Sexual intercourse cannot displace an IUD. The woman will need another contraceptive method. Both the hormonal and copper-bearing IUDs are highly effective contraceptive methods. There is no evidence of increased risk of fetal malformations, however. In the vast majority of cases, IUDs work by preventing fertilization. Copper-bearing IUDs rarely cause monthly bleeding to stop completely. A doctor places an IUD through the vagina, then through the cervix and into the uterus. There is no reason why an IUD should cause discomfort or pain during sexual intercourse unless the woman is already having cramps, which sometimes occur during the first few weeks after insertion.
In the rare event that a client becomes pregnant with an IUD in situ, it is important to explain the risks of leaving the IUD in the uterus during pregnancy. If correct insertion technique is used, the use of an IUD will not cause any difficulty in future pregnancies. There is no evidence of increased risk of fetal malformations, however. It may take the body several months to get used to an IUD. Other causes of bleeding after sex Postcoital bleeding can be worrisome and may result from inadequate lubrication or infections. If she wishes to continue the pregnancy and the IUD strings are visible or can be retrieved safely from the cervical canal, gently remove the IUD or refer for removal. Women with current gonorrheal or chlamydial infection should not have an IUD inserted. Sexual Desire and Sexual Pleasure Some couples do not want to use the IUD because they incorrectly believe that the IUD will cause inconvenience during sex, pain for the male partner because the strings will hurt the penis, or that using the IUD causes discomfort and pain for the woman during sex. Expulsion is more likely in certain circumstances, such as young age at insertion under 20 or 25 years old. Infection related to IUD insertion probably occurs because the instruments or IUD carry with them organisms from the lower genital tract. Alternatively, she can have the IUD replaced with a new one and the strings cut to the correct length. This is most often due to a mistake during insertion. Abortion Some couples do not want to use the IUD because they incorrectly believe that the IUD prevents pregnancy by causing abortions. During this time, a person is more likely to experience breakthrough bleeding, or bleeding between periods. The IUD is effective for up to 12 years. IUDs that contain progestin cause the cervical mucus to thicken, which stops sperm from entering the uterus. Proper counselling of the male partner may be appropriate. No complication during pregnancy or birth defects IUD use neither causes multiple pregnancies after removal nor increases the risk of birth defects, whether the pregnancy occurs with the IUD in place, or after removal. Problems after removals Some couples do not want to use the IUD because they incorrectly believe that the IUD will cause infertility, ectopic pregnancy, or miscarriage. Copper-bearing IUDs rarely cause monthly bleeding to stop completely. If this happens, and the IUD moves partially out of the cervix or into the vagina, a person could experience some bleeding after sex. Health Risks and Side Effects Some women do not want to use the IUD because they incorrectly believe that IUD causes side effects or health risks such as cancer, sexually transmitted infections, or birth defects. Over 10 years of IUD use, about 2 per women will become pregnant. Some common causes include: The IUD never travels to the heart, brain, or any other part of the body outside the abdomen. When to see a doctor An intrauterine device is a reversible way to prevent pregnancy in the long term.
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