Intrauterine Device (IUD)

About

About

Intrauterine device (IUD) is a small (24 to 36cm long), T-shaped birth control device. When placed in female’s uterus, it provides long term protection against pregnancy. Two threads of the device are placed at the uterus entrance enabling its removal at any time. The device makes no obstacle for coitus. There are two types of IUD’s – copper, also known as intrauterine coil and hormonal IUD (Mirena and Kyleena); both may be placed in General Practice de Makroon. The presence of copper in intrauterine coil makes uterus inhospitable for nesting of the fertilized egg cells and makes sperm unprolific. This IUD is active five to ten years if not removed. Hormonal IUD contains progestogen and has the same effect in uterus as copper. It is active, when in place, for five years. Once IUD’s are removed, fertility is quickly regained.

Target group

Target group

Every woman who does not desire pregnancy can use IUD. However it may not be placed in case of vaginal, pelvic or ovarian inflammation or within at least eight weeks after childbirth. Intrauterine coil with copper is contraindicative for women with painful periods paired with excessive blood loss, while hormonal IUD should be avoided in case of thrombosis, jaundice and other liver disorders or certain forms of breast cancer.

Preparations

Preparations

One week before
A STD test should be taken one week prior the placement. This may be done in our practice and consists of internal check-up and taking vaginal culture sample.

One hour before
It is advisable to take some pain relievers one hour prior the intervention as wander through uterus may cause some painful discomfort.

The procedure

The procedure

IUD is mostly placed during or shortly after a menstrual period. It is immediately active and the pregnancy protection is assured.

The placement takes approximately 5 to 20 minutes. You will be asked to lie on the bench with spread legs in order to establish the position of the uterus. The entrance of the uterus is made visible by using speculum and fixed with special forceps. The measurement of the uterus’ depth that follows may be experienced as unpleasant. Following the device may be placed and adjusted. The procedure may cause pain, some blood loss and person even may faint. We can provide local anesthetics on request. After six weeks you have to return for control.

The IUD placement and removal costs are excluded from your obligatory deductible.
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