Insert a spiral after childbirth. Spiral after childbirth - is it possible to put and when. Positive and negative aspects of the use of the spiral after childbirth. When protection is applied

With the advent of the baby, the life of a newly-made mother can be significantly adjusted. All the time is devoted to the child and the family, sleepless nights, walks, diapers, feeding, etc. - all this greatly tires a woman, and she simply does not have time to think about herself. And this is very important! After all, after delivery, the mother's body needs special care and attention. For example, a woman after giving birth should consider contraceptive methods to protect herself from an unplanned pregnancy.

As a rule, most couples, violating medical recommendations, resume intimate life earlier than the recommended period, and in fact the probability of becoming pregnant during this period is too high. That is why the issue of contraceptives must be resolved immediately after discharge from the hospital, and even better - during pregnancy.

Methods of protection against unplanned pregnancy after childbirth

It is, of course, advisable to discuss with your doctor the question of contraceptive methods even during the period of bearing a baby. If for some reason this did not happen, do not worry, because you can discuss this topic with the doctor of the maternity hospital. In any case, you can not do without consulting a gynecologist. Independently choosing contraceptives during breastfeeding, you risk not only your health, but also the child. After all, many of them can adversely affect lactation and, accordingly, the well-being of the baby.

During lactation, a woman is allowed to use the following methods of contraception:

Barrier, that is, the use of condoms. The classic method of protection against unplanned pregnancy, however, if used incorrectly, it does not give a 100% guarantee.
Oral (taking hormonal drugs)- is prescribed exclusively by a specialist, since not all of the existing drugs are allowed during the GV period.
Installation of an intrauterine device- the most popular method after childbirth. The main advantages of the IUD are safety and long-term results (up to 5 years).

Which spiral is better to put after childbirth?

Today there is a wide range of gynecological devices. They differ in quality, shape, composition. The choice largely depends on the cost and, of course, the individual characteristics of the female body.

The core of the spirals contains active substances, they provide protection against unplanned pregnancy, and due to the shape (T-shaped, ring-shaped, etc.), the contraceptive device is held inside the uterine cavity.

So, spirals are of two main types:

non-drug- are made of polyethylene and contain metal (platinum, silver, etc.);
medical(contain copper ions and progesterone) - in addition to contraceptive effect have a positive effect on the ovulatory period, the structure of the endometrium, etc. In addition, such devices are less likely to provoke complications and are better fixed in the uterine cavity. However, there is also a downside. Due to the rapid depletion of active components, they must be replaced after 1-3 years.

Choose the most optimal view spiral without consulting a doctor is unrealistic. Therefore, if you decide to think about this type of contraception, be sure to consult a gynecologist. The specialist, having studied your history, will be able to choose the most effective and reliable type of gynecological device.

Features of the installation of the Navy

The intrauterine device is installed or removed only in a clinical setting and only by a gynecologist. Before staging, the patient must undergo an examination and pass tests without fail. Only in the absence of contraindications, the doctor will be able to determine the date of setting the IUD. Usually the procedure is carried out during menstruation. But since the cycle has not yet been fully restored in newly-made mothers, the installation can be carried out at any time. If the birth went without complications, then this can happen as early as 6-7 weeks after the birth of the crumbs. Otherwise (for example, with a caesarean section), the procedure will have to be postponed for six months.

The installation of the IUD is quick and almost painless. The shelf life of a gynecological device depends on the quality of manufacture, it can be a year, or maybe eight years. But this does not mean at all that the spiral should be worn for as long as indicated in the instructions. If desired, it can be withdrawn ahead of schedule.

In the first days after the procedure, the doctor will definitely recommend to refrain from sexual intercourse and exclude physical activity, as well as not to use tampons and refuse to visit the bath or sauna. In the future, the IUD will not cause discomfort, and the woman will be able to safely return to her usual way of life. However, after 10 days, and then again 6 weeks after installation, you need to see a doctor to make sure that the coil is fixed correctly and there are no complications. In the future, visits to the doctor should be made on a regular basis - twice a year. However, if there are alarming symptoms (disturbance of menstruation, pain in the lower abdomen, fever, or the threads of the spiral cannot be felt) - immediately go to the gynecologist.

Pros and cons of the Navy

Having discussed the types of IUDs and the principle of their installation, one cannot but recall the positive and negative aspects of this method. The advantages of the Navy are:

safety during lactation;
long shelf life;
99% contraceptive effect;
do not disrupt the usual life;
devices containing progesterone reduce pain and reduce the duration of monthly discharge;
availability.

The disadvantages of the Navy include:

discomfort and bloody issues the first two weeks from the date of installation;
long and heavy periods in the first three months after the procedure;
the device provides a contraceptive result, but does not protect against infections;
after the establishment of the spiral, abrupt mood changes, skin reactions and a decrease in sexual desire can be observed.

Despite all the shortcomings, intrauterine devices are considered the most effective and safe method of contraception in the postpartum period. However, do not forget that the effectiveness of their action depends not only on the professionalism of the doctor, but also on an attentive attitude to one's health.

After the birth of a child, many couples wonder if they want more children. If the parents decide to stop, IUD may be one of the best options. Consider whether it hurts to put a spiral after the birth of a child, which spiral to put after childbirth, as well as the pros and cons of such protection.

Modern medicine, which has its own positive and Negative influence. For each woman, the most suitable type of protection will be different, since everyone has their own body and diseases.

Women with premenstrual syndrome, diseases of the thyroid gland and adrenal glands, as well as those who have problems conceiving, oral contraceptives are not suitable. You can simply forget to drink the drug, and problems with menstruation will already begin. The best option for all mothers - to put an intrauterine device (IUD).

The intrauterine device after childbirth is one of the most effective and safest methods of birth control.

But only a doctor can help you choose a truly reliable and safe method of contraception.

Kinds

Intrauterine wires are most often a T-shaped device. At the same time, if the couple eventually wants more children, the device will not become an obstacle to this - you can simply remove it. How much efficiency remains? Depending on the species - a long time - from 5 to 10 years.

The most common mechanism is with wound wire made of copper, silver or gold. Some can combine 2 metals at once.

Depending on the form, there are:

T-shaped;
ring-shaped;
in the form of a complex ring;
with lowered wire hangers.

The most popular is the Mirena device, which has a built-in container with the hormone levonorgesterol, which just prevents unwanted pregnancy, and sometimes even treats bleeding and hormonal disorders. The main goal of such protection is the destruction of spermatozoa, as well as an increase in uterine tone.

This device is also suitable in case of emergency contraception, but only if it is inserted no later than 5 days after unprotected intercourse.

Answering the question of how painful the procedure is, we can say that the operation is basically painless. Unpleasant sensations may occur when the cervix is pulled up to insert the probe, and later when it passes into the genital tract. Painkillers are not needed for this procedure. But for especially sensitive women, local anesthesia, or intravenous anesthesia, can be used. Whether it is worth putting this contraceptive immediately after childbirth can be figured out by comparing its pros and cons.

pros

Consider the advantages of using the device. Most importantly, the IUD is very easy to use. Just one visit to the doctor will help you forget about contraception for several years. Plus, it will save you a lot of money. Once you buy and install it, you get rid of the need to spend money on birth control pills or condoms every day.

If you want to have more children, it can be easily and safely removed. This type contraception does not cause any inconvenience to the owner. You can continue to lead an active lifestyle, swim, run, go to the gym. The presence of such a mechanism also does not affect intimacy in any way.

We can say that this is an ideal means for birth control, since it does not cause any inconvenience, does not affect the mother's lactation, and is accordingly safe when breastfeeding. The protection begins to perform its functions immediately after installation.

Doctors consider this tool the most effective method birth control, because it causes almost no complications, and is also very effective in use.

Minuses

But still, the IUD is not a panacea, its functions are limited to the destruction of spermatozoa. Some ladies after installing the device may feel pain in the lower abdomen or in the lower back. In addition, periods can become more abundant and painful. And in the first 10-15 days, the mechanism is able to provoke minor bleeding.

Such protection does not protect against sexually transmitted infections at all.

Moreover, if this device is located in the uterus, then it sort of opens it, thereby increasing the likelihood of harmful bacteria entering the body. If you become infected with sexually transmitted diseases while wearing it, the disease will manifest itself in a more complex form. In addition, there are cases when the contraceptive itself fell out of the uterus.

Kinds

Mothers who have chosen such protection are wondering: which spiral to put after childbirth? Today there are many variations of devices. Here are the most popular names:

Multiload Cu-375. A drug containing copper. Installed for no more than 5 years.
Juno Bio. It contains copper and silver. Set for a period of 8 years. Domestic product.
You can put Eurogine. Contains particles of silver and gold, and in addition one of the few mechanisms that protect the reproductive system from the development of infections. Set for 5 years.
Mirena. A wire with a container containing hormones. But in no way affects either lactation or body weight. At the same time, it has the highest efficiency in application - 99.9%. Saves menstrual cycle. Set for 5 years.

For girls who have not yet given birth, you can put an IUD at any time. Some doctors recommend 4-7 days from the beginning of menstruation. Discomfort during the operation is minimal, because pain threshold reduced at this time.

When to put after childbirth

When can I put a spiral after the birth of a baby and is it possible to put a spiral after childbirth in general? At least 48 hours later. But the optimal time for such an operation is after 21 days. You should first make sure that you do not have inflammation and sexually transmitted diseases.

When to put after surgery? The procedure is carried out 3-4 months after childbirth, so that their inflammation and other complications. After an abortion, you can enter the IUD immediately after curettage. In all cases, pain during installation is not felt.

Contraindications

The spiral from pregnancy after childbirth has its own contraindications for use. These include:

benign and malignant tumors;
inflammatory processes in the body;
various diseases of the genital organs;
pathologies in the development of the genital tract;
pregnancy;
HIV and AIDS;
diseases of the cardiovascular system;
allergic to the metal contained in the wire.

An IUD will protect against unwanted pregnancy, but not against sexually transmitted infections. Keep this in mind if you decide to opt for it.

Complications

Before deciding whether to choose this method or not, it's worth checking out the list possible complications. These include:

spasms;
bloody issues;
heavy menstruation;
infections;
inflammatory diseases of the pelvic organs;
infertility (in very rare cases).

The first few days, you will probably feel pulling pains in the lower abdomen, possibly prolonged periods.

If the discomfort does not go away within 1-2 days, there is an increase in body temperature, immediately visit a doctor, as uterine perforation may develop.

IUD removal

After the expiration date of the contraceptive, it must be removed. As well as the insertion procedure, the device removal procedure is painless. If the patient did not experience any complications, a new device can be inserted immediately.

We reviewed one of best practices protection for women after childbirth. Of course, which one is best for you, only you can decide after a preliminary consultation with the doctor. But before you make a choice in favor of a particular method, carefully weigh the pros and cons, because the consequences of their use can be irreversible.

If you choose such contraception for yourself, do not forget about personal hygiene. In most cases, basic self-care prevents possible complications.

The issue of contraception becomes especially relevant for a woman after the birth of a child. Young mothers are interested in whether a spiral is suitable for them as a way to protect them after childbirth. This special device is placed in the uterine cavity and has a contraceptive effect.

This type of contraception provides a long-term effect of protection against unwanted pregnancy, allows you to have sex without the use of a condom or hormonal drugs.

It turns out that the intrauterine device is a suitable method of protection during breastfeeding. The contraceptive effect does not affect lactation and the child.

We talk about when you can put a spiral after childbirth, about the pros and cons of using the IUD and its varieties in this article.

The contraceptive device is placed in the uterine cavity 6 to 10 weeks after birth. In the event that before pregnancy or after there was inflammation of the pelvic organs, then the IUD is installed only 6 to 10 months after complete recovery.

Before installing the intrauterine device, an examination is carried out to exclude the presence of an inflammatory process. A woman needs to pass a urine test, do an ultrasound of the pelvic organs, colposcopy, a vaginal smear for STIs. It is also important to make sure that you are not pregnant.

The installation of the IUD is carried out by a gynecologist. The vagina is expanded using a speculum. A contraceptive device is inserted into the dilated cervical canal through a special applicator.

After the installation of the IUD, you should refrain from sexual activity for a week. The doctor should give the go-ahead for sex without additional protection after a gynecological examination. On the same day, an ultrasound is performed to check the location of the IUD. The next control is made in a month. In the future, a woman should be examined by a gynecologist with a vaginal smear taken once every 6 months. The doctor teaches the patient to independently check the presence of the IUD with the help of control threads with her fingers. This must be done monthly after menstruation.

In the first week after the installation of the spiral, pain in the abdomen is possible. But they pass quickly and do not cause any particular inconvenience. The first 3-4 menstrual cycles can also be painful, then it goes away. In case of increasing pain syndrome or prolapse of the IUD, you should consult a doctor.

It is strictly not recommended to remove the spiral on your own, this should be done by a doctor. The vagina is treated with an antiseptic, the cervical canal is expanded, and the device is removed from the uterine cavity with tweezers. The procedure is carried out on the days of menstruation.

The location of the spiral in the uterine cavity.

Varieties of intrauterine systems of protection

The intrauterine device has a complex contraceptive effect, and is considered a reliable method of protection. Under the action of various components that make up the material, the following contraceptive effect is provided:

The endometrium becomes thinner, and the egg cannot implant in the wall of the uterus;
A fertilized egg is aborted in the very first week after conception;
The chemicals that make up the structure of the IUD reduce sperm motility and kill them.

A variety of intrauterine devices - which one to choose

Intrauterine contraceptive devices are divided into drug and non-drug (neutral). Spirals vary in shape: with rounded shoulders, T-shaped, semi-oval. The contraceptive effect also depends on the material from which the spiral is made.

Non-drug IUDs.
This type of device is made of polyethylene with the addition of copper, silver or gold. They are larger in size than drug counterparts. Due to this, menstruation can be painful. A foreign body in the uterine cavity prevents the embryo from attaching to its wall. Noble metals have a disinfectant and anti-inflammatory effect, reduce sperm motility. Copper-containing devices create an environment in the uterine cavity in which sperm are unable to survive. The effectiveness of non-drug coils: 91-93%. IN last years they are less and less used in gynecological practice, giving way to new generation spirals - medical ones.
Medical IUDs.
The capsule in the coil shaft contains gestagens. Hormones are gradually released and have a contraceptive effect. Providing only a local effect, they do not enter the bloodstream and do not affect lactation. The effectiveness of medical coils is 99-100%. In some cases, unpleasant consequences may occur: scanty menstruation, cycle failure.

Navy models

There is a wide variety of models on the pharmaceutical market. Consider the most popular of them:

Multiload
The system has rounded shoulders with protrusions, which reduces the risk of the device falling out. The core of the spiral is wrapped with copper-containing metal. The semi-oval shape allows the use of the IUD for nulliparous women.

Navy Multiload

Nova-T
The device has T - about different shape hangers, the rod is wrapped in a copper wire spiral. Copper causes a local reaction and creates an environment in which sperm are not able to survive.

Hormonal system "Mirena"
The Mirena intrauterine device has a T-shaped shoulder. A reservoir containing Levonorgestrel is fixed on the rod. The hormonal substance has a contraceptive effect, enters the bloodstream in a fairly small amount. The main action of the Mirena IUD is to suppress the growth of the endometrium.

Navy Mirena

Pros and cons of the intrauterine device

An intrauterine device is, of course, a convenient and reliable method of protection. But it also has its positive and negative points.

Pros:

Can be used for HB.
The ability to conceive is quickly restored.
Don't have to take hormonal preparations and use additional security measures.
Does not violate the regularity of the menstrual cycle.
It has a long contraceptive effect.
High level of efficiency and protection against pregnancy (99-100%).

Minuses:

Pain in the lower abdomen in the first few weeks after childbirth.
Abundant menstruation. In the first 3-4 cycles, menstruation can be painful.
It is necessary to independently check the control threads after every menstruation.
There is a risk of developing inflammatory processes in the pelvic organs. When choosing a quality intrauterine system, the risk is reduced.

Video about the installation of the Mirena Navy

Complications after insertion of an IUD occur most often in those who have previously had pelvic inflammatory disease and menstrual irregularities.

After childbirth, a woman's body needs to recover for at least a year, so during this period it is very important for her to find a reliable means of contraception. Many women who have recently become mothers prefer the intrauterine device. Gynecologists also choose this method of contraception more often than others, because they consider it safe, reliable and economical.

Is it possible to put a spiral after childbirth while breastfeeding and after how long should this be done? This question is asked by mothers who want to avoid an unexpected pregnancy. Gynecologists respond to it differently in each individual case.

What is an intrauterine device?

The very name of the device already helps to roughly imagine what it is. A spiral is installed in the uterine cavity, where the contraceptive has been successfully working for several years. The level of protection it provides is 99%.

The contraceptive does not allow the egg to attach to the wall of the uterus immediately after fertilization, as a result, it soon dies and comes out along with menstrual bleeding (this should be taken into account by staunch opponents of abortion - the device actually expels the already fertilized egg from the uterus). Some types of IUDs reduce motor activity spermatozoa, so that the egg is not fertilized at all.

The main advantages of this contraceptive are its availability and ease of use. The price, depending on its variety, may be equal to the cost of an annual dose of oral contraceptives. At the same time, the spiral is able to protect a woman for 5 years.

The contraceptive eliminates the need to carefully monitor the cycle, the fear of missing a pill. It has almost no side effects, does not have any harmful effects on the body, so it is safely installed shortly after childbirth for nursing mothers, if they have no contraindications.

How long after childbirth can I put a spiral?

The gynecologist chooses the time of installation of the contraceptive spiral, based on the condition of the woman. Those who have given birth without complications, already 3 months after they are allowed to install a contraceptive.

In some cases, gynecologists reduce this period. Sometimes the procedure can be performed already in the hospital. In such a situation, the doctor preliminarily conducts an examination to make sure that the placenta is completely separated and that there are no complications after childbirth.

After a caesarean section, an IUD can be installed no earlier than six months later (see also:). The seam after cesarean completely heals for 6 months, so during this period it is better not to touch the uterus.

IUD and breastfeeding

Sometimes women after childbirth decide to install an intrauterine device only when they take the baby from the breast. The fact is that during lactation, ovulation is suppressed in many, so there is no need for an additional contraceptive. In the same time breast-feeding is not a 100% guarantee of protection against unwanted pregnancy, therefore, for safety reasons, even during this relatively safe period, gynecologists recommend turning to contraception.

The IUD is considered the best means of protection during lactation: it does not interfere with the process of milk production and does not affect its composition. It is much more comfortable to use than a condom.

Types of spirals in shape, composition, wearing period and action, their differences

Another advantage of the IUD is the existence of several varieties of contraceptives. Which spiral is better to insert after childbirth, only a doctor can decide. The choice will be made among the following options:

Navy without additives. Such a spiral after childbirth is practically not installed today. Its action is to prevent the fixation gestational sac in the uterine cavity.
Contraceptive with copper. Such a spiral has the ability to immobilize spermatozoa, which avoids fertilization. A spiral with copper often causes allergies, so this option is not very popular.
Navy with silver. The product with the addition of this metal has anti-inflammatory and antiseptic properties. They destroy spermatozoa and prevent infection from entering the uterine cavity.
Spirals with gold. They differ high efficiency, hypoallergenic and long service life.
Contraceptives with hormones. Mirena is considered the best hormonal intrauterine device. It can be inserted into women suffering from diseases of the uterus and appendages: fibroids, endometriosis, amenorrhea, etc. Hormonal coils have a number of contraindications: neoplasms, liver cirrhosis, blood clots, ischemic disease heart, frequent migraines.

Contraceptives differ in their form. They are round, serpentine, S-shaped and others. The most common helix shape is the T-shape. The maximum contraceptive life is 7 years, the minimum is 3 years. The longest are copies with gold and silver. All contraceptives without the addition of hormones belong to the group of non-drug IUDs. Hormonal are medicinal, they serve no more than 3 years.

What are the best options after childbirth?

When you need to put a spiral after childbirth, the state of the female body is taken into account. The best option IUDs for this period are devices that have an anti-inflammatory effect, that is, non-drug spirals with gold and silver. These types of IUDs go well with lactation.

For women who have some problems with the reproductive system, it is better to put an IUD with hormones. They will help regulate the menstrual cycle, eliminate PMS. These devices are better fixed in the uterus and are less likely to cause complications after they are inserted.

Advantages and disadvantages of intrauterine devices

Like any other medical device, the IUD has its pros and cons. The advantages of spirals physicians include:

convenience and duration of use;
high efficiency;
no need to control the process of contraception;
minimum cash costs;
safety of use.

The main disadvantage of the spiral is that it must be placed exclusively in the doctor's office. Many women are hesitant to take this step: they are afraid that it will hurt. The spiral must be inserted on the first or last day of menstruation, so the sensations during the installation procedure are really not the most pleasant. The disadvantages of a spiral are:

inability to protect against sexual infections;
the likelihood of side effects when using an intrauterine hormonal coil;
painful menstruation, increased duration of menstrual bleeding.

Since the body perceives the contraceptive as a foreign body, it will try to get rid of it. Because of this, the pain during menstruation will increase, during the first 3 months after the installation of the spiral, the woman will have a feeling of heaviness in the lower abdomen. Every time after menstruation, it is necessary to check if the part has fallen out. There is nothing complicated in this manipulation, but it cannot be called pleasant either. Some women experience pain when touching the antennae of the device. Another disadvantage of an intrauterine contraceptive is that it is impossible to get rid of it without the help of a doctor.

The disadvantages of the IUD include contraindications to it. This contraceptive cannot be put in case of suspected pregnancy, the presence of inflammatory processes in the uterus or appendages, anemia, dysplasia or erosion, etc.

Possible complications after injection

After childbirth, any manipulations in the uterine cavity can cause problems. What are the most common complications associated with IUD insertion? Gynecologists in their practice after installing the contraceptive spiral fixed the following problems:

development of the inflammatory process. When there is a foreign body in the uterus, it is easier for bacteria to penetrate into its cavity, as a result, a woman may develop chronic inflammation.
Increased risk of ectopic pregnancy. The fertilized egg can be fixed in the fallopian tube. Such a complication can have life-threatening consequences for a woman.
The loss of the spiral and the onset of unwanted pregnancy. If a woman has not noticed that the spiral has fallen out, she will not be protected in any other way.
The appearance of malignant tumors. Studies have shown that the use of the IUD in some cases leads to the development of oncological tumors of the organs of the female reproductive system.

If within two days after the intrauterine contraceptive was inserted, the pain does not disappear, and pathological spotting is added to them, you will need to see a doctor as soon as possible. All of the above complications are more typical for intrauterine devices with metals, in particular with copper. Hormonal contraceptives usually do not cause such effects.

For maximum safety and effectiveness of the use of the intrauterine device, it is necessary to choose not only a suitable contraceptive, but also a qualified specialist. An experienced doctor knows well when it is better to put a contraceptive after the birth of a child in a natural way or by caesarean, he will not make mistakes during installation and will give the patient recommendations that will help to avoid any negative consequences of contraception with the IUD.

Often, from the conversations of friends or in queues at the antenatal clinic, you can hear stories about intrauterine devices, various reviews on them and impressions about this contraceptive. But what is it and what does it do? Wouldn't this affect hormonal background women, her ability to someday become a mother and, of course, can she protect against certain diseases? Is this method reliable for preventing unwanted pregnancy and are there differences between them?

We will try to understand these issues, consider 6 popular intrauterine devices and find out what are the differences between them. Which spiral to choose?

What is an IUD (intrauterine device)?

is one of effective means contraception, which is often used by women who have given birth, most often with a permanent partner and are not currently ready for motherhood again.

Like any other type of contraception, spirals differ in their composition, type, duration of use, and other parameters.

Classification

There are 2 groups of spirals:

hormonal;
non-hormonal.

Both perform the same task - protection from unwanted pregnancies. But some of them have additional properties. For example, they are often used in gynecological practice as a way to treat certain diseases, and non-hormonal spirals with the addition of silver or gold have a bactericidal effect and protect the female reproductive system from unwanted infections.

There are 3 generations of spirals:

1st generation

IUD without any metal or hormone, consisting only of medical plastic.
Their contraceptive effect is achieved only by the mechanical impossibility of attaching the fetal egg to the endometrium.
Often cause complications (infectious diseases, ectopic pregnancy and loss of a spiral - expulsion).

IUDs of the 1st generation are not used now, as there are more reliable and efficient coils.

2nd generation

IUDs containing metal in their composition. That is, these are spirals, also consisting of medical plastic, but having a contraceptive effect due to additional components - copper, silver, gold.
Metals act not only on female body, but also on the male factor - spermatozoa, and thereby reduce the risk of an unplanned pregnancy.

3rd generation

Hormonal spirals, which at this stage are used as therapeutic and contraceptive agents.

Intrauterine devices have different shapes:

t-shaped;
round or semicircular;
in the form of an umbrella;
in the shape of a horseshoe (semi-oval).

Each spiral has its advantages and disadvantages and is selected individually depending on the characteristics of the body of a particular woman.

All spirals have the same principle of action - protection from unwanted pregnancy.

So, how does the spiral help to avoid conception?

All coils are made of medical plastic, which rarely causes an allergic reaction in women. But such cases do occur. For this reason, you need to carefully monitor your feelings and monitor the reaction of the body after installing the spiral.

In addition to medical plastic, modern spirals include:

metals (silver, copper, gold);
hormones.

Hormonal spiral

This type of IUD releases a certain amount of a hormone that not only affects the female body, but also reduces sperm activity. The spiral does not affect male potency and male health! Only on spermatozoa that have already entered the female genital tract. The only tangible disadvantage that intrauterine devices can deliver to a man is the feeling of the antennae of the spiral during intercourse. This issue is easily solved: you need to come to the doctor's office, and the gynecologist will simply shorten the interfering antennae of the spiral.

The hormone in the spiral affects the maturation and release of eggs by the ovaries of a woman and does not have a destructive effect on the hormonal background as a whole.

The very presence of the spiral in the uterus prevents the attachment of the fetal egg and, accordingly, pregnancy does not occur. This is a mechanical factor of protection from pregnancy. Also, the spiral causes a local reaction that adversely affects spermatozoa, inhibiting and destroying them.

Hormonal spirals affect many female diseases (, etc.) and are recommended for use by gynecologists for the treatment of the latter.

Non-hormonal spiral

As for the IUDs, which have metals in their composition, such designs, in addition to the mechanical factor of protection against pregnancy inherent in all spirals, have a detrimental effect on the male factor in their arsenal. For example:

Copper, oxidizing the environment, inhibits the movement of spermatozoa that have entered the uterine cavity, and damages them.
Silver and gold increase the shelf life of coils and have a positive effect on local immunity, protecting a woman from inflammatory diseases pelvic organs.

All types of spirals have a stimulating effect on the fallopian tubes and increase their peristalsis. While the fetal egg is rapidly moving into the uterine cavity, the endometrium does not have time to prepare for the adoption of a new life, and as a result, the embryo enters an unfavorable environment that is not suitable for further development.

Summing up, we can distinguish the links of fertilization, which are influenced by any spiral:

On the male factor (inhibitory and spermicidal action).
For the maturation and release of the egg from the ovaries.
For the delivery of the egg and the fetal egg through the fallopian tubes.
Attachment of the fertilized egg to the endometrium.
A local reaction that causes the release of enzymes that are detrimental to spermatozoa.

Who can put an intrauterine device?

The desire of the woman herself at this stage of life not to become a mother (provided that there is already a history of childbirth).
Frequent pregnancies with other types of contraception (if they are used incorrectly or inattentively in taking).
Prevention of unwanted pregnancy during lactation (breastfeeding).
In order to save money. Spirals are placed for several years, which allows a woman not to worry about other types of contraception (oral contraceptives, condoms).

Important! Coils do not protect against STIs (sexually transmitted infections)! It is recommended to install a contraceptive with an existing permanent sexual partner (low risk of transmission of sexually transmitted diseases). It should also be mentioned that coils are used in women who have given birth and are not recommended for contraception in young women who have not given birth.

Spiral setting technique

The spiral is installed both during menstruation and immediately in the first days after it, since at this time it is more likely. In addition, the cervix during this period is slightly ajar, which makes it easier for the spiral to enter the uterine cavity and cause minimal discomfort to the woman.

Before installing the spiral, the doctor conducts research on the presence of inflammatory diseases and, if necessary, prescribes anti-inflammatory therapy. This reduces the risk of complications and spiral loss in the future. The process itself takes place only in the office of a gynecologist, under aseptic conditions.

If a woman decides, then you should wait a while (about 6 weeks) for the uterus to return to its previous state. The fact is that during pregnancy, the uterus is overstretched, and after childbirth, it gradually returns to its previous size. This process is called uterine involution. In order to avoid complications after the installation of the spiral, gynecologists recommend waiting for the end of the involution.

It is not recommended to install an intrauterine device immediately after an abortion. The patient should be observed for the presence of complications and various inflammatory diseases that could provoke an abortion. As soon as the obstetrician-gynecologist is convinced of the complete health of the woman, the spiral can be placed in the uterine cavity.

In the instructions for some spirals there are marks about setting a contraceptive immediately after an abortion. This issue should be addressed individually with an experienced doctor and follow his advice in this matter.

Overview of intrauterine devices: the most popular means

There are a huge number of intrauterine contraceptives on the market, which have a different shape, composition, terms of use and, of course, the price range. All of them have their advantages and disadvantages.

So, consider the most commonly used and popular spirals:

Spiral Multiload (Multiload CU-375)

This is a T-shaped copper wire helix. It is not hormonal. The metal affects the spermatozoa, causing their death and the impossibility of further fertilization.

The shelf life of the spiral is 4 years. After this period, the spiral can not be used in any case!

Rod length - 35 mm. This is a standard length, the spiral has no other variations in size. It is suitable for women who, after measuring the size of the uterus with a probe, the length of its cavity is from 6 to 9 cm.

Of the features of the spiral, it should be noted that its use is prohibited in such situations:

with an existing allergy to copper;
in the first 3 months after an abortion;
during the period of breastfeeding.

If a woman long time takes immunosuppressants for the treatment of another pathology - the spiral is not suitable, and another method of contraception should be selected.

It should be noted that the presence of copper in the composition of the contraceptive will not affect the total amount of copper in the body.

The price range is in the region of 2.5-3 thousand rubles.

Spiral Copper (Copper TCu 380A)

Like the previous spiral, it incorporates copper. Spiral dimensions - vertical - 36 mm, horizontal - 32 mm. A feature of this spiral is a greater release of copper in the uterine cavity, which causes a stronger local reaction.

The term of use is 5-6 years.

Another tip: after installation, you should lie down on the couch in the doctor's office. In rare cases, after the introduction of the IUD, there is a decrease in the pulse and clouding of consciousness.

All other properties are the same as for the Multiload spiral.

The price fluctuates around 2 thousand rubles

Spiral Goldlily (Goldlily)

It contains both copper and one of the noble metals - gold. Gold coats the copper surface, protecting it from early oxidation and corrosion. By creating a potential difference, additional protection against unwanted pregnancy is created. Gold has a powerful bactericidal effect and prevents the occurrence of inflammatory diseases of the pelvic organs.

Another advantage of the contraceptive is the availability of several sizes. Each woman will be able to choose exactly the option that she needs.

The term of use is 7 years.

The main downside is the price. Due to the presence of gold, the cost of an intrauterine contraceptive is about 4-5 thousand rubles.

Spiral Juno Bio-T with Silver (Ag)

Another spiral in the line of modern contraceptives. The instruction offers the following indications for the use of a spiral (except for the desire of a woman):

Treatment and prevention of Asherman's syndrome (formation of adhesions in the uterine cavity).
For postcoital protection (can be administered within 3-4 days after unprotected intercourse).

It contains copper and silver in its composition, which increases the duration of the period of use up to 7 years. Silver prevents early and rapid oxidation of copper, which gives the coil a longer-term effect.

Another useful quality silver - bactericidal effect. Juno protects a woman's body from inflammatory diseases and other infectious complications associated with the presence of a spiral in the uterine cavity.

Juno works on the same principle as other spirals, affecting all links in the chain to prevent unwanted pregnancy. The price of this product is also attractive - about 400-500 rubles.

Spiral Nova T (Nova T)

T-shaped helix containing copper and silver (copper wire with silver in the core). As in Juno, in the Nova T helix, silver prevents early fragmentation of copper. But the difference is the period of use - Nova T should be changed every 5 years. No specific features were identified for other mechanisms of action.

The price is about 1500-2000 rubles.

Spiral Mirena (Mirena)

One of the most common means of intrauterine contraception is the hormonal system. This drug contains a synthetic progestogen - levonorgestrel. It is released per day in a certain required amount, which is sufficient to perform two functions - contraceptive and therapeutic. That is why this spiral is often recommended for women with gynecological diseases (myoma, endometriosis, etc.).

Mirena inhibits ovulation and prevents the formation of a fetal egg, which increases its contraceptive effect. The Pearl Index of the hormonal intrauterine system is 0.1-0.5, while for conventional IUDs it reaches 3.

Important aspects:

The spiral does not affect the hormonal background.
Not contraindicated in women with metal allergies.
Approved for use during breastfeeding.
It is a 3rd generation spiral.

Mirena has a shelf life of 5 years. Further use is not recommended due to the depletion of the hormone supply in the spiral and the increased possibility of developing infectious diseases of the pelvic organs.

At this tool contraception high price- about 10-12 thousand rubles.

Dear girls and women! Remember that for an accurate and correct selection of the spiral, you must definitely consult a doctor, because each female body is unique and unrepeatable!

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