If the cervix is red due to ectropion, can an IUD be inserted without further investigation?
Yes, an IUD can be inserted. Ectropion is the presence of cells from inside the cervical canal appearing on the outside of the cervix, causing a reddening. This is not a sign of infection. It occurs normally and routinely during adolescence and pregnancy. • Q: Are heavier menstrual periods or bleeding between menstrual periods a medical reason to remove the IUD? A: Not necessarily. If the client wishes, or if bleeding or pain is severe, the IUD should be removed. Abnormal conditions that might cause heavy bleeding should be investigated. For most women, copper and all-plastic IUDs increase the amount of menstrual blood loss, particularly in the first few months of use. Women should be counseled to expect this. Bleeding and pain usually decrease over time. For mild to moderate bleeding and pain in the first month after insertion, a woman who wants to keep her IUD can take a short course of nonsteroidal anti-inflammatory drugs such as ibuprofen, which decrease uterine bleeding and crampi