How is an intrauterine device spiral applied and on which day of the month?

The IUD is an effective contraceptive; there are about 36 species. Each in its own way impedes the process of implantation. Unique in its structure and function, it helps protect millions of women around the world. Many people are worried about future offspring and do not use IUDs that do not allow implantation, but use advanced DVRs that do not allow the egg to fertilize. These include Mirena. This effective helix helps fight an abortive contraceptive method, preventing the sperm from fertilizing an egg. But because of these wonderful properties, the cost of this small device is quite high.

Recently, many women understand that if they want a high-quality and safe intrauterine device, the price for them will not be decisive, because the IUD is not installed for one year and no further costs are foreseen.

What determines the cost of the IUD?

What determines the price of intrauterine devices of this type? Of course, first of all it is the quality of materials and the type to which the product belongs. Also important is the company manufacturer and distributor. Below we consider the types and composition of the Navy.

The main type of IUD used is anchor or T-type. The device has an extended upper base that blocks the exit of the fallopian tubes, and a tapered end with attached thread for easy removal of the device. Each Navy consists of different materials, one - from copper and silver, others - emit hormonal substances, and others - neutral. Each type has its own advantages and disadvantages.

Spiral IUDs are a semicircular base with small spinous protrusions at the ends, thanks to them the device is mounted inside the uterus. From the base extends a rod with threads, for easy removal of the device. Ring-shaped IUDs represent a ring inside of which a metal wire is inserted, at the end of which threads are retracted to remove the IUD after the end of their service life.

For a hormonal IUD, the price varies from 5 to 15 thousand rubles. The intrauterine device, the T-shaped price varies from 2 thousand and above. Popular manufacturers of VCC are: Russia, Germany, the Netherlands, Finland, Ireland, Belarus.

Gynecologists recommend purchasing products under the name: Juno, NovaTCu200, Multiload Cu375, Mirena, Goldily Exlusive, because these tools have proven themselves and are the latest developments in this area. In order to understand how the prices for this contraceptive device were established, the following table is presented at the end of the article: "Spirals intrauterine prices".

How much does an intrauterine device cost?

All women before installing the Navy are concerned about the question: "How much does a helix contraceptive cost?" Manufacturers are trying to produce them in an affordable price range. The spiral Navy prices range from 200 rubles to several thousand. Before you buy, you can look at the online pharmacy and see the photo of the intrauterine helix and its price. Base models consisting of neutral materials are cheaper. Hormonal and non-drug models with metal (silver, copper, gold) are more expensive because of the better effect and additional features of the device.

Spiral navy price

So, the price of the Navy is based on:

  • the quality of the material of the product
  • product shapes
  • manufacturer,
  • size.

Each manufacturer independently determines the cost of the goods based on the cost of production and delivery of goods. Further, the distributor, as a link between the manufacturer and the pharmacy, adds its own markup to the value of the goods. The pharmacy, in turn, for a profit, invests its small percentage in the cost of the drug. From these values, and out the total amount.

WHO experts believe that the spiral can be placed absolutely on any day of the menstrual cycle, if there is one hundred percent certainty that there is no pregnancy. Nevertheless, many women torment themselves with the question: "When is it better to install the intrauterine device?"

When put the helix: does the cycle affect the day the IUD is installed

Most often, the installation of the IUD, regardless of the type of spiral and the age of the woman, is carried out either on the first day of menstruation, or immediately after the end of menstruation. In this case, there is complete confidence that the woman is not pregnant. In addition, the cervical external pharynx, through which the helix from pregnancy will be placed, is in the ajar state, which greatly simplifies the procedure for introducing the IUD and reduces unpleasant or painful sensations.

This is especially important if the helix is ​​installed by a young, unborn woman. Because the main difference between the cervix in women who have given birth and who have not given birth is a form of external pharynx. Before birth, it has a point view, and after birth, it is slit-like. Usually, the introduction of a spiral into the uterus in women who have given birth does not encounter any difficulties, which is facilitated by the structure of the cervical canal. But in women who have not given birth, it is necessary that the external opening of the neck be slightly ajar. It occurs on any day of menstruation.

The IUD is allowed to be administered immediately or within 3-5 days after a medical abortion or miscarriage, but only in the absence of bleeding or signs of inflammation. If the spiral is not established within the specified time, then it is necessary to transfer the procedure to the next monthly periods.

Intrauterine usually set after 6-8 weeks, and after cesarean section - after 6 months.

IUD insertion is possible on any day of the cycle, and the following conditions must be met:

  • absence of pregnancy
  • the absence of inflammatory diseases and bleeding at the time of installation of the IUD.

Healthy women who do not have a gynecological disease in history can install an IUD with copper, silver or gold. The shape of the spiral does not matter. Women suffering from endometriosis or having uterine myoma should be given preference for the Mirena hormonal system.

Until what age can you put a spiral

There are no age limits for using an IUD. The intrauterine device can be established to a woman of reproductive age from 18 to 49 years old or before the onset of menopause. Although expert opinions about how old an intrauterine device is to be placed are diverging.

It is believed that unborn women and ladies "slightly over 40" spiral from pregnancy is not recommended. Fetal - due to complications (ectopic pregnancy, inflammation of the genital organs and, as a consequence, infertility in the future), and the "age" - allegedly due to the risk of cancer.

By itself, the installation of the IUD in women over 45 years of age does not increase the risk of developing oncopathology. It’s just that in this age group the likelihood of developing various kinds of pathologies is already rising due to lifestyle, habits, and a negligent attitude to one’s health, but these problems do not arise because of the IUD.

You are 45 years old or more. You can safely use the Navy if:

  • You have regular periods,
  • you have a permanent and only sexual partner
  • Your doctor does not find any contraindications to the introduction of the IUD.

You are a young girl of 18 years old or a young, unborn woman. You have restrictions on using this method of contraception. But there are situations that another type of protection against unwanted pregnancy is not suitable or contraindicated. Contact your doctor - there are always exceptions to every rule. The specialist will select a less “harmful” spiral for you.

How to put a spiral and where to do it

In order to put the intrauterine device, you must first pass a medical examination, pass the necessary tests, identify possible contraindications. All this is done in the conditions of any female consultation.

It should be discussed with your doctor what type of helix is ​​right for you and ask all the questions you have about the “pros and cons” of intrauterine contraception.

The main volume of surveys is standard:

  • history taking (interview with a doctor, identification of gynecological and associated diseases),
  • mandatory examination on the gynecological chair (in order to identify the pathology of the cervix, the size and shape of the uterus, excluding pregnancy),
  • taking smears from the outer part of the cervix to atypical cells (oncocytology) and determining the vaginal microflora.When inflammation in the vagina setting IUD is allowed only after its rehabilitation!
  • in some cases it may be necessary to examine the cervix with a colposcope device,
  • routine blood and urine tests. It is important to know the level of hemoglobin in the blood, since the spiral can contribute to a longer and more abundant periods, and then it should be abandoned.
  • tests for HIV infection, syphilis,
  • Ultrasound of the pelvis to eliminate the abnormal structure of the uterus.

At first glance it may seem that the scope of the survey is large. But believe me, there is nothing superfluous in it. It would be more reasonable to do it than to risk your health and later become disillusioned with this method of contraception.

Attention! The intrauterine device is installed only in a medical institution and only by a trained specialist! Installing an intrauterine device at home is not possible. The spiral should be placed deep into the uterine cavity. Independently, without causing injury to yourself, you will not be able to install an IUD under any circumstances.

Where to buy a spiral? Installation cost.

Spiral from pregnancy can be purchased at the pharmacy (if you know exactly which particular IUD you need) or purchase from a doctor.

The cost of installation depends on the region of your residence and the type of medical facility. In the state clinic, if there is a policy of compulsory medical insurance, the service can be completely free or cost a small “symbolic amount”. In a private clinic, the cost of introducing an IUD can vary from 3,000-5,000 to 25,000 rubles. It all depends on your wallet.

For what period of time is the IUD set

The IUD refers to a long-term contraceptive method. As they say, putting once, you can forget about protection from pregnancy for several years. On average, the Navy is set for a period of 5 to 7 years. The time interval depends on the individual portability of the foreign body in the uterus, the type of helix, and also on how long the need for contraception is.

How to put a spiral from pregnancy video

Introduction of intrauterine device is a very common method of contraception. The reliability of this method of protection from pregnancy is very high from 95 to 99%. Such effectiveness is determined by the fact that the choice and installation of the IUD is appointed by the doctor in accordance with the individual characteristics of the organism.

Setting the Navy with ultrasound control without the cost of a spiral

The intrauterine device is one of the most effective and safe methods of contraception. A silver, gold or copper rod with flexible nylon tendrils is inserted into the uterine cavity. This design is securely fixed in the reproductive system. The presence of a foreign body in the uterus and the special properties of metals prevent conception. The core does not affect the hormonal balance, as well as the regularity of the menstrual cycle. An additional advantage of this method is the duration of action. If you put a spiral (the price depends on the type of material), protection from unwanted pregnancy will last for several years.

The installation of the Navy has a number of contraindications:

  • infections and inflammatory processes of the urinary organs,
  • ectopic pregnancy in history
  • blood clotting disorders
  • oncological diseases.

A woman must undergo a comprehensive examination before putting a spiral. Prices for diagnostic studies check with the administrator when writing.

How much does it cost to install the Navy Spiral in the clinic ? In our clinic, you can put a spiral under ultrasound control. This ensures proper placement of the contraceptive in the uterus and the absence of complications.

A woman can remove a helix at any time. To do this, you also need to visit the clinic.

This method of contraception does not affect ovulation, so the reproductive function is restored in a short time.

We offer staging of gold, silver and copper spirals under ultrasound control. (prices from 2640 rubles for the spiral). Find a suitable contraceptive gynecologist will help. To sign up for a consultation with a specialist, please call 8 495 133 03 03

Which intrauterine device is better to deliver?

IUD spirals are made of high quality polyethylene with a small addition of barium sulfate. In some parts of the helix there is a copper or silver plating. Most IUD spirals are T-shaped. An important element of any spiral is a thin antennae, which when installed are located in the cervical canals.

An important advantage of IUD spirals is that their use is not felt in any way by a woman either during sex or during active physical exertion.

There are three main types of IUD spirals:

  1. Copper-coated intrauterine device. Principle of action: copper spraying has a destructive effect on spermatozoa, provokes a local inflammatory process on the wall of the uterus and fertilization becomes impossible. This type of IUD helix is ​​introduced for a period of 3 to 5 years.
  2. Progesterone-releasing system (ORS). Spirals Navy of this type are hormonal agents that make mucus in the cervix more viscous, thereby preventing the movement of sperm to the egg. This type of spiral is introduced for a period not exceeding 12 months.
  3. Levonorgestrel-releasing system (LSR). This type of IUD helix is ​​an improvement on the intrauterine progesterone-releasing system. The main difference is a longer period of use, from 5 to 7 years.

Choose the most appropriate type and put the intrauterine device can only be at the reception at the gynecologist. Before putting the intrauterine device, the doctor must check the woman's health to make sure that there are no contraindications.

The main contraindications to the use of IUD spirals are chronic diseases, inflammatory processes in the body and diseases of the urogenital system.


  • High efficiency, comparable to the effectiveness of hormonal contraceptives. To some extent, the IUD is more reliable than hormonal pills, since there is no danger of missing pills. When using a spiral on the part of a woman, absolutely no action is required to maintain the contraceptive effect, and, consequently, any possibility of error or accident is excluded.
  • Provides protection from pregnancy for a long time (from 5 to 7 years, depending on the type of IUD).
  • Application is not related to sexual intercourse.
  • Compared with all other methods of contraception, the intrauterine device is the cheapest contraceptive method. Despite the fact that the cost of one helix is ​​many times higher than the cost of one pack of contraceptive pills or one ordinary pack of condoms, recalculating its cost for 5 years (the usual period of wearing one helix) shows its undeniable economic superiority.
  • In contrast to birth control pills, metal or plastic spirals that do not contain hormones, do not have absolutely any general "hormonal" effect on the body, which (in some cases justifiably) many women fear. For this reason, IUDs that do not contain hormones are recommended as the primary means of protection for women over 35, with active smoking or other conditions that make it impossible to use birth control pills, but require a very high level of protection against unwanted pregnancy.
  • The spiral is not felt at all during intercourse and does not interfere with partners.


Contraindications for the installation of the spiral is determined by the gynecologist. Only a specialist can accurately determine how secure the establishment of a spiral is in your case.

Navy can not be installed if:

  • You assume you may be pregnant.
  • You have more than one sexual partner.
  • An acute form of inflammatory diseases of the cervix or pelvic organs, including STIs, is observed.
  • In the past three months, inflammatory diseases of the pelvic organs have been observed.
  • Observed vaginal bleeding of unknown origin.
  • There is a fast-growing uterine myoma, also, if the myoma node deforms the uterine cavity.
  • There is cancer of the genitals.
  • There is a severe form of anemia (hemoglobin <90 g / l).


  1. Discuss all questions with a gynecologist who you trust, refuse to have sexual intercourse 1-2 days before the installation of the spiral,
  2. За несколько дней до установки спирали не проводите спринцеваний и откажитесь от использования любых средств для интимной гигиены,
  3. A few days before the installation of the spiral, stop using any medications in the form of vaginal suppositories, tablets or sprays if their use was not previously agreed with the doctor before installing the spiral


  • Within a few days after installing the helix, your temperature rose, there was a very strong bleeding from the vagina, abdominal pain, or an unusual discharge from the vagina with an unpleasant odor.
  • At any time after the installation of the helix, you felt the helix in the vagina, noticed that the helix was displaced or fell out, and also if you notice a delay of 3-4 months.
  • Appeal is necessary if: you suspect pregnancy.
  • You have profuse vaginal bleeding (more abundant or longer than usual).
  • You experience severe abdominal pain,
  • there is pain and bleeding during sexual contact.
  • There are signs of infection, unusual vaginal discharge, chills, fever.
  • You do not feel for IUD threads or feel that they have become shorter or longer than before.


Removal is usually performed in 5-7 years (depending on the modification of the helix). But at the request of the woman it can be done at any time. The reason may be the desire to have a pregnancy or the occurrence of any complications.

Before removal, the same examination is carried out as before the introduction of the helix. If necessary, reorganization (rehabilitation) of the vagina is appointed.

Removal is done by snapping the antennae of the helix at a certain angle. In some cases, for example, if the helix is ​​worn over the prescribed period, removal must be carried out in stationary conditions, with anesthesia, by scraping the uterus.

Within 4-5 days after the removal of the spiral can not:

  • Have sex
  • Use vaginal tampons (conventional pads can be used)
  • Do douching
  • Take a bath, go to the sauna or bath (you can take a shower),
  • Do heavy physical labor or intense physical exercise.

Removal of the IUD does not cause changes in the menstrual cycle. The exception is the Navy Mirena, when wearing which there is a lack of menstruation or poor cyclical bleeding. After removing Mirena, the menstrual cycle is usually restored in about 3-6 months.

Be sure to consult your doctor if you have fever for several days after removing the helix, there are very strong bleeding from the vagina, abdominal pain, or unusual discharge from the vagina with an unpleasant odor.


The helix is ​​removed by pulling on the antennae, which can break before it is removed. After that, the IUD can only be removed instrumentally and only with penetration into the uterus. In addition, the whiskers can break off as the helix passes through the cervical canal and it gets stuck there. Believe the word, it is very painful. To remove the spiral, be sure to consult a gynecologist.

Despite many worries after the birth of a child, sooner or later, the question of preventing an unplanned pregnancy still arises.

It is clear that other intravaginal means are excluded, condoms are not suitable for everyone.

It remains a spiral, which is one of the best means of preventing pregnancy.

Whether it is possible to put a spiral after childbirth is a frequent dilemma that a nursing mother should decide for herself.

According to statistics, 95% of women resume sex life after giving birth in about two months. This is necessary for the final recovery of the female body and the cessation of all secretions.

The intrauterine device is the most common contraceptive. It is located in the uterus and creates a barrier to the implantation of the ovum. If used correctly, the effectiveness of intrauterine contraception is close to 100%. This application of the spiral is comparable with the action of oral contraceptives.

Like any medical device and method, the spiral has its advantages and disadvantages.

Spiral after childbirth - is it possible to set

Is it possible to put a spiral after childbirth - this question often arises during the period of pregnancy.

It is very difficult to introduce the helix to unborn women because of the tightly closed throat of the uterus and narrow cervical canal. The spiral after childbirth, as stated above, is the most effective of the existing methods of contraception.

The advantages of the use of the spiral after childbirth include:

1. High, almost 100% effectiveness of this method, comparable to the result of the use of oral contraceptives. At the same time, there is no need for additional efforts: the intake of tablet preparations requires constant monitoring, even one missed tablet can lead to pregnancy.

2. The usual spiral does not change the hormonal background, as it happens when taking pill contraceptives, and, therefore, does not change ovulation. Therefore, after the extraction of the spiral, there are no problems with the planned pregnancy in the near future. True, there are hormone-containing spirals, after the application of which the restoration of fertility occurs at about the same time as when taking tableted hormonal contraceptives.

3. Does not violate lactation.

4. The spiral keeps contraceptive functions constantly, including the period of menstruation.

5. The duration of contraception from 5 to 10 years.

6. Does not cause discomfort to any of the sexual partners.

7. Affordability and ease of installation.

These benefits of the helix over other methods of contraception respond to the doubts of some women whether it is possible to put a helix after delivery.

8. It is possible and even convenient, since modern spirals contain silver and gold components, the presence of which suggests an anti-inflammatory effect.

9. The spiral is a good alternative for many women after childbirth with the available contraindications to the use of pill contraceptives.

10. In addition, which is very relevant for women after childbirth, intrauterine contraception does not cause metabolic disorders, unlike oral contraceptives. This is another weighty argument and the answer to the question: "Is it possible to put a spiral after childbirth?"

11. Also important is the economic aspect. One pack of contraceptives is cheaper than a spiral. But the oral contraceptive will have to be bought every month, unlike the intrauterine device, which will be used for many years (at least up to five).

Spiral after childbirth - disadvantages of the method and contraindications

There are some drawbacks to the use of the spiral, which you need to know:

1. Does not interfere with the penetration of pathogenic microbes that cause venereal diseases.

2. It is a means of abortive action.

3. Must be installed only by a specialist to eliminate complications. These include painful cramps, heavy and long menstrual and intermenstrual bleeding, various inflammations.

4. Under certain conditions, if a woman ignores the recommendations of a specialist, the helix can independently leave the uterine cavity. The frequency of loss of the spiral (expulsion) is low, but you need to be aware of this possibility. Only a specialist can insert and remove an existing intrauterine device. Every woman can control it, following the advice of a doctor.

Despite the positive side of the intrauterine device, there are contraindications to its establishment. The doctor will warn about them when examining and deciding on the choice of contraceptives. Such contraindications are:

2. Pathological structure of the uterus, in which it is impossible to place a spiral in its cavity.

3. Frequent inflammation of the urogenital organs.

4. Painful, profuse and prolonged menstruation.

5. With a history of uterine bleeding.

Spiral after birth - when you can put

The spiral after childbirth - when it can be set - is usually decided by doctors. In each case, this issue is solved individually, as well as the selection of the spiral itself takes into account the state of the woman, the characteristics of the organism and the existing comorbidity.

Since there is a variety of intrauterine devices, they are made with the inclusion of various materials, you need to imagine that after birth, it is not recommended to put a copper spiral, because it not only will not remove the inflammatory process, but will become its source. Therefore, after birth, the most suitable option is copper-silver, which does not contain hormones.

The intrauterine device Mirena, which, in addition to contraceptive properties, has therapeutic properties: reduces local inflammation, restores hormones, reduces menstrual bleeding, can be used only after cessation of lactation.

Spiral after birth - when to put: in the absence of contraindications, you can do it even in the hospital. The presence of the intrauterine device does not affect the "cleansing" of the uterus from all postpartum secretions (blood, mucus, etc.).

If the helix in the maternity hospital was not set, then in the future it can be installed during the first menstrual periods. With active breastfeeding, menstruation appears a maximum of six months later, since the hormones prolactin and progesterone, produced during breastfeeding, suppress ovulation. The spiral is placed during the first menstruation, occurring after childbirth. Or two months after giving birth, so that the internal genital organs are restored after giving birth. The same amount of time postpartum discharge. For women undergoing cesarean section, the helix is ​​set after six months.

If the questions - whether it is possible to put a spiral after childbirth and when to put a spiral after birth - are solved for the woman, the choice is made, you need to know a few more important aspects: each spiral has a specific action time. It is necessary to know its expiration date, and remove the spiral before it ends.

If this contraceptive does not fit, the specialist will remove the helix at any time.

If the spiral changed its position or fell out twice, you need to change it.

If there is an intrauterine device, it must be taken into account; after its introduction, the uterus will respond to the spiral with muscle contractions. This may manifest itself:

Pulling pains or discomfort in the lower abdomen,

More abundant than before the establishment of the spiral, menstruation,

Monthly can be longer

In the intermenstrual period may be spotting, which was not there before.

Therefore, it is important to control the appearance and smell of secretions so as not to miss the inflammation.

Need to know , that in the presence of a normally installed helix, neither man nor woman should experience any discomfort. In case all the same unpleasant or painful sensations arise, it is necessary to control the arrangement of the helix from a gynecologist in order to prevent its loss or correct location.

And one more important question that worries any woman is the effect of the helix on the libido or sensations during the sex of the contacts. The spiral does not change either the sensitivity or the libido.

Only the gynecologist can put and remove the spiral. If there is a helix, it is necessary to visit a doctor once every six months for control, since the helix may shift.

Spiral application

In the process of installing this contraceptive is not required to apply the method of full anesthesia. To put the intrauterine device, the doctor uses a special anesthetic gel, which treats the cervix. In order to fully install the contraceptive, the patient should take a lying position in the obstetric chair and place the legs in special holders. In this position, the specialist will be able to determine the position of the cervix as precisely as possible and insert a spiral into it. After the necessary preparation, the doctor introduces this contraceptive to the required depth. Vagina and cervix, he treats with an antiseptic. Practice shows that the entire installation procedure does not take more than 5-6 minutes.

The most appropriate time for the use of this contraceptive is the menstrual period. Experts say that the intrauterine device should be administered to a woman on the 5th-8th day of her period. However, both the patient and the doctor must be sure that the woman is not pregnant. In some cases, this contraceptive is established after the end of menstruation. Practice shows that the physician, on a strictly individual basis, prescribes the day when it is best to insert the helix into the uterus. However, this procedure is painless.

Experts strongly recommend to pay attention to the fact that the presence of the intrauterine device does not provide any protection against genital infections, so the woman should not ignore the basic principles of intimate hygiene. It is also not recommended to use this type of contraceptive in the event that the patient did not give birth to children, but intends to become pregnant in the future. Some experts in the field of gynecology argue that the frequent use of this method of contraception can lead to infertility in women. It is important to remember that only an experienced doctor can perform any manipulations with the use of the intrauterine device. Before installing the contraceptive be sure to go through all the necessary research and exclude all possible contraindications to the use of this tool.

Stages of installation of the intrauterine device

The installation of the contraceptive coil has several basic steps.

To begin with, a woman needs to undergo examinations in order to exclude possible contraindications to the installation of the uterine helix.

The examinations consist of the following tests:

  1. Vaginal swab,
  2. Cervical smear,
  3. Blood on PB, HIV, hepatitis,
  4. General urine analysis,
  5. Examination with a kolkoskop,
  6. Ultrasound of the pelvic organs,
  7. Genital infection tests.

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Further, in the absence of contraindications, you can proceed to the next stage: the installation of the spiral Navy provides for the mandatory exclusion of pregnancy before the procedure. To do this, a woman must pass a pregnancy test.

The installation of an intrauterine contraceptive is a rather simple process. Video installation of the spiral in the uterus, located at the bottom of the article will give you the opportunity to make your impression about this procedure. If you want more information write in the browser search bar: installation of a spiral photo. Photos from the Internet will help to learn about the procedure in detail.

When and how to install the intrauterine device?

You can get an answer to the question of how the intrauterine device is placed in the sections of the gynecology sites. Full anesthesia during the procedure, as a rule, is not used. The doctor simply treats the cervix with a special anesthetic gel. This point is shown in many videos of the introduction of the intrauterine device. For the IUD installation procedure, you must lie down on the obstetric chair, placing your legs in the holders. This posture will help the doctor determine the position of the cervix most accurately for insertion of the IUD. The neck and vagina are treated with an antiseptic. Using gynecological instruments, the doctor opens the cervix, measures the depth, and only then does the intrauterine contraceptive enter. The whole procedure takes no more than 5 minutes. With regard to the time most suitable for the procedure, then put the spiral during menstruation (closer to their end), or there are cases when it is necessary to put a spiral after menstruation. On which day the doctor can only set the spiral in each case individually.

How painful is the helix insertion procedure and are the discharge after the procedure normal?

It is believed that the intrauterine device is painful, but this is nothing more than a myth. Since the procedure can deliver a slight feeling of discomfort and nothing more. Pain after the installation of the spiral can sometimes occur, they resemble pain during menstruation. If, after the installation of the spiral, the stomach hurts, it is worth a little rest to allow the uterus to get used to the presence of a foreign body.

Many people ask: put a spiral, there was a selection, is it the norm? Discharge after the introduction of the intrauterine device is also considered the norm, but only if they do not take a protracted nature. After the installation of the helix, the bleeding patterns may appear periodically during the first 6 months. They are not dangerous. But if the discharge becomes abundant in nature - this is a reason to consult a doctor for advice. After you have placed the IUD, discharge may affect the menstrual cycle by slightly lengthening it, but after a few months everything should return to normal. Having established a helix, discharge is a natural phenomenon. How much are the selection after the spiral, the doctor will tell you at the reception.

Где поставить ВМС, и какова цена установки?

Процедура установки ВМС не требует пребывания женщины в больнице, она проводится амбулаторно в гинекологической клинике. Стоимость установки спирали зависит от тарифов медицинского учреждения. If you decide to put the IUD in the state gynecology, the question of how much it costs to put the intrauterine device will depend only on the price of the intrauterine device.

During the procedure of installing the intrauterine device, the price is also added up from whether anesthetics will be used. And yet, with the IUD, the price should not be of paramount importance; it is better not to save money, but to purchase a quality IUD and pay for the services of a qualified gynecologist in order to be sure that this method of contraception will be really effective.

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IUD installation process

Before installing the intrauterine device, an examination should be made to rule out the presence of infections and pathologies associated with the reproductive organs. The standard list of diagnostic procedures is as follows:

  • cervical and vaginal smears,
  • tests for syphilis, hepatitis and HIV,
  • colposcopy
  • general urine analysis
  • sexually transmitted infection tests
  • ultrasound examination of the uterus.

Ultrasound is prescribed not only to make sure that the woman has no changes that prevent the use of intrauterine contraceptive. His goal is also to make sure that at the time of installation of the helix the woman is not pregnant. For the same have to do a test that determines the level of hCG.

Before you put a spiral, it is recommended to refrain from having sex for 7-10 days.

The installation procedure is carried out exclusively in the gynecological office under sterile conditions. A woman sits in a chair with her feet on the holders. Before the introduction of the helix, the doctor disinfects the cervix and vagina. Additionally, local anesthesia is performed. Usually for anesthesia using a special gel, sometimes injections.

Only after that the doctor with the help of special tools opens the cervix, measures the depth, and then introduces the contraceptive into the uterine cavity. The so-called "antennae" up to 2 cm long, the doctor takes out into the vagina. This is done so that you can remove the spiral. During hygiene procedures, a woman should from time to time check whether these “antennae” are in place.

The installation procedure is almost painless. Only sometimes women feel pain that passes quickly. Some women have bouts of dizziness and fainting. But this is an extremely rare phenomenon, which passes after a few minutes.

With a spiral in a few days you can have sex. In the first month, until the immune system adapts to the presence of a foreign body, it is better for a woman to refrain from visiting a bath or a pool. It is necessary to avoid and strong physical exertion.

Contraindications to the installation of the Navy

The intrauterine device is a convenient and relatively inexpensive means of contraception. But, like many medications, she has contraindications that can not be used to protect her from unwanted pregnancy. The following are the main ones:

  • cervical dysplasia,
  • malignant and benign neoplasms in the reproductive organs,
  • previous ectopic pregnancy
  • severe trauma to the cervix during childbirth,
  • blood diseases.

To girls who have never given birth, doctors usually do not recommend a spiral. They are individually selected other contraceptives.

Spiral after childbirth or abortion

After the appearance of the baby, women try to sustain a certain “pause” before planning a new pregnancy. And this is understandable - the body needs to get stronger after pregnancy and childbirth, and the family to get used to the new rules and regulations.

It is believed that in the first months, while there are no monthly periods, and the young mother is breastfeeding, she cannot become pregnant. However, this is not the case, and very often a woman finds out that a little man has once again settled in her womb when all the signs of pregnancy have become apparent.

That is why for women who have recently given birth, it is very important to protect themselves properly. And the best choice during this period is Mirena or another spiral.

You can install it when the uterus becomes normal size. This occurs approximately 6–12 weeks after the birth of the child, although it is also practiced to install the helix immediately after natural childbirth. In the event that delivery occurred by cesarean section, the intrauterine device can be established after 6 months.

According to many practitioners, with whom the US researchers also agree, the introduction of the helix into the uterus immediately after the abortion gives positive results, regardless of whether it was caused by natural causes (miscarriage) or was performed surgically.

If a contraceptive is introduced into the uterus 15-20 minutes after surgery, this minimizes the possibility of unwanted pregnancy. In addition, there is no need to re-use anesthetics and dilate the cervix.

Advantages and disadvantages of the intrauterine device

The spiral is considered a reliable method of protection: its efficiency reaches 95%. Many women note as a positive factor that one and the same helix can live up to 5 years, and in some cases even longer. This saves time and money that would have to be spent on the purchase of other contraceptives. In addition, intrauterine devices have other advantages:

  • you do not need to strictly follow the schedule of reception, unlike birth control pills,
  • allowed use by women who are breastfeeding,
  • after being removed from the uterus, you can quickly become pregnant.

Hormone-containing coils, for example, Mirena, not only prevent the onset of pregnancy, but also have an anti-inflammatory effect on the reproductive organs, prevent endometriosis. In addition, after installing the Mirena helix, the menstrual periods are practically painless and less durable.

With all the positives, the use of a spiral can sometimes have negative consequences. First of all, this is a restriction that applies to nulliparous girls. It is due to the fact that they have a uterine cavity of small size, as well as too narrow cervical canal. Because of this, the procedure for placing a contraceptive is more complicated and painful. In rare cases, it ends with perforation of the wall of the reproductive organ.

The spiral is suitable for women who have a permanent sexual partner, since the risk of infectious diseases increases, especially in the first month after the installation of a contraceptive. The foreign body inside the uterus contributes to the rapid spread of infection. In case of late treatment, infertility becomes a consequence of inflammation.

Use of the IUD is associated with regular visits to the gynecologist. First, in order to install it, and then preferably every six months. In addition, the woman has to independently control the antennae, the ends of which are located in the vagina. This is to ensure that the helix does not fall out. To remove the contraceptive, again have to go to the doctor.

Is it possible to remove the IUD?

Some women are interested in, is it possible to remove the spiral without menstruation or independently? Experts categorically do not recommend conducting experiments at home. To do this, contact your gynecologist. The extraction procedure should be carried out when the menstrual periods come (in the first days) under sterile conditions.

With independent withdrawal of the spiral, there is a high risk of damaging the mucous membrane of the genital organs and introducing infection.

Removing the IUD with a gynecologist is a practically painless procedure if there are no inflammatory processes. Before her, the doctor conducts an examination. If the spiral is intact, then it pulls it out by pulling on the antennae. If there are no threads in the vagina or the contraceptive has collapsed, microsurgical intervention is used - hysteroscopy.

After removal from the uterus of the helix, the doctor takes a smear from her, which is sent to the laboratory for cytological examination. This procedure is followed in most cases, but it is not required.

If there are no contraindications, then, after consulting with your doctor, almost every woman can pick up the helix. Among the devices on the market today are those that resemble an umbrella or a spiral, an egg and a ring. The materials of which they are made are also different.

Taking into account the peculiarities of the location and structure of the uterus, the doctor will recommend a certain type of helix to the woman. S-shaped contraceptives made of polyethylene of the first generation are practically not used. This is due to their low efficiency and frequent cases of arbitrary proliferation from the uterus.

Relatively inexpensive modern copper-based IUDs are very effective. They oxidize the environment in the uterus, so the sperm, getting into it, become less active. Since copper is released quickly, the replacement of such a spiral occurs every 3-5 years.

There are not only copper spirals, but also those that contain silver, platinum and gold. Especially effective drug intrauterine system, containing in the pedicle levonorgesterol or progesterone. Daily a small dose of hormone is secreted into the uterus.

The most popular among such spirals are Mirena, Levonov and others. They improve the condition of the endometrium and fallopian tubes, have a positive effect if the periods are too abundant and painful. The disadvantages include the appearance of intermenstrual discharge. It is possible to install Mirena helix or another hormone-containing spiral for up to 5 years.

Choosing a contraceptive should be carried out with a doctor. He, guided by whether regular periods, assessing the condition of the genitals, will determine which type of helix will be optimal.

Which spiral is better: hormonal or non-hormonal?

Today, hormonal coils are considered to be much more effective and reliable means. The Pearl Index of the Mirena intrauterine system is less than 1, whereas for the copper-containing IUD it is up to 3. The final selection of the helix is ​​made together with the attending physician, taking into account all possible indications and contraindications.

Benefits of hormonal coils:

  • Provide reliable protection against unwanted pregnancy (Pearl index is less than 1, whereas for copper-containing IUDs - up to 3).
  • Change the menstrual cycle: menstrual periods are scarce and not painful. Perhaps the development of amenorrhea, when menstruation completely stop. This improves the general condition of the woman and reduces the risk of anemia.
  • They have a therapeutic effect, are used for some gynecological diseases.

Pluses of non-hormonal spirals:

  • They do not contain progesterone, which means that undesirable effects associated with its effect on the body are excluded.
  • They are cheaper than hormonal intrauterine systems.

What is Mirena?

Mirena is a hormonal system that contains levonorgestrel. The spiral is introduced into the uterine cavity, the hormone is gradually released, exerting its contraceptive effect. The term of the installation of the Navy - 5 years. Mirena is used not only to protect against unwanted pregnancy, but also for therapeutic purposes in uterine myoma and some other conditions.

Can the IUD fall out?

Yes it is possible. This largely depends on the qualifications of the physician who establishes the spiral, but compliance with the recommendations of the gynecologist also plays a big role. If there is the slightest suspicion that the spiral fell out, you should consult a doctor.

Signs of Navy loss:

  • Foreign body sensation in the vagina.
  • Lower abdominal pain.
  • The appearance in the vagina part of the intrauterine device.

What happens if the helix falls out of the womb?

Even with partial prolapse, the contraceptive effect is reduced. Perhaps an unplanned conception of a child. If an expulsion of an intrauterine contraceptive is suspected, you should consult a doctor as soon as possible. A reverse-flow agent is not inserted, but the doctor can put another helix.

If against the loss of the spiral was unprotected sexual intercourse, you should think about emergency contraception measures.

Does the intrauterine device have an abortive effect?

The main mechanism of protection against unwanted pregnancy is an obstacle to the movement of spermatozoa (and inhibition of ovulation for the Mirena system). If conception does occur, the fertilized egg will most likely not be able to attach to the thinned endometrium, and a miscarriage will occur at very early stages. In this situation, the intrauterine device can be considered as an abortive system, but in practice such an outcome happens very rarely. The effectiveness of the IUD is quite high, and in most cases the conception of the child does not occur.

Is pregnancy possible with a helix?

Yes, it happens. In rare cases, such a pregnancy goes well, and the woman manages to inform the child before the due time. A future mother should be monitored by a gynecologist, monitor the condition of the fetus and monitor her own feelings. Quite often, pregnancy with a spiral ends with miscarriage in the first trimester. This statement is true for both Mirena and non-hormonal Navy.

Can there be an ectopic pregnancy on the background of a spiral?

The spiral in the uterus increases the risk of ectopic pregnancy. On the location of the ovum outside the uterus say these symptoms:

  • delayed menstruation,
  • lower abdominal pain (usually on the side of the affected pipe),
  • bleeding from the genital tract.

Exact diagnosis will help ultrasound.

Who should install and remove the helix?

Only an obstetrician-gynecologist should insert and remove the intrauterine device. Self introduction or removal of the Navy is prohibited!

The introduction of the intrauterine device is carried out in the first days of the cycle. At this time, the cervix is ​​slightly open, and the contraceptive easily passes into the uterine cavity. Removal of the IUD is carried out after 5 years or more (depending on the type of helix). With the development of complications, the contraceptive can be removed at any time directly at the doctor's office.

Is it possible to put a spiral to unborn women?

Women who have not experienced the joy of motherhood, the intrauterine device is not set. The exception is Mirena. The hormonal system can be established only for the purpose of treatment and according to strict indications, when other methods are ineffective or unavailable. The fact is that the intrauterine device naturally leads to the development of aseptic inflammation, which is highly undesirable before the first pregnancy.

Can I put a spiral with uterine myoma?

The intrauterine system can be installed with a subserous tumor or interstitial myoma completely located in the muscle layer. In the case of a submucous node that deforms the uterus, its preliminary removal is shown. Before installing the Navy, you must undergo ultrasound and other examinations. With myoma, the hormonal system Mirena is usually administered.

For how long is the helix injected and what will happen if you do not remove it in time?

The intrauterine device is usually placed for a period of 5 years. After this time, the IUD must be removed, otherwise complications may develop:

  • inflammation of the uterus and appendages,
  • cervical injury,
  • infertility.

With a long stay in the uterus, the spiral can grow into the walls of the body, and it will be possible to get rid of the IUD only by surgery.

Long-term use of Mirena is also not recommended. When the hormone expires, the levonorgestrel hormone stops being released, and the contraceptive effect ends. Possible unwanted pregnancy. All other risks associated with long-term use of the spiral are also saved.

Can I use an intrauterine device for emergency contraception?

Yes it is possible. IUD is introduced within 5 days after unprotected intercourse according to the standard scheme. Since the installation of the spiral requires a full examination of the patient, this method has not found wide application. As postcoital drugs, other available agents are used.

The Navy as an emergency contraceptive is not used:

  • in nulliparous women
  • in inflammatory diseases of the pelvic organs,
  • during unprotected intercourse with a high risk of STI infection.

Can I use tampons if there is a spiral?

In the first month after installing the IUD, it is better to use sanitary pads. In the future, you can safely enter the tampons during menstruation. The spiral is in the uterus, the tampon is in the vagina, and these two devices do not touch. Even if the tampon touches the antennae of the contraceptive, it does not threaten the woman with anything dangerous.

What to do, if on the background of the spiral (Mirena) did not come monthly?

When using the Mirena system, some women have amenorrhea - complete absence of menstruation for a long time. This is normal, and after removing the helix, the menstrual cycle will be restored. No treatment required.

In certain cases, the absence of menstruation may indicate a pregnancy. It is recommended to make a test or donate blood for hCG.

Can I play sports with the Navy?

Да, внутриматочная спираль не мешает физическим нагрузкам, тренировкам в спортзале, посещению бассейна и занятиям спортом. Ограничения накладываются только в первый месяц после установки ВМС. В этот период рекомендуется воздержаться от физических нагрузок. В дальнейшем можно вести привычный образ жизни без ограничений.

Сколько стоит установить спираль?

The cost of the intrauterine device is from 500 to 10 thousand rubles (for Mirena).

Author: obstetrician-gynecologist Ekaterina Autumn

How does the Navy

The purpose of the Navy - protection from unplanned pregnancy. The name "intrauterine device" means that it is introduced into the uterine cavity, and it is obtained because of the previous appearance of the product, since it looked like a spiral. Currently, the Navy is a T-shaped rod made of flexible, inert plastic. This material is completely safe for women's health.

Spirals are of two types:

  1. The upper part of the spiral in the form of a thin copper wire.
  2. The spiral contains a container of hormones that enter the uterus throughout the life of the product.

It has both the first and the second type of intrauterine device, the pros and cons. The photo above shows what this type of contraception looks like at present.

The principle of the spiral:

  • There are changes in the endometrium, which do not allow the fertilized egg to penetrate into the uterus. This can be compared to a micro-abortion.
  • The IUD increases peristalsis of the fallopian tubes, which contributes to an increase in the speed of the egg and its movement into the uterus without fertilization by the spermatozoon.
  • Coils that contain copper slow down the activity of male gametes and interfere with egg implantation.

  • The process of ovulation is blocked due to the effect on the hypothalamic-pituitary system.

Who recommend the Navy

Before the doctor recommends the IUD as a means of contraception, he must take into account many factors, ranging from age to general health.

Who can install the spiral:

  • Giving birth to a woman who is over 35 years old.
  • Women with children after an abortion without complications.
  • No pathology of the cervix.
  • If it is not recommended to be protected by oral contraceptives.
  • Women who have a low incidence of infectious genital infections.

Contraindications to the Navy

Before using this method of contraception, it is necessary to take into account all the pros and cons of the intrauterine device.

And also make sure that there are no contraindications:

  • There was no birth yet.
  • Constant change of sexual partner.
  • Cancers of the pelvic organs.
  • The presence of injuries and stitches on the cervix.
  • Ectopic pregnancy.
  • Blood disorders. Anemia.
  • Infertility.
  • Vaginal infections.
  • The presence of inflammatory processes in the reproductive system.

How to prepare for the installation of the spiral

First of all, you need to choose a suitable helix and pass an examination, which includes:

  • Ultrasound of the pelvic organs.
  • General analysis of blood and urine.
  • Blood for HIV and RW, hepatitis C.
  • Smear from the cervix and vagina.
  • Analysis for hidden genital infections.
  • Colposcopy.

Next, the doctor must probe the uterine cavity, determine the distance between the uterine angles. And only after a thorough examination and the absence of contraindications, the intrauterine device is established. The pros and cons of the BMC should already be considered.

1-2 days before the process is recommended to use anesthetic candles. Install the intrauterine device is best during the first days of the menstrual cycle. After the procedure, you need to rest for 30-40 minutes.

Features of the first days with a spiral

It is worth noting that only the doctor can install and take off the intrauterine device. For several days after the installation of the helix, the following side effects may appear:

  • Lower abdominal pain.
  • Bloodsupply

It is also worth adhering to the following recommendations. It is necessary to refuse from the first 5 days:

  • Take a bath.
  • Visits to the pool, sauna, bath.
  • From douching.
  • From intimate life.
  • Do not take acetylsalicylic acid in food or tablets.
  • Do not use tampons.

You should also avoid increased physical exertion. It is necessary to adhere to proper nutrition, more rest, lie down.

The manifestation of side effects can occur within six months and eventually disappear altogether.

You must regularly undergo a medical examination after the IUD is installed. After installation in a month, then in 3 months, then once every six months.

What are the advantages of the Navy

If you choose a contraceptive method such as an intrauterine device, you need to know all the pros and cons.

Let us dwell on the positive aspects:

  • It does not require special care. After installation, after a period of rehabilitation is almost not felt.
  • Efficiency is 95-98%.
  • Can be installed for several years.
  • For many women, the menstrual cycle becomes shorter, and the periods themselves are practically painless.
  • It has a positive therapeutic effect in uterine myoma and other gynecological pathologies.
  • Can be used with breastfeeding.
  • It does not affect the reproductive function in the body.
  • Efficiency is maintained regardless of the intake of any drugs.
  • Economical and convenient. You do not need to follow the schedule of reception and spend money on the regular purchase of contraceptives.

What are the cons of the Navy

There are also disadvantages of using an IUD:

  • High risk of ectopic pregnancy.
  • There is no protection against sexually transmitted diseases.
  • The risk of inflammatory diseases increases.
  • Do not use women who have not given birth.
  • Painful monthly first six months.
  • Large blood loss is possible.

We considered what kind of contraception a intrauterine device has, advantages and disadvantages. The implications of the BMC are discussed below.

What can be complications when using IUD

Of great importance is the qualifications and experience of the doctor, as the correct installation or removal of an inexperienced specialist can cause the removal of the uterus. Knowing the pros and cons of the intrauterine device, it is necessary to know what complications are possible when using it.

Possible complications when using IUDs:

  • Perforation of the walls of the uterus.
  • Rupture of the cervix.
  • Bleeding after installation.
  • The spiral can grow into the uterus.
  • Antennae may irritate the walls of the cervix.
  • The spiral can shift or fall out with the wrong selection and installation.
  • Lower abdominal pain.

An urgent need to visit a specialist if:

  • There were severe pains in the lower abdomen.
  • There is a suspicion of pregnancy.
  • Bleeding lasts a long period of time.
  • There are signs of infection: fever, unusual vaginal discharge.
  • Sexual intercourse causes pain or bleeding.
  • Navy threads are longer or shorter.

We considered what the intrauterine device is, the advantages and disadvantages of this method of protection, as well as possible complications. Next, consider the reviews of patients.

Reviews on the application of the Navy

Of course, before you begin to use such a contraceptive as intrauterine device, the pros and cons, feedback and recommendations of the doctor should be taken into account.

So having read the reviews of women on the use of the IUD, several conclusions can be made.

There are many positive reviews that the menstrual cycle is improving and often it becomes much shorter. Many have improved intimate life with a partner, since there are no special requirements for the spiral, it is easy to use, not felt, does not cause discomfort.

Many emphasize the importance of making the right choice, both in size, so that it does not fall out or shift, and also in its composition. So, the copper may not be suitable, or vice versa. Note the importance of the fact that the procedure for establishing or removing the spiral must perform a competent experienced gynecologist. Only in this case it is almost painless. Also emphasize the need for regular inspections and timely removal of the spiral to avoid complications such as ingrowth or the development of the infectious process. And before installing a thorough examination and treatment of existing diseases. Without this, there can be big health problems, even a loss of the uterus.

Economically, affordable and efficiently, the 95% guarantee comes from the intrauterine device from pregnancy. The pros and cons of each category of patients is their own.

In negative reviews, on the contrary, long periods, but painless, persistent discharge are noted. There are also many reviews about the occurrence of pregnancy when using the intrauterine device. It is believed that if there were genital cancers in the genus, then establishing a spiral is a big risk. Some spiral does not survive.

It should be noted that all reviews emphasize that this type of contraception will be an effective means of protection only if all the advantages and disadvantages of the intrauterine device are taken into account, and all issues are discussed with a gynecologist who has sufficient experience and level of knowledge.

Protection from unwanted pregnancy will help avoid problems and preserve the health of the woman. Do not let this process take its course, in the hope that it will carry it, it is better to err and enjoy intimacy with your loved one.

At what stage of the menstrual cycle put the intrauterine device

The issue of contraception is relevant for every woman of childbearing age. Today, there are many effective ways to avoid unwanted pregnancies, especially among which are intrauterine contraceptives. When a helix is ​​put, before or after menstruation - many girls turn to such doctors with such a question.

Intrauterine contraceptives began to be used since the mid-20s of the last century. Then they represented a ring made of an alloy of brass and bronze, in which a small amount of copper was added. In 1960, a safer product made of elastic material appeared.

Modern spirals have a different shape, some of them contain hormonal drugs. The contraceptive effect is achieved due to the release of a small amount of them into the cavity of the genital organ. In addition, the helix has a mechanical effect on the inner lining of the uterus, preventing the attachment of the egg after fertilization.

Spiral significantly complicates the promotion of male germ cells and weakens them, which does not allow pregnancy to occur.

It is recommended to put a spiral in the period from 3 to 5 day of the new menstrual cycle.

During this time, the cervix is ​​ajar so much so that the procedure for introducing a contraceptive is the least traumatic and easy to implement. The onset of menstruation is one of the signs that a woman does not have a pregnancy, so it is preferable to place a spiral at such a time.

Intrauterine devices - answer questions and debunk myths

Over the past 40 years intrauterine device (IUD) has become the most popular long-term contraceptive method in the world. About 160 million women use it. But at the same time, there is very little knowledge about this method of protecting against unwanted pregnancy. Therefore, one part of the patients thinks that choosing and putting up a “spiral” is nothing simpler, and even almost independently, and the other is mortally afraid, reinforcing their fears with many nightmarish myths. We offer to understand.

What is the spiral intrauterine

This system is installed in the uterine cavity, protecting against accidental conception or making it impossible to carry a pregnancy. It affects the endothelium lining the uterus from the inside, interfering with its preparation for the implantation of a fertilized egg. Or, a special hormone is added to the system that prevents the sperm from meeting the egg and its fertilization.

Hence the myth No. 1 that all spirals cause an abortion in the early period is incorrect. Opponents of abortion can safely use hormonal intrauterine systems, thanks to which conception does not occur at all.

Various types of intrauterine devices

As can be seen in the photo, the appearance of modern models is far from the name that corresponded to the first spiral, invented in 1909 by Polish doctor Richard Richter. It took 4 decades for his truly revolutionary invention to appreciate and start using the medical community. True, it was no longer a ring of flexible soft suture material, but a large and rather traumatic "fish". It was called the Dalkon system and did not catch on due to frequent complications such as inflammation or even perforation of the uterine wall.

This is where the second myth about the danger of spirals came from. Compared with old models, new ones are made of non-traumatic soft material and several times smaller. Therefore, fears are in vain. To reduce the risk of suppurative inflammation to a minimum, the intrauterine systems are impregnated with copper, less often with gold or silver. And before installing into the uterine cavity, a woman is examined and a vaginal smear is taken. And if it is inflammatory, it is first necessary to be treated (sanitized) with drugs prescribed by a doctor.

Important: contraindicated for at least 3 months after recovery introduction of the IUD with purulent discharge, with cervicitis, with gonorrhea or exacerbation of chlamydial infection.

What are the spirals intrauterine

The first generation of intrauterine contraceptives (IUD) is a neutral IUD. They do not allow a fertilized egg to implant in the uterus due to the irritant effect on the endometrium. From here it is not difficult to guess that they are the largest in size and the most traumatic. Therefore, we should almost always expect painful menstruation, pain in the abdomen during the first weeks after installation and an increased risk of ectopic pregnancy. The only plus is cheapness. But for such a dubious advantage, 3 out of 100 women pay for the occurrence of an unwanted pregnancy within the first year after the introduction of the helix. Today, such VMCs are used less and less.

The second generation - drug Navy. That is, the spiral is impregnated with copper, less often with silver or gold. These metals have a toxic effect on spermatozoa, reducing their mobility, and accelerate the wavy contractions of the fallopian tubes, which prevent the progress of the egg through them. As a result, the probability of conception, compared with the first-generation contraceptives, is reduced by 10 times. In addition, metal ions have a detrimental effect on pathogenic microbes, minimizing the risk of pyoinflammatory complications. Today it is the most common group of the VMC. Its representatives are: Nova T, Multiload, Sorrer-T 200, C-380-Slimilin and T C-380Ag.

The third, newest, IUD generation is represented by hormonal intrauterine systems. That is, there is a long groove in the body of the helix, filled with a special hormone gradually emerging into the cavity of the cervix and body of the uterus. Thanks to him, cervical mucus becomes very thick and does not miss sperm. They die without meeting with the egg. These are the most reliable contraceptives: only one woman out of a thousand becomes pregnant. The advantage of such systems is their therapeutic effect on the endometrium with its hyperplasia, with endometriosis, with the initial stage of adenomyoma and with severe premenstrual syndrome.

Important: One word “hormonal” should set up a mandatory consultation with a doctor to clarify the possibility of installing such a helix.

Myth number 3: spirals can be chosen for any woman.

There is a list of diseases in which the IUD is temporarily or for life contraindicated:

1. The patient had sepsis after giving birth or after an abortion. There is a very high risk of perforation of the thinned uterine wall with the development of peritonitis.

2. Regularly occurring uterine bleeding, the cause of which has not yet been clarified.

3. Malignant tumors of the female genital sphere.

4. A purulent-inflammatory or infectious disease in the pelvis, including tuberculosis.

5. Anatomical anomaly of the cervix or body of the uterus, deforming the fibromyoma nodes, due to which it is technically impossible to introduce a spiral into the uterus, or there is a risk of perforation of the wall.

6. Allergy to any component of the Navy, and for copper-containing - Wilson-Konovalov disease.

Myth number 4: from spirals a lot of complications.

What women take for complications is actually just a manifestation of the reaction of the uterus to a foreign body. The gynecologist should warn:

  • the first 3 months of menstruation can be longer, more abundant and painful,
  • spotting is possible on any day of the cycle,
  • from hormonal IUDs to 3 months from the moment of administration, acne can appear and swell the chest. Nausea, weight gain, irritability and depressive mood are frequent.

Complications are registered very little:

  • perforation of the uterine wall due to the traumatic introduction of the IUD,
  • loss of helix (expulsion),
  • ectopic pregnancy.

Important: purulent inflammation can be easily avoided if you have sex with one partner protected by a condom and are regularly preventively examined by a gynecologist.

Myth number 5: the spiral must be changed every 5 years.

There are proven recommendations based on the mechanism of action of the contraceptive. They indicate that the neutral Navy really is better to replace in 5-7 years, copper-containing protect for 10 years. And the service life of hormonal coils directly depends on their ability to secrete a drug. If the package says LNG 20 µg24 hours, then the contraceptive effect lasts 5 years, if 14 µg24 hours is indicated, then 3 years. But this imported product or domestic - there is no difference.

Myth number 6: women after 40 years of age and who have not given birth to a spiral can not be put.

От нейтральных ВМС лучше отказаться. Non-traumatic models of the 2nd generation are not contraindicated, since they do not increase the risk of ectopic pregnancy, inflammatory diseases and infertility. The hormonal IUDs are also allowed, but with the proviso: it is necessary to plan conception a year after the extraction of such an IUD.

When can I put and remove the spiral

If pregnancy has not occurred - on any day of the cycle. But for 4-8 days it is easier and less painful to do it, since the cervical canal is slightly ajar.

After birth, there are two options:

  1. In the first hour after birth. It is possible and later, but due to the strong contractions of the uterus, the risk of expulsion is high.
  2. After 2-6 months, when the gynecologist confirms that the uterus is sufficiently reduced, and there are no postpartum complications.

After induced abortion or miscarriage, the IUD is installed immediately if the gestation period does not exceed 12 weeks. If the uterus is large, especially if an infection is suspected, it is better to delay this procedure until the end of treatment.

Removal - on any day: both for medical reasons, and simply at the request of the woman.

Myth number 7: for the production of a spiral, you need to undergo a long examination.

If a woman is healthy, not pregnant, leads an orderly sex life and is regularly examined by a preventive gynecologist, the procedure can be performed on the day of treatment or tomorrow, when the result of a bacteriological smear is ready. Even a blood test can not be done, since modern contraceptives do not weigh down anemia.

If the previous visit to the doctor was several years ago, then you really need to be prepared for the doctor to examine the mammary glands, do a colposcopy, take cytology, send for fluorography, a general blood test and sexually transmitted infections. If a woman often changes her sexual partners, it is in her interest to have an HIV test, since a positive result is a contraindication for the introduction of an IUD.

What to do if conception occurred against the background of the Navy

Remove the helix in any gestational age. This is especially important in the case when a woman decided to give birth. The faster the contraceptive is removed from the uterus, the less will be the risk of miscarriage or premature birth.

Until now, there is an opinion that hormonal drugs increase the risk of developing some defects in the fetus. In such a situation, the question of preserving pregnancy is better discussed with a geneticist after a thorough ultrasound and, if offered, amniocentesis.

Recommendations after the introduction of the spiral

Refrain from lifting a load heavier than 5 kg, from sports activities with jumping and vibration, for example, from riding a horse.

Sexual contact is allowed after 7-10 days.

To control the presence and height of the helix standing, probing its antennae. If they are not felt, or the IUD body is felt, contact a gynecologist to exclude expulsion.

Urgent inspection is required:

  • if there was pain during sexual intercourse,
  • if there is purulent discharge, accompanied by fever, feeling unwell,
  • if bleeding has arisen or intensified,
  • if suddenly there was severe unexplained pain in the lower abdomen.

For the first few days, when you have pain in your stomach, you can put a candle with indomethacin or take a pill of no-shpa.

If a woman feels good, an examination by a doctor is required only after the end of the next menstruation, that is, 3-5 weeks after the placement of the IUD.

All about the spiral. Intrauterine device: pros and cons

There are many methods of contraception, and one of them is a spiral.

The intrauterine device (IUD) may have different shapes and be made of different materials.

The most common form - T-shaped, but the effect of the form does not change.

The material from which the Navy is made depends on how the body perceives it. And this applies specifically to your body, as one may come up with something that does not fit you.

  • . A doctor at a medical facility sets the helix. The intrauterine device is placed at 3.5 and 7 years depending on its type. And that's all. It is necessary only every six months to come for a routine inspection.
  • Relatively high efficiency. To date, there is no 100% contraceptive methods, not counting sterilization and abstinence. IUD is effective in 75-80% of cases, and this is quite a lot.

To understand the disadvantages, you need to consider how the helix “works”. The intrauterine device causes a small local inflammation on the walls of the uterus. The body, in response to inflammation, "sends" into the uterine cavity a large number of white blood cells, which perceive sperm as antigens and destroy them. If the helix has a copper coating, then it also adversely affects sperm. But if a part of the spermatozoa managed to “break through” to the egg cell and fertilize it, then the inflamed endometrium together with the white blood cells will not allow the embryo to implant (attach) and, accordingly, the pregnancy will be interrupted at its very initial stage.

If you remove the ethical-moral side of the question, then you can identify the following disadvantages, which has a spiral:

  • The intrauterine device increases the risk of inflammation of various kinds.
  • IUDs very often, but not always causes abundant, long, painful menstruation.
  • With an IUD, the risk of developing an ectopic pregnancy is fourfold.
  • The IUD has contraindications (cervical dysplasia, uterine tumors, etc.).
  • The risk of getting pregnant remains.

Separately, it is worth noting the hormonal spiral. Intrauterine device “Mirena due to the release of the hormone into the uterus leads to a reduction, and sometimes complete disappearance of menstruation. Mirena also thickens the cervical mucous plug, which prevents the passage of spermatozoa and prevents the egg cell from ripening.

At the same time, the amount of hormone released is so small that it has only a local effect. But the hormonal coil does not guarantee that conception does not occur, although it significantly reduces the likelihood of embryo attaching. And, of course, she also has all the same contraindications and is not suitable for everyone.

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Professional advice of gynecologists on the selection and installation of intrauterine devices

Intrauterine device (IUD) is a small device in the form of a loop, spiral, ring or other structure, which is inserted into the uterus with the help of an applicator to prevent unwanted pregnancy. It creates a barrier that prevents sperm from moving to the egg cell.

Today, the Navy is one of the most common contraceptives, which, due to its effectiveness, enjoys deserved popularity and demand. The contraceptive effect of the IUD reaches 98% or more.

Types of intrauterine devices

Currently, several dozen types of intrauterine devices have been created from various materials. Copper and hormone-containing spirals are most commonly used. According to proven research results, copper has an additional contraceptive effect. There are also gold intrauterine devices and IUDs with silver at different prices and with a similar principle of operation.

In the Russian market today, the intrauterine device Multiload, Nova T and Mirena are popular and in demand, which differ in both prices and the material from which they are made. Mirena is a hormone-containing helix, the action of which is associated not only with the mechanical influence of the contraceptive, but also with the local release of the hormone - levonorgestrel, which is analogous to progesterone and prevents the onset of pregnancy.

In some cases, the installation of hormonal coils is recommended for the treatment of various gynecological diseases.

Benefits of the IUD

Judging by the opinions of women who use the Navy for a long period, the installation of intrauterine devices significantly simplifies life and even saves money - you do not have to spend monthly on oral contraceptives.

In addition, the Navy has many other advantages, including:

  • high efficiency of the method (up to 98%),
  • contraceptive effect occurs on the day of the introduction of the spiral,
  • A wide selection of different types of IUD allows you to choose a spiral, taking into account all the characteristics of the patient's body,
  • the ability to remove the intrauterine device at any time when the woman wishes (for this it is enough to consult a doctor),
  • the ability to conceive is restored within one to two menstrual cycles after removing the IUD,
  • the absence of any negative impact on the processes of ovulation, as well as the woman's body in the postpartum period and during breastfeeding,
  • the installation procedure for the intrauterine device takes only a few minutes,
  • the spiral is not felt by either the woman or her sexual partner.

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When to put the intrauterine device

The installation of an intrauterine device is recommended for women who do not want or for certain reasons cannot use oral contraception.

The use of the IUD will be for you the best method of preventing unwanted pregnancy in the following cases:

  • if you are breastfeeding,
  • if you terminate the pregnancy and have no signs of inflammation,
  • if you are over 35 years old and have given birth before
  • if you gave birth and fully trust your sexual partner, i.e. there is no risk of developing genital tract infections and other sexually transmitted diseases.

Installing the intrauterine device

Installation of the Navy is carried out in several stages. First of all, a woman should cure all diseases that in one way or another affect the gynecological field. Nasopharynx, teeth, gastrointestinal tract, urinary system should be healthy. Otherwise, the introduction of the intrauterine device may be ineffective and lead to the development and strengthening of the inflammatory processes present in the body.

The preparatory stage for the installation of the IUD is associated with the collection of anamnesis and bacteriological examination of smears from the vagina and cervix. Required blood and urine tests, colposcopy. Sometimes ultrasound and sexually transmitted infection screening are required.

Be attentive to your health and do not trust doctors who offer to install an IUD without any preliminary research!

Address only to those clinics that have earned the trust of patients and are ready to confirm this with the results of their work. In the international medical center HE CLINIC, gynecologists conduct a thorough examination before the introduction of the IUD, which guarantees our patients maximum safety and the absence of any side effects and discomfortable sensations both during the IUD installation procedure and in the subsequent period.

The intrauterine device is inserted on the 4-8th day of the monthly cycle, which can be explained by the physiological features of the female body. During this period, the cervical canal of the uterus is slightly enlarged, which greatly simplifies the installation process of the helix. 3-5 days after the introduction of the helix, it is necessary to undergo a gynecological examination and an ultrasound scan. Before the examination of the doctor must refrain from sexual intercourse. Repeated inspections preferably held every six months.

Intrauterine devices: reviews and prices

One of the most effective methods of female contraception are intrauterine devices. The reliability of this method of contraception is about 98%, this is a very high result.

Let us consider in more detail what the effect of intrauterine devices is based on, what are the reviews about women in women, what examinations should be performed before installation, who can put a spiral and who should not, what are the indications and contraindications, as well as possible complications.

The effect and effectiveness of the intrauterine device

The intrauterine device is a small plastic device (most often) that, when introduced into the uterus, blocks the possibility of inserting a fertilized egg into the uterus and the further development of the embryo. Some women consider the helix an abortive contraceptive method, because fertilization does occur. For some believers, this is unacceptable. For such a moral point of view, the Mirena intrauterine device is more suitable. It not only mechanically prevents pregnancy, but also does not allow fertilization due to changes in hormonal levels (this helix produces a small amount of the hormone levonorgestrel daily — 20 micrograms per 24 hours, the effect is similar to that of oral contraceptives). About Mirena's intrauterine device, the reviews are positive, there are no “punctures” due to its double action. Read more women's opinions and discussion. in the comments at the bottom of this page .

It is recommended to install intrauterine contraceptives for women with one healthy partner, because they do not protect against sexually transmitted infections. And in the case of infection can be a catalyst for the inflammatory process in the uterus.

What women should always remember to install the Navy

1. It is necessary to periodically independently check the presence of spiral threads protruding from the cervix. Their length should remain unchanged. If you do not feel for the threads, they have become too long, or vice versa - short, then it is urgent to see a doctor, this means that the Navy has moved from its place. And if there are no threads, then it is quite possible that an expulsion occurred - spontaneous prolapse of the IUD or the spiral got lost somewhere in the uterus.

2. Even if everything is in order, an appointment with a gynecologist is necessary to go every six months.

3. In no case do not go with a spiral longer than the recommended period, since the IUD can "grow" into the uterine cavity and it will be possible to get it from there only in an operational way. Usually, doctors recommend removing the intrauterine device several months before its expiration date in order to avoid complications.

4. Unfortunately, even the IUD does not guarantee 100% non-occurrence of pregnancy. On average, out of 100 women with an installed IUD become pregnant 1. Therefore, you should monitor your menstrual cycle as carefully as you did before installing the helix.

5. If you have severe abdominal pain, an unpleasant smell from the genitals, a sudden weakness or bleeding has begun, go to a doctor immediately or call an ambulance.

6. If you are planning a pregnancy, it is imperative to remove the IUD. It (removal), as well as the introduction of the intrauterine device, is performed only by a gynecologist.

Indications and contraindications to the IUD, advantages and disadvantages, for and against

1. The IUD is indicated for women who have given birth as a reliable means of contraception.

2. Reliability Navy does not exceed 98%.

3. There is a risk (albeit low) of perforation of the uterine wall both during the installation and after, the prolapse (expulsion) of the helix.

4. More abundant menstruation, possible intermenstrual bleeding and, as a result, anemia. When using Mirena, this is practically impossible.

5. IUDs should not be installed on women with inflammatory, infectious diseases of the external and internal genital organs, tumors in the uterus, deforming its cavity, anemia (hemoglobin below 90 g / l). A relative contraindication is also a history of ectopic pregnancy, since its risk is always increased in women using this type of contraception.

6. Despite all these shortcomings, intrauterine devices also have undoubted advantages - this is one of the most reliable methods of modern contraception (along with condoms and oral contraceptives), a long duration (up to 7 years).

Pregnancy and intrauterine contraceptive

If the pregnancy nevertheless occurred when using an intrauterine contraceptive, then the woman has two options - either try to save the child or have an abortion. In most cases, the child can try to save. There are quite a few women who carried out and gave birth to healthy children conceived using this type of contraception.

If a woman chooses an abortion, then the method of conducting it will depend only on the duration of her pregnancy, her desire and material possibilities. First, the doctor removes the helix from the uterus, pulls it out behind the antennae, then expands the cervical canal and removes its contents either using a curette or a vacuum aspirator.

If the pregnancy needs to be preserved, the doctor weighs all the pros and cons and decides that it will be safer to remove the IUD right away or leave it until delivery. Of great importance is the specific place where the egg was implanted. Removing the helix can cause spontaneous miscarriage. A foreign body in the uterus can always be a source of inflammation.

If it is decided to leave the IUD, it will be “born” together with the afterbirth (placenta) or will be removed from the uterus during a cesarean section.

Below you will find many comments from women who have already put or are going to put a spiral, a few hundred reviews. Other interesting articles on contraception, including “natural” - by defining “dangerous” days:

On which day of the cycle is the intrauterine device?

Принцип действия внутриматочной спирали – разрушение сперматозоидов и нарушение процесса прикрепления эмбриона в полости матки. Медь, входящая в состав многих ВМК, обладает сперматотоксическим действием, то есть убивает попавшие в матку сперматозоиды.

In addition, it enhances the capture and processing of sperm cells by special cells - macrophages.

If fertilization does occur, the abortive effect of the contraceptive begins, preventing the implantation of the fertilized egg:

  • contractions of the fallopian tube increase, and the fertilized egg too quickly enters the uterus and dies,
  • the presence of a foreign body in the uterus leads to aseptic (non-infectious) inflammation and metabolic disorders,
  • as a result of the production of prostaglandins in response to a foreign body, the contractility of the walls of the uterus is activated,
  • when using the endometrial system of hormonal endometrial atrophy occurs.

The Mirena intrauterine system from a special reservoir constantly releases the hormone levonorgestrel at a dose of 20 micrograms per day. This substance has a gestagenic effect, suppresses the regular proliferation of endometrial cells and causes its atrophy.

As a result, menstruation becomes scarce or disappears altogether. Ovulation while not broken, hormones are not changed.

IUD is introduced on the 5-7 day of the menstrual cycle. At this time, the cervix is ​​slightly open, which facilitates the insertion of the helix. In addition, during this period the risk of unwanted pregnancy is minimal.

After installing a copper-containing IUD, the amount of discharge during menstruation may slightly increase. Conversely, the use of the hormonal system Mirena reduces the intensity of bleeding. Perhaps the occurrence of amenorrhea - the complete absence of menstruation, and this is a variant of the norm.

The issue of contraception is relevant for every woman of childbearing age. Today, there are many effective ways to avoid unwanted pregnancies, especially among which are intrauterine contraceptives.

When a helix is ​​put, before or after menstruation - many girls turn to such doctors with such a question.

Intrauterine contraceptives began to be used since the mid-20s of the last century. Then they represented a ring made of an alloy of brass and bronze, in which a small amount of copper was added. In 1960, a safer product made of elastic material appeared.

Modern spirals have a different shape, some of them contain hormonal drugs. The contraceptive effect is achieved due to the release of a small amount of them into the cavity of the genital organ.

In addition, the helix has a mechanical effect on the inner lining of the uterus, preventing the attachment of the egg after fertilization.

Spiral significantly complicates the promotion of male germ cells and weakens them, which does not allow pregnancy to occur.

It is recommended to put a spiral in the period from 3 to 5 day of the new menstrual cycle.

During this time, the cervix is ​​ajar so much so that the procedure for introducing a contraceptive is the least traumatic and easy to implement. The onset of menstruation is one of the signs that a woman does not have a pregnancy, so it is preferable to place a spiral at such a time.

The main reasons when you can remove the intrauterine device before the expiration of its use.

Only the gynecologist should remove the IUD, as only a specialist will do this correctly, he will be able to determine the possible consequences of using an IUD, and, if necessary, prescribe treatment.

So, the most common reasons for removing a spiral are the following:

    If the helix has shifted inside the uterus. This can be determined by the antennae, if they have become longer or shorter. Then the woman needs to remove the old spiral and install a new one. When the deadline for wearing the spiral expires. Many of these contraceptives are designed for a period of 3 - 5 years in the uterus, some types work up to 10 years. If during this period the helix has not been removed, then serious inflammatory processes, as well as the growth of the endometrium, can begin in the uterus of the woman. Pregnancy. Yes, there is evidence that even with a spiral women become pregnant. And you need to remove the IUD as in normal pregnancy, and with ectopic. The situation when it is better to clean the spiral is the desire of a woman to become a mother. After removing the contraceptive, pregnancy can begin almost immediately. Doctors previously recommended some time to refrain from conceiving attempts, but today it is advisable only if there are any complications, such as inflammation of the endometrium. If after installing the spiral began to increase uterine fibroids. With inflammation of the uterus and uterine appendages. In this situation, removal of the IUD is accompanied by the adoption of a course of antibiotics.

Types and types of intrauterine devices (IUDs)

Means for intrauterine contraception are of two types:

Inert intrauterine contraceptives (IUDs) are plastic products of various shapes that are inserted into the uterine cavity. It is not recommended to use them since 1989, when the World Health Organization declared their ineffectiveness and danger to the woman’s health.

Currently, only spirals containing metals (copper, silver) or hormones are used. They have a plastic base of different shapes, close to the shape of the inner space of the uterus.

Adding metals or hormones can increase the effectiveness of the coils and reduce the number of side effects.

In Russia, the following VCCs gained the most popularity:

  • Multiload Cu 375 - has the shape of the letter F, covered with a copper winding with an area of ​​375 mm 2, designed for 5 years,
  • Nova-T - in the form of the letter T, has a copper winding with an area of ​​200 mm 2, designed for 5 years,
  • Cooper T 380 A - copper T-shaped, serves up to 8 years,
  • hormonal intrauterine system "Mirena" - contains levonorgestrel, which is gradually released into the uterus, providing a therapeutic effect, designed for 5 years.

Less commonly used are IUDs that produce medroxyprogesterone or norethisterone.

Which intrauterine device is better?

This question can be answered only after an individual consultation, taking into account the age of the woman, her health, smoking, the presence of gynecological diseases, planning for future pregnancies and other factors.

Types of intrauterine devices

depending on the form:

  • T-shaped,
  • loop-like,
  • ring-shaped,
  • with the shape of an umbrella or a spiral,
  • spiral shape numbers "7".

Types of intrauterine devices

depending on the material:

  • inert spirals (Lipps loop) - made of polyethylene materials, currently rarely used due to low efficiency,
  • copper spirals
  • intrauterine devices with silver,
  • intrauterine devices with gold,
  • hormonal intrauterine devices (systems).

Possible sizes of spirals

(selected individually, depending on the size and characteristics of the structure and location of the uterus, according to ultrasound diagnostics):

  • standard size - fits most women
  • shortened helix
  • mini type

depending on the destination:

  • spiral for contraception (pregnancy prevention),
  • therapeutic coils (hormonal IUDs, which are prescribed not so much for contraception, but also for the treatment of various hormone-dependent diseases of the genital organs).

Reviews of doctors and women

Women’s reviews of the Mirena spiral are unusually contradictory, and contain a wide range of emotions, from admiration and immense gratitude to the inventor of this good, to the horror, disgust and curses on the head of the attending physician, who advised to "go through this nightmare."

Grateful reviews are based on the following positive points:

  • complete absence of side effects (in some cases it is mentioned that “I had to endure several terrible months”),
  • amenorrhea (with special admiration is mentioned by women who suffer from heavy or / and painful periods),
  • comfort (do not count the hours before taking the pill, there is no connection with sexual intercourse, etc.),
  • despite the high price of the drug, the duration of action (5 years) gives the right to call Mirena helix a fairly cheap type of contraception.

In addition, there are reviews indicating a decrease in the severity of symptoms of endometriosis and the restrictive effect of Mirena on the growth of fibroids.

Negative reviews contain a large number of complaints. The frequency draw attention to two groups: 1.

Complaints of violations from the emotional sphere (decrease in mood, up to "did not want to live"), a sharp decrease in libido, irritability, up to hysteria, 2.

Complaints about the ugly appearance (acne on the face and back, hair loss, rapid weight gain, hair growth in inappropriate places).

It is easy to guess that these two groups of side effects mutually reinforced each other: the reduced emotional background made even minor external side effects in the imagination of the patients into ugliness, and unfavorable external symptoms intensified disturbances from the emotional sphere.

Analysis of the reviews showed that some women refused to use Mirena in the first months, some continued using and later wrote that at first it was very bad, but then the state completely normalized.

However, some reviews suggest that side effects such as decreased libido, irritability, and a tendency to weight gain in some patients persisted in the second year of using Mirena.

Many women complain of prolonged spotting and soreness in the lower abdomen for several weeks after installing Mirena.

Women who have not experienced the joy of motherhood, the intrauterine device is not set. The exception is Mirena.

The hormonal system can be established only for the purpose of treatment and according to strict indications, when other methods are ineffective or unavailable. The fact is that the intrauterine device naturally leads to the development of aseptic inflammation, which is highly undesirable before the first pregnancy.

Intrauterine device Mirena and pregnancy

As has already become clear, intrauterine contraceptives do not protect 100% of the occurrence of pregnancy. Most of these “lucky women” have normal pregnancy, the child can push the helix outward in the second trimester and even be born with her in her arms, for some kids this is such a toy.

But things are not always so smooth, and if a woman decided to maintain such a pregnancy, she should be ready for various problems.

Yes, it happens. In rare cases, such a pregnancy goes well, and the woman manages to inform the child before the due time.

A future mother should be monitored by a gynecologist, monitor the condition of the fetus and monitor her own feelings. Quite often, pregnancy with a spiral ends with miscarriage in the first trimester.

This statement is true for both Mirena and non-hormonal Navy.

The spiral in the uterus increases the risk of ectopic pregnancy. On the location of the ovum outside the uterus say these symptoms:

  • delayed menstruation,
  • lower abdominal pain (usually on the side of the affected pipe),
  • bleeding from the genital tract.

Exact diagnosis will help ultrasound.

Is Mirena compatible with other drugs?

    You can remove the IUD during menstruation using local anesthesia. With the help of hysteroscopy under general anesthesia (when there is no antenna of the IUD and with other obstacles). Through the female abdominal cavity. Similar removal of a spiral is carried out when it is impossible to execute procedure by means of the cervical canal.

It is known that some drugs (antibiotics, aspirin) reduce the contraceptive effect of the IUD. Consultation with the attending physician. If a long course of taking a potentially dangerous drug is required, it is recommended that condoms or spermicides be used additionally during treatment.

Indications for use

This type of contraception in birthless children can cause serious complications that prevent future pregnancies. Intrauterine device for non-giving women can be used only if it is impossible or unwilling to use other methods.

For such patients, mini-coils with a copper content, for example, Flower Cuproom, are intended.

It does not make sense to establish an IUD for a short time, so a woman should not plan a pregnancy for the next year or a longer period.

VMC does not protect against sexually transmitted diseases. It is believed that, by contrast, they increase the risk of developing and worsen the course of such diseases.

Most often VMCs are used in the following situations:

  • increased fertility, frequent pregnancies on the background of an active sex life,
  • temporary or permanent reluctance to have children
  • extragenital diseases in which pregnancy is contraindicated,
  • the presence of severe genetic diseases in a woman or her partner.

The intrarenal hormonal system Mirena is intended, first of all, to prevent unwanted

In addition, the drug is used for excessively heavy menstrual bleeding of unexplained etiology (in cases where the possibility of cancer of the female genitalia is excluded).

Precautionary measures

After installing the spiral Mirena woman should be examined no later than 9-12 weeks. Further, the gynecological examination should be carried out according to the usual rules (once a year) or more often (if any complaints appear).

In the process of installing this contraceptive is not required to apply the method of full anesthesia. To put the intrauterine device, the doctor uses a special anesthetic gel, which treats the cervix.

In order to fully install the contraceptive, the patient should take a lying position in the obstetric chair and place the legs in special holders. In this position, the specialist will be able to determine the position of the cervix as precisely as possible and insert a spiral into it.

After the necessary preparation, the doctor introduces this contraceptive to the required depth. Vagina and cervix, he treats with an antiseptic.

Practice shows that the entire installation procedure does not take more than 5-6 minutes.

The most appropriate time for the use of this contraceptive is the menstrual period. Experts say that the intrauterine device should be administered to a woman on the 5th-8th day of her period.

However, both the patient and the doctor must be sure that the woman is not pregnant. In some cases, this contraceptive is established after the end of menstruation.

Practice shows that the physician, on a strictly individual basis, prescribes the day when it is best to insert the helix into the uterus. However, this procedure is painless.

Absolute contraindications to the use of all intrauterine devices.

  • The presence of pregnancy at any time, the suspicion of a possible pregnancy,
  • cancer pathology of the genital organs, as well as breast cancer,
  • acute and chronic inflammatory diseases of the female genital organs: adnexitis, coleitis, endometritis, including postpartum, salpingitis, etc., including the presence of sexually transmitted diseases,
  • history of ectopic pregnancies,
  • allergic reactions to the materials from which the helix is ​​made,
  • tuberculosis of the reproductive system
  • HIV infection at the stage of AIDS.

Relative contraindications to the use of non-hormonal coils

  • if a woman has no children,
  • the woman is sexually promoted and is at risk for contracting sexually transmitted diseases,
  • children and adolescents *,
  • age of women over 65,
  • uterine bleeding and copious painful periods,
  • abnormal development of the uterus (for example, two-horned uterus),
  • hematological diseases (anemia, leukemia, thrombocytopenia and others),
  • endometrial growths, endometriosis,
  • cervical dysplasia,
  • urethritis, cystitis, pyelonephritis - acute or exacerbation of the chronic course,
  • benign tumors of the uterus and appendages (submucosa myoma and uterine fibroids),
  • loss of intrauterine device or the development of side effects after the previous use of the spiral.

* Age restrictions are conditional, gynecologists usually do not suggest using intrauterine contraceptives to young women who have not given birth, for fear of harm.

But, in principle, the helix can be successfully established at any child-bearing age, with the subsequent successful onset of pregnancy.

The intrauterine device is a convenient and relatively inexpensive means of contraception. But, like many medications, she has contraindications that can not be used for protection from unwanted pregnancy. The following are the main ones:

  • cervical dysplasia,
  • malignant and benign neoplasms in the reproductive organs,
  • previous ectopic pregnancy
  • severe trauma to the cervix during childbirth,
  • blood diseases.

To girls who have never given birth, doctors usually do not recommend a spiral. They are individually selected other contraceptives.