IUD removed after menopause because of the difficulties and clinical management.docVIP

 PAGE \* MERGEFORMAT 7 IUD removed after menopause because of the difficulties and clinical management [Keywords:] IUD Intrauterine device (IUD is widely accepted by women of childbearing age in China for nearly 30 years, has been in control of many women with menopause and late menopause (menopause more than one year, with the increase in the number of access devices, we work in the clinical often encountered in postmenopausal women because of the specific physiological changes and not a successful case of IUD removed. To reduce the incidence of difficult to take control and reduce the incidence of complications are difficult to remove the IUD after menopause Causes and clinical management to sum up the report for clinical reference. 1 Remove the reasons for the difficulties caused by IUD 1.1 years since menopause women enter menopause, ovarian failure, estrogen levels drop, high incidence of urogenital atrophy disease increases with menopause, genital atrophy gradually increased, resulting in a speculum into the open problems pain by the surgeon, cervical exposure difficult, due to loss of elasticity causes hardening of cervical atrophy clamp fixed problems, cervix too tight or adhesions, intrauterine device into the uterine cavity difficult or hook to take out the difficulties caused Temple incarcerated population, IUD is easy due to uterine contraction and the uterine wall friction adhesion, and even embedded in superficial muscle layer of uterine wall to take control difficulties caused by patients who are prone to pain and cervical injury Palace. It has been reported difficulty in IUD removal rate and to take control of time relationship: 16.54% pre-menopausal, menopausal 37.74%, 87.18% postmenopausal women [1]. can see the difficulties to take control and was positively correlated with length of menopause. IUD 1.2 years after implantation with the device in the shape of endometrial surface similar to their depression, when the uterine cont