reply:
Hello, the contraceptive ring must remain in the body continuously for three weeks to ensure a full month of contraceptive effectiveness. When used correctly, the effectiveness is approximately 99-98%. Thank you! Wishing you peace and health. Dr. Zhang

Understanding IUD Effectiveness: Key Questions Answered

Mirena IUD Hello, under correct usage, does the intrauterine device (IUD) provide continuous protection? For example, if I had the IUD inserted on Sunday, February 26, and removed it three weeks later on March 19 for a week of rest, and then reinserted the IUD on Sunday, March 26...

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