One day three years ago, 53-year-old Teacher Liu came to see a doctor and complained of frequent vaginal bleeding. A B-ultrasound examination was performed on her and it was found that there was a foreign body in the uterine cavity. It may be that the foreign body stimulated the vaginal bleeding. Where do foreign objects come from? After tracing the medical history, we found out that she took out the IUD after two years of amenorrhea. It was very difficult to take out the IUD. After she had to take it out, the IUD was broken, and there may be remnants of the IUD left in the uterine cavity. After X-ray observation, I saw a spring-like shadow about 3 mm long in the uterine cavity. I used pliers to take out the foreign object under direct vision of the hysteroscope. It turned out that it was indeed the remnants of the IUD.

After telling the story, I asked my old friend: "If the remnant of the IUD remains in the uterus, there will be such a big problem. What will happen if the entire IUD is not taken out? Do you think you should do it?" "What about removing the ring?" She didn't seem convinced and said, "Who told doctors not to help others remove the ring?" I knew what she was thinking, so I said, "Okay, let me tell you another story."

One day, an old lady in her sixties came to the clinic and complained that she had been having frequent stomach pains in the past half month, and sometimes the pain was severe. When checking the medical history, she said that the intrauterine IUD had not been removed yet. I thought this might be the cause of the abdominal pain, so I decided to take off the IUD first before doing anything else. When I was taking out the ring, I touched the edge of the ring, but I couldn't get it out. what to do? After doing B-ultrasound and X-ray, we found that the ring had been deeply implanted into the uterine wall, and the muscles of the uterine wall tightly wrapped the ring. No wonder it was so difficult to remove. There was no other choice but to perform a laparotomy to remove the ring. During the operation, it was seen that the ring was not only embedded in the myometrium of the uterine wall, but about 1/4 of it had penetrated the uterine wall and was exposed outside the uterus. It is estimated that after a while, it may completely penetrate the uterine wall, fall into the abdominal cavity, and wander around. At that time, the problem will be much more complicated.

Why does the ring "eat" into the palace wall? I explained that after menopause, the uterine muscles of older women begin to shrink and the uterine cavity begins to narrow. The size of the IUD does not change, so the more the uterine muscles shrink, the more the ring becomes embedded in the uterine wall. It's like sandwiching a coin between two pieces of bread. The tighter the clamps, the deeper the coin sinks into the bread.

After I finished telling my story, my old friend took out a tissue and wiped the sweat from his forehead. Then he said: "You are still a good doctor. I will go get the ring tomorrow!"

Not only my old friends have the idea of ​​​​"not having the ring for the rest of my life", but many women also think so. Do. There are some lessons learned from the past, so they are advised to take out the IUD in time before and after menopause.