Intrauterine device

Intrauterine device

The intrauterine device (IUD) is a proven method of contraception for centuries. And at the same time one of the most controversial. So before choosing this method, it is worthwhile to study it thoroughly.

The intrauterine device (IUD) is a proven method of contraception for centuries. And at the same time one of the most controversial. So before choosing this method, it is worthwhile to study it thoroughly.

Although the fixture is called a “spiral,” it is actually a T-shaped structure plated with copper, gold, or silver. The last two metals are preferable because they have antiseptic properties.

The spiral is installed by a gynecologist in a polyclinic. To reduce possible discomfort, the manipulation is carried out on the 4-8th day of the menstrual cycle, when the cervical canal is not yet closed. The term of wearing the spiral is no longer than 5 years. All this time, you should regularly (twice a year) undergo a preventive examination by a gynecologist.

Despite the high effectiveness of such contraception, in 4% of cases, pregnancy still occurs, and usually ectopic.

So is it worth the risk? Let’s weigh the pros and cons.

Arguments for :


The intrauterine device is very easy to use. It is installed by a gynecologist, and this manipulation does not cause any difficulties. Its contraceptive effect begins immediately after administration. As soon as a woman decides to become pregnant, it is enough to remove the spiral and take action.

No worries

Unlike other contraceptives, the IUD allows you not to worry about a possible pregnancy. Do not be afraid to miss a pill or keep a calendar and count the “dangerous” days.

In the old mode

The IUD does not interfere with sports or sex life. If a woman wants to keep the existence of a spiral a secret, the partner will not find out about her.

Contraception for nursing

As you know, lactation is an unreliable method of preventing pregnancy, and oral contraceptives are undesirable to take during breastfeeding. For nursing mothers, a non-hormonal IUD is the best option. It does not affect the lactation process and protects against unplanned pregnancy. It can be placed 6 weeks after childbirth, provided that they have passed without complications and there are no contraindications. After a cesarean section, you need to wait about six months and first do an ultrasound of the uterus.

Both protects and heals

There are so-called hormonal IUDs, their action is based on the cyclical release of hormones. In addition to the contraceptive function, they also have a healing function: with endometriosis, mastopathy, some inflammatory processes, the growth of uterine fibroids. Due to its hormonal properties, such a spiral shortens the duration of critical days and makes the discharge less abundant.

After removing the IUD, 3-4 weeks should pass, and after a control examination by a gynecologist, the spiral can be installed again.

Arguments against :

Will have to endure

After installing the IUD for several days, a woman may experience discomfort in the lower abdomen, sometimes spotting appears. Within a month after this procedure, it is not recommended to visit the pool, sauna, physical activity should be avoided. On the one hand, it is necessary for the body to form an adequate immune response to the invasion of a foreign body. On the other hand, the IUD must take its place securely in the uterus.

One-sided protection

Unfortunately, the coil only protects against pregnancy, but does not protect against sexually transmitted infections. In this sense, condoms are much more reliable. In the presence of an IUD, the uterus is constantly open, and this makes it more accessible to infections. Moreover, if infection occurs, the inflammation is more severe and the likelihood of complications is greater. Therefore, IUDs are recommended only if the woman lives with a regular partner.

Pregnancy out of plan

No contraception is 100% guaranteed . But it is with the IUD that the risk of ectopic pregnancies is high. The spiral prevents sperm from entering the egg, but sometimes fertilization still occurs. Although in 96% of cases the embryo dies, because it does not have the opportunity to get into the wall of the uterus, sometimes it nevertheless penetrates into the fallopian tube and begins to develop there. In this case, we are talking about an ectopic pregnancy, which will have to be terminated.

Inflammation possible

After the installation of the IUD, damage to the walls of the uterus is possible, as a result, inflammatory processes begin. If the woman did not observe the necessary precautions in the first weeks after the introduction, then the spiral may fall out. As a rule, it is palpable, but if the cervix is long, then the woman may not understand that contraception is violated. And this is also one of the reasons for unexpected pregnancy.

Contraindications for the installation of an IUD:

  • dysplastic processes of the cervix,
  • neoplasms in the genitals, – if there has already been an ectopic pregnancy, – cervical injuries during childbirth, – blood diseases,
  • if the woman has not yet given birth.

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