What are the types of intrauterine devices? We select the IUD wisely after childbirth

Introduction into the uterine cavity of a special contraceptive that blocks the possibility of implantation of a fertilized egg and further development embryo. The reliability of this type of contraception is more than 95-98%. Unlike hormonal contraceptives The IUD acts locally and does not have a general effect on the body. Intrauterine devices are small, T-shaped devices usually made of plastic and copper. Individual selection and installation of the intrauterine device is carried out by a gynecologist.

Installation of an intrauterine device- introduction of a special contraceptive into the uterine cavity, blocking the possibility of implantation of a fertilized egg and further development of the embryo. The reliability of this type of contraception is more than 95-98%. Unlike hormonal contraceptives, the IUD acts locally and does not have a general effect on the body. Individual selection and installation of the intrauterine device is carried out by a gynecologist.

Intrauterine devices, which are widely used as a method of contraception by modern gynecology, are small T-shaped devices, usually made of plastic and copper. The IUD has flexible horizontal or semi-oval shoulders, a vertical leg and threads (antennae) for removal. After installation of the intrauterine device, a change in the chemical environment occurs in the uterine cavity, which disrupts the activity of sperm. In addition, the IUD creates a mechanical obstacle to the implantation of a fertilized egg into the uterine mucosa.

Installation of an intrauterine device can be recommended for healthy women who have given birth, who have stable sexual relationships, as well as in case of individual intolerance oral contraceptives. Contraindications to the insertion of an IUD include pregnancy, inflammatory diseases of the pelvic organs (,), deformities of the cervix and uterine cavity, allergies to copper, blood diseases, severe somatic diseases, and oncopathology. The use of an IUD as a method of contraception is not recommended for young nulliparous women.

Before installing an intrauterine device, a gynecological examination is carried out, including examination by a gynecologist, taking smears for flora and cytological analysis, and ultrasound of the pelvic organs. According to individual indications, colposcopy and PCR testing of smears for hidden infections may additionally be required.

The installation of an intrauterine device is performed by an obstetrician-gynecologist on an outpatient basis in last days menstruation or immediately after its end (on days 4-7 of the cycle), due to the fact that the slightly open cervical canal during this period facilitates the procedure for introducing a contraceptive. Before inserting the spiral, the length of the uterus is determined with a probe, then the cervix is treated with an antiseptic. The spiral is inserted using a special guide, which is removed immediately after the IUD is fixed in the uterine cavity. The control threads of the spiral are cut at a distance of 2 cm from the external os of the cervix. The manipulation takes 5-7 minutes and may be accompanied by a slight nagging pain in the lower abdomen.

After the procedure, it is advisable to conduct a control ultrasound to determine the correct position of the IUD. A planned consultation with a gynecologist is scheduled a month after installation of the intrauterine device, then once every 6 months. The average duration of IUD use is 5 years. The IUD can be removed at any time, after which in 90% of cases pregnancy occurs within a year (if other contraceptives are not used).

During the next 7-10 days after installation of the intrauterine device, minor pain and spotting may persist. Should be excluded within a week sex life, physical activity, thermal procedures, including baths. In the future, it is necessary to monitor the presence of threads in the vagina protruding from the cervix.

Possible complications after installation of an intrauterine device include increased and painful menstrual bleeding, the development of inflammatory diseases of the pelvic organs and displacement or loss of the device. It is extremely rare that uterine perforation occurs when the IUD is inserted. If the IUD is used for longer than the recommended period, it may grow into the wall of the uterus.

In Moscow, installation of an IUD costs 3,637 rubles. (on average). The procedure can be completed at 836 addresses. Prices in Moscow start from 240 rubles.

The IUD is an effective means of contraception; there are about 36 types. Each in its own way interferes with the implantation process. A product unique in structure and function helps millions of women around the world protect themselves. Many are worried about their future offspring and do not use IUDs, which prevent implantation from occurring, but use advanced DVRs, which prevent the egg from being fertilized. Mirena is one of these. This effective IUD helps combat the abortifacient method of contraception, preventing the sperm from fertilizing the egg. But because of these wonderful properties, the cost of this small device is quite high.

IN lately Many women understand that if they want a high-quality and safe intrauterine device, the price will not be decisive for them, since the IUD is installed for more than one year and subsequent costs are not expected.

What determines the cost of an intrauterine device?

What determines the price of this type of intrauterine device? Of course, first of all, this is the quality of materials and the type to which the product belongs. The manufacturer and distributor company is also of no small importance. Below we will consider the types and composition of the IUD.

The main type of IUD used is the “anchor” or “T-shaped” type. The device has a widened upper base that blocks the exit of the fallopian tubes, and a tapered end with an attached thread for easy removal of the device. Each IUD consists of different materials, some are made of copper and silver, others release hormonal substances, and others are neutral. Each type has its own advantages and disadvantages.

Spiral IUDs have a semicircular base with small spike-like protrusions at the ends, thanks to which the device is attached inside the uterus. A rod with threads runs from the base for easy removal of the device. Ring-shaped IUDs consist of a ring inside of which a metal wire is inserted, with threads at the end for removal of the IUD after the expiration of its service life.

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

Gynecologists recommend purchasing products called: Juno, NovaTCu200, Multiload Cu375, Mirena, Goldily Exlusive, since these products have proven themselves well and are the latest developments in this area. In order to understand how prices for this contraceptive were established, a table is presented at the end of the article: “Intrauterine device prices.”

How much do intrauterine devices cost?

Before installing an IUD, all women are concerned about the question: “How much does a contraceptive device cost?” Manufacturers are trying to produce them in affordable price category. Prices for an IUD spiral range from 200 rubles to several thousand. Before purchasing, you can look at online pharmacies and see a photo of the intrauterine device and its price. Basic models consisting of neutral materials are cheaper. Hormonal and non-medicinal models with metal (silver, copper, gold) are more expensive due to the better effect and additional capabilities of the device.

IUD spirals price

So, the price of an IUD is based on:

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

Each manufacturer independently determines the cost of goods based on the costs of production and delivery of goods. Next, the distributor, as a link between the manufacturer and the pharmacy, adds his own premium to the cost of the product. The pharmacy, in turn, invests a small percentage in the cost of the medicine to make a profit. The total amount comes from these values.

In practice, there are many methods of contraception. The question of what day of menstruation an intrauterine device is placed on is relevant. This contraceptive method is considered one of the most common and reliable. The effectiveness of protection from unwanted pregnancy with the above method reaches 96-98%.

An intrauterine device is always installed by a specialist. Moreover, in each case the individual properties of the individual female body. Many representatives of the fair sex are interested in the question of whether this method of contraception can be used if menstruation has begun. An experienced doctor will be able to help the patient in making the right choice and installation of an ectopic device, and will also explain all the main nuances of its use.

1 Characteristics of the contraceptive method

Practice shows that the intrauterine device is a very reliable way to protect against unwanted pregnancy. The use of this contraceptive is considered completely safe and effective. This method gives a woman an almost complete guarantee that using it, she will not be able to get pregnant. This is due to the fact that sperm will not be able to fertilize the egg, since it enters the uterine cavity not mature for these purposes. This result is achieved due to the fact that it moves through the fallopian tubes much faster than usual and simply does not have time to ripen. But even if the fertilization process has occurred for some reason, the intrauterine device will prevent implantation of the embryo.

Another reason for the impossibility of pregnancy in a woman who uses this method of contraception is the peculiarity of the production of this product. The intrauterine device is created from a special material and consists of hormonal substances, the action of which is aimed at significantly reducing the activity of sperm. This is considered a very important factor when choosing a reliable contraceptive. The spiral helps create an air plug, which is considered a serious obstacle to the penetration of sperm into the uterine cavity. In practice, there are several dozen types of such spirals. However, only an experienced specialist can select the right type and install it.

2 Application of a spiral

During the installation of this contraceptive, it is not necessary to use a full anesthesia technique. To place an intrauterine device, the doctor uses a special anesthetic gel that treats the cervix. To fully install the contraceptive, the patient should take a supine position in the obstetric chair and place her legs in special holders. In this position, the specialist will be able to accurately determine the location of the cervix and insert the spiral into it. After the necessary preparation, the doctor introduces this contraceptive to the required depth. He treats the vagina and cervix with an antiseptic. Practice shows that the entire installation procedure does not take more than 5-6 minutes.

For the treatment and prevention of problems with the menstrual cycle (amenorrhea, dysmenorrhea, menorrhagia, Opsomenorrhea, etc.) and vaginal dysbiosis, our readers successfully use a simple advice from chief gynecologist Leila Adamova. After carefully studying this method, we decided to bring it to your attention.

The most appropriate time to use this contraceptive is the menstrual period. Experts say that an intrauterine device should be inserted into 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 installed after the end of menstruation. Practice shows that the doctor, on a strictly individual basis, prescribes the day when it is best to insert the IUD into the uterus. Moreover, this procedure is painless.

Experts strongly recommend paying attention to the fact that the presence of an intrauterine device does not provide any protection against sexually transmitted infections, so a woman should not neglect the basic principles of intimate hygiene. It is also not recommended to use this type of contraception if the patient has not given birth to children, but intends to become pregnant in the future. Some experts in the field of gynecology argue that frequent use of this method of contraception can lead to infertility in a woman. It is important to remember that any manipulations with the use of an intrauterine device can only be performed by an experienced doctor. Before installing a contraceptive, you should definitely undergo all the necessary studies and exclude all possible contraindications to the use of this product.

Insertion of an intrauterine device is a very common method of contraception. The reliability of this method of pregnancy protection is very high, ranging from 95 to 99%. This effectiveness is determined by the fact that the selection and installation of an IUD is prescribed by a doctor in accordance with the individual characteristics of the body.

Installation of an IUD 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 rod does not affect hormonal balance or regularity. menstrual cycle. An additional advantage of this method is the duration of action. If you install an IUD (the price depends on the type of material), protection against unwanted pregnancy will last for several years.

There are a number of contraindications to installing an IUD:

infections and inflammatory processes genitourinary organs,
ectopic pregnancies in the anamnesis,
blood clotting disorders,
oncological diseases.

A woman must undergo a comprehensive examination before having the IUD inserted. Please check with the administrator when registering for prices for diagnostic tests.

How much does it cost to install an IUD in a clinic?? In our clinic you can install a coil under ultrasound guidance. This ensures correct placement of the contraceptive in the body of the uterus and the absence of complications.

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

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

We offer placement of gold, silver and copper coils under ultrasound guidance.( prices from 2640 rubles per spiral). A gynecologist will help you choose the right contraceptive. You can make an appointment with a specialist by calling 8 495 133 03 03

Which intrauterine device is better to place?

IUD spirals are made from high-quality polyethylene with a small addition of barium sulfate. Some areas of the spiral are coated with copper or silver. Most IUD coils are T-shaped. An important element of any spiral is the thin antennae, which, when installed, are located in the canals of the cervix.

An important advantage of IUD coils is that a woman does not feel their use in any way, either during sex or during active physical activity.

There are three main types of IUDs:

Intrauterine device with copper coating. Operating principle: copper coating has a destructive effect on sperm, provokes a local inflammatory process on the uterine wall and fertilization becomes impossible. This type of IUD spirals is inserted for a period of 3 to 5 years.
Progesterone releasing system (PRS). This type of IUD is a hormonal device that makes the mucus in the cervix more viscous, thereby preventing sperm from moving towards the egg. This type of spirals is introduced for a period of no more than 12 months.
Levonorgestrel releasing system (LRS). This type of IUD is an improvement on the intrauterine progesterone-releasing system. The main difference is a longer period of use, from 5 to 7 years.

You can choose the most suitable type and insert an intrauterine device only at an appointment with a gynecologist. Before placing an intrauterine device, the doctor is obliged to check the woman’s health to make sure there are no contraindications.

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

ADVANTAGES OF THE INTRAUTERINE DEVICE

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

WHEN IS AN IUD NOT INSTALLED?

Contraindications for installing the IUD are determined by a gynecologist. Only a specialist can determine exactly how safe it is to install a spiral in your case.

An IUD cannot be installed if:

You think you might be pregnant.
You have more than one sexual partner.
There is an acute form of inflammatory diseases of the cervix or pelvic organs, including STIs.
Over the past three months, inflammatory diseases of the pelvic organs have been observed.
Vaginal bleeding of unknown origin is observed.
There is a rapidly growing uterine fibroid, also if the myomatous node deforms the uterine cavity.
There is cancer of the genital organs.
There is a severe form of anemia (hemoglobin<90 г/л).

BEFORE INSTALLING THE SPIRAL

Discuss all questions with a gynecologist you trust; Avoid sexual intercourse 1-2 days before installing the IUD;
A few days before installing the IUD, do not douche and refuse to use any intimate hygiene products;
A few days before installing the IUD, stop using any medications in the form of vaginal suppositories, tablets or sprays unless their use has been previously agreed with your doctor before installing the IUD.

HOW TO BEHAVIOR AFTER THE INTRODUCTION OF THE IUD?

Within 7-10 days after installing the spiral, you cannot:
Have sex;
Do douching;

After 7-10 days it is necessary to undergo a follow-up examination.

BE SURE TO CONSULT YOUR DOCTOR IF:

Within a few days of inserting the IUD, you have a fever, very heavy vaginal bleeding, abdominal pain, or an unusual vaginal discharge with a foul odor.
Any time after inserting the IUD, you feel the IUD in your vagina, notice that the IUD has moved or fallen out, or if you notice a 3-4 week delay in your period.
Contact is necessary if: You suspect pregnancy.
You have heavy vaginal bleeding (heavier or longer than usual).
You experience severe abdominal pain;
pain is felt and bleeding occurs during sexual intercourse.
There are signs of infection, unusual vaginal discharge, chills, and fever.
You cannot feel the IUD strings or feel that they are shorter or longer than before.

HOW TO REMOVAL THE SPIRAL

Removal is usually done after 5-7 years (depending on the modification of the spiral). But if the woman wishes, this can be done at any time. The reason may be the desire to become pregnant or the occurrence of any complications.

Before removal, the same examination is carried out as before insertion of the spiral. If necessary, vaginal sanitation (improvement) is prescribed.

Removal is done by pulling the spiral tendrils at a certain angle. In some cases, for example, in the case of wearing a spiral beyond the prescribed period, removal must be carried out in a hospital setting, with anesthesia, by curettage of the uterine cavity.

Within 4-5 days after removing the IUD you cannot:

Have sex;
Use vaginal tampons (you can use regular pads);
Do douching;
Take a bath, visit a sauna or steam bath (you can take a shower);
Engage in heavy physical labor or intense exercise.

Removing the IUD does not cause changes in the menstrual cycle. The exception is the Mirena IUD, when worn, there is an absence of menstruation or scanty cyclic bleeding. After Mirena removal, the menstrual cycle usually returns in about 3-6 months.

Be sure to consult a doctor if, within a few days after removing the IUD, you have a fever, very strong vaginal bleeding, abdominal pain, or unusual vaginal discharge with an unpleasant odor.

Under no circumstances attempt to REMOVE THE SPIRAL BY YOURSELF!

The spiral is removed by pulling on the tendrils, which may break before it is removed. After this, the IUD can only be removed instrumentally and only by penetrating the uterine cavity. In addition, the mustache may break as the spiral passes through the cervical canal and it will get stuck there. Take my word for it, it is very painful. To remove the IUD, be sure to consult a gynecologist.

Pregnancy planning helps a woman create conditions for the safest possible pregnancy in the future. By choosing a reliable method of contraception, you can protect yourself from abortion and many other unpleasant situations. Is it possible to insert a spiral after childbirth and when? How effective and safe is this method of protection?

Intrauterine devices are a popular and effective means of contraception for women who have given birth. They differ in form, content of active substances, duration of use and other parameters.

By shape

In general, the IUDs are structured in approximately the same way. The elements are as follows:

The main part is made of synthetic material, often with trace elements added to improve efficiency.
Antennae are kind of conductors. Designed for subsequent removal of the spiral by pulling on it.

The spiral should be selected individually. Distinguished by their shape (appearance), they will stand differently in the uterine cavity.

There are the following types of IUDs:

T-shaped,
round,
serpentine,
like the letter “S” - Lipps loop,
in the form of an umbrella and others.

By composition

Various compounds are often added to the composition to enhance the contraceptive effect, bactericidal and others. Based on this, there are the following types:

without additives,
with copper,
with silver,
with gold
with hormones.

By wearing period

The average duration of use of spirals is from 3 - 4 to 5 - 7 years. In this case, only regular examinations by doctors are required, and the product itself is installed once. It is not recommended to exceed the deadlines. This is fraught with the growth of the spiral into the thickness of the uterus (especially S-shaped and serpentine), as well as the development of the inflammatory process with all the ensuing complications.

By its action

The main effect of the spiral is to prevent the fertilization process, as well as, to some extent, the implantation of the fertilized egg. If the composition includes copper, it has an additional spermicidal effect, immobilizing male reproductive cells.

The addition of silver adds anti-inflammatory and bactericidal effects to the spiral. At the same time, it has a detrimental effect on sperm.

Hormonal intrauterine devices should be highlighted separately. The most popular model is Mirena. It has a T-shape and a small container for the main active ingredient - levonorgestrel. These are the most expensive products and provide a therapeutic and contraceptive effect for a period of 5 years.

It is prescribed primarily to women with some gynecological diseases: heavy menstruation, fibroids, endometriosis, endometrial hyperplasia and others.

Advantages and disadvantages of spirals

Many women after childbirth prefer spirals. They have many advantages over other means, but there are also disadvantages.

The positive aspects include the following:

The IUD provides a very high level of protection against unwanted pregnancy. Only 2 out of 100 women become pregnant within a year.
Ease of use. The spiral is installed once for a period of five or more years. During this period, the woman may not use other protective measures. There is no need to take anything (like birth control pills) or stick it on (like patches), etc.
From an economic point of view, this is one of the available ways to protect against pregnancy.
With the help of an IUD, treatment can be carried out simultaneously. This applies to hormonal species.
Neither a woman nor a man even during violent sexual intercourse feels the IUD.
No medications affect the effect obtained from the spiral (with the exception of Mirena with hormones). Like, for example, antibiotics when taking oral contraceptives, etc.
If a woman suddenly gets sick, she experiences diarrhea or vomiting, this also does not affect the protective effect.
The IUD can be safely used after childbirth without worrying about the effect on the baby. The spiral is active only locally - in the uterine cavity, no harmful substances enter the systemic bloodstream.
Suitable for anyone who is contraindicated with hormonal medications (except Mirena IUD). For example, with problematic veins in the legs, with migraines, with intestinal diseases, etc.
The IUD can be removed at any time, possibly as early as the next menstrual cycle.

But still, this is not as ideal as it might seem, a means of contraception. Sometimes women even have to remove the IUD prematurely, as it causes them a lot of inconvenience.

The main disadvantages of the spiral are as follows:

The IUD does not protect against sexually transmitted infections.
It is not advisable to use it in nulliparous girls.
Pathology of the cervix (, ectopia and others) is a contraindication for use.
Against the background of the spiral, the volume of menstrual blood can significantly increase, and sometimes clots appear.
Your period can become painful, even if everything has always been fine. This is due to the fact that the uterus contracts more strongly if there is an IUD inside.
An incorrectly selected and installed spiral may spontaneously fall out.
Rarely, but complications do occur during insertion of an IUD. The most dangerous thing is uterine perforation. Particular care should be taken when inserting an IUD into women after a cesarean section, especially two or more operations.

Watch the video about the intrauterine device:

Should I get an IUD after childbirth?

Whether or not an IUD is suitable as a contraception for a girl should be decided jointly by the gynecologist and the young mother. It is recommended in the following situations:

If the girl does not plan to become pregnant in the near future.
If her birth proceeded without serious ruptures or injuries. After a caesarean section, it is advisable to install an IUD no earlier than 6 months later.
If a girl is confident in herself and her partner, they do not need protection from infections.
This is a budget option (but if you install a spiral with gold, it is quite expensive).
If a girl plans long-term breastfeeding.

But the gynecologist must finally approve the installation. After an examination, the doctor will determine the condition of the birth canal and whether it is possible to use an IUD in a particular case.

Contraindications for installing a spiral

There are situations regarding a woman's health when an IUD should not be installed. If you ignore the recommendations, you can cause significant harm to your health. The main contraindications include the following:

Acute genitals. Chronic infections, including genital infections.
If available, the question of the possibility of an IUD is decided individually, preference is given to a hormonal one.
Diseases of the cervix - erosion, ectopia, dysplasia and others.
Decreased hemoglobin levels in women. An IUD can cause increased menstrual flow, which will only make the situation worse.
Suspicion of pregnancy. In order to prevent this, the IUD is installed on days 3 - 5 of the cycle.
Anomalies in the structure of the uterus, for example, duplication (sometimes in this case two IUDs can be installed at the same time), septum, etc.
Unknown cause of uterine bleeding. In case of hyperplasia and some other problems, it is possible to install a hormonal IUD.

When can I place an intrauterine device after childbirth?

When a woman can have an intrauterine device installed, a gynecologist can finally say after a thorough examination and examination.

If the birth proceeded well, there were no serious injuries or ruptures, the IUD can be used from the 3rd month. But before installation, it is necessary to make sure that the woman is not pregnant, since if lactation continues, menstruation may not yet occur.

Some gynecologists practice installing spirals 3–5 days after birth. But in this case, you need to be sure that there is no risk of incomplete separation of the placenta, there are no inflammatory diseases and other pathologies.

If a girl has had a caesarean section, it is better to install the IUD no earlier than after 6 months. This time is necessary for complete healing of the postoperative suture.

The best contraceptive device after childbirth

The variety of intrauterine devices helps each woman choose the most suitable one. In order to make a choice, it is recommended to do the following:

gynecological examination;
with measuring the length of the uterine cavity;
colposcopy and collection of smears from the cervical canal for flora and oncocytology;
screening for STIs, preferably using the PCR method.

Only after this can we guess what shape the spiral will best stay in the cavity and not cause any disturbances. The selection priorities are as follows:

The classic version is T-shaped IUDs, suitable for almost all women with normal genital structure.
Umbrella-shaped ones provide more grip in the uterine cavity, which prevents accidental changes in their position. They are suitable for multiparous women, with an enlarged uterine cavity, and some others.
S-shaped and serpentine - these are old models, you can rarely see them now.
If a woman has ever experienced metal intolerance, preference should be given to inert (without additives), based on silver, and preferably gold.
Given the existing gynecological pathology, the best option is a hormonal IUD.
If you have ever suffered from inflammatory diseases, you should choose silver or gold.

Is it painful to insert an intrauterine device?

Installing an IUD is a slightly unpleasant but painless procedure. It all depends on the woman's sensitivity. In some cases, local anesthesia with lidocaine solution in the form of a spray or injection can be performed.

The most unpleasant part is grasping the cervix with special forceps and then passing through the cervical canal with instruments. Usually women compare the sensations with an intramuscular injection of low pain. If lidocaine is used, the procedure goes unnoticed.

The more births a woman has had, the easier it is for her to install an IUD. After a cesarean section, the procedure is often somewhat more painful.

There should not be any severe pain. If they appear, this indicates the occurrence of complications.

How a doctor puts an IUD on a girl after childbirth

Installation of the spiral takes about 5 - 10 minutes along with preparation for the procedure. The stages are as follows:

The woman lies down on the gynecological chair as usual.
The external genitalia is treated.
Speculums are placed in the vagina, and everything is washed with an antiseptic.
The cervix is fixed with bullet forceps.
The length of the uterine cavity is measured and its course is determined using a special probe.
Then the guide is inserted, which contains the spiral. After this, it is removed, and the “antennae” threads are trimmed to the required size.
All tools are removed.

It is best to carry out the procedure on days 3 - 5, or on day 7 of the cycle. In theory, this can be done at any time. But by installing an IUD in a different phase, pregnancy cannot be ruled out, even if the fertilized egg is not yet in the uterus. You may also experience some spotting immediately after the procedure. Therefore, the generally accepted and most rational time is the beginning of the first phase of the cycle.

The intrauterine device is an effective and safe means of contraception in women after childbirth. It does not have any effect on the baby if the woman is breastfed, and the IUD has a long period of continuous use. Only a doctor can choose the correct type of spiral and install it.