Practice an intrauterine contraceptive

2021-03-25 12:00 AM

In about 6 weeks after insertion, another method of contraception must still be applied to ensure safety, because the contraceptive effect has not been promoted during this time.

Is a simple plastic instrument or more often of a copper material, with contraceptive hormones, or maybe stainless steel, with flexible plastic fibres sticking to when placed in the uterus, these fibres protrude. The vaginal discharge, which is placed into the uterus for the purpose of contraception, is commonly referred to as the IUD. The contraceptive ring works to change the endometrium, so that it is no longer suitable for implantation eggs. Some special IUDs are also designed to secrete progesterone.

The IUD is usually inserted into the uterus on the 4th and 5th day of the menstrual cycle. Although it is also possible to insert the IUD on other days before ovulation (day 14), it is often chosen earlier.


Women with unusual vaginal bleeding of unknown cause.

Pregnant or suspected to be pregnant.

Pelvic inflammatory disease in the last 6 months.

History of ectopic pregnancy.

Women who have never given birth.

Women with menstrual bleeding (excessive vaginal bleeding during menstruation) or menstrual periods (severe pain during menstruation).

Have genital cancer or have signs of suspicion of cancer.

The uterus has abnormalities.

Women with sexually transmitted diseases.

Women who have sex with many people.

How to use

The IUD can be placed in the uterus during the last days of the period or at the beginning of a new menstrual cycle, to ensure the elimination of the possibility of pregnancy. For convenience, it is common to put the IUD on the 4th or 5th day of the menstrual cycle.

Immediately after the intrauterine device is placed, intercourse should be avoided for 48 hours.

In about 6 weeks after insertion, another method of contraception must still be applied to ensure safety, because the contraceptive effect has not been promoted during this time.

The contraceptive ring usually has flexible plastic fibers protruding from the vagina over the cervix to help the user check and make sure the ring is in place. After insertion of the uterus, the user must do a weekly self-examination for 6 weeks, and then have a monthly check-up, preferably at the end of each menstrual period.

If no flexible plastic fibers are found on the test, the ring may have entered the uterus, or caused a perforation of the uterus. The following instructions should be taken:

Pregnancy examination to rule out the possibility of pregnancy.

If you do not become pregnant, use another temporary method of birth control right away.

See a specialist immediately for appropriate treatment.

Effective contraceptive rings last for many years.

Users need to know the period of the ring they are in use for timely replacement. Some are used for 3-5 years, some up to 10 years. Also, if there is no really necessary cause, the ring should not be changed.

Because the side effects increase menstrual bleeding, a test diagnosis should be made after using the IUD to ensure there is no anemia.

If you want to remove the IUD, it is best to remove it at the time of your period.

If it is necessary to remove the IUD around the middle of the menstrual cycle, some method of contraception should be used for a period of 7 days before the IUD is removed.

If you stop using the IUD for the purpose of preparing for pregnancy, there should be a waiting period of at least 1 month after removal of the IUD. This is to give the endometrium enough time to regenerate to return to its normal state.

Women who are postmenopausal after one year, if using the IUD should be removed.

Advantages - disadvantages

The intrauterine contraceptive device is only used once (usually by medical staff) but has a long-term contraceptive effect, high contraceptive efficiency, very suitable for those who want to avoid long-term contraception. . The failure rate is about 0.3 - 2%.

Side effects can be serious in some users, especially stomach pain when looking for plastic fibers. If unsuccessful, an ultrasound may be needed. Depending on where you are found, gently remove it as soon as possible to reduce the risk of uterine infection.

In case of pregnancy after insertion of the IUD, need to see a specialist to remove the IUD as soon as possible and continue to follow up. If it is not possible to remove the ring by pulling on the flexible plastic fibres, leave it in its current position. In this case, there is a risk of miscarriage (about 25%), uterine infection or premature birth. If gestational age> 12 weeks, suggest patient to see an obstetrician immediately.