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Vaginal ultrasonography showing a Mirena in optimal place in the uterus, as viewed from angle shown in schematic depiction. Insertion of a hormonal IUD Removal of a hormonal IUD The hormonal IUD is inserted in a similar procedure to the nonhormonal copper IUD, and can only be inserted by a qualified medical practitioner. [ 53 ]
Gaither says the signs of IUD expulsion include not being able to “feel the string, heavy bleeding, cramping, discharge, fever, pelvic pain and/or your partner can feel it during sex.”
The uterus is larger than baseline following birth, which has important implications for insertion. After vaginal deliveries, insertions can be done using placental forceps, a longer inserter specialized for postpartum insertions, or manually, where the provider uses their hand to insert the IUD in the uterus.
Normal vaginal discharge may have a thin, watery consistency or a thick, sticky consistency, and it may be clear or white in color. [1] [2] Normal vaginal discharge may be large in volume but typically does not have a strong odor, nor is it typically associated with itching or pain. [3]
Levonorgestrel is a hormonal medication which is used in a number of birth control methods. [3] [7] It is combined with an estrogen to make combination birth control pills. [8]As an emergency birth control, sold under the brand names Plan B One-Step and Julie, among others, it is useful within 72 hours of unprotected sex.
The clinician may want to perform pelvic examination and assessment of the vagina because there are unexplained symptoms of vaginal discharge, pelvic pain, unexpected bleeding, or urinary problems. [20] [18] The typical external examination begins with making sure that the patient is in a comfortable position and her privacy respected.
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