Removal of the IUD and effects on the body
Intrauterine spiral is one of the most reliable methods of contraception today. But no matter how convenient the spiral is, you can not wear it too long. Sooner or later there comes a time when it has to be taken out. The main reason for removing the spiral is the expiration of the wearing period. On average, the Navy "works" 3-5 years, but there are varieties that can fulfill their function and up to 10 years.
In exceptional cases, removal of the IUD occurs for other reasons - it can be rejection, inflammation, diseases of the pelvic organs, pain or bleeding for unknown reasons, and just a poor state of health after installation. After all, whatever one may say, the intrauterine device is an alien body inside the female body, and its reaction to such an intrusion is purely individual.
General information about the IUD
When it comes to installing or extracting the IUD, every woman immediately has a million questions - is it painful, how comfortable it is to live with such a thing inside, what could be the consequences, when you can have sex after installation. Therefore, it is immediately necessary to clarify the fact that if the IUD was supplied by a qualified gynecologist and the patient carefully watched your health for the entire period of its use, then the removal of the spiral will be absolutely painless. The main thing is not to wind yourself and not to wait for something terrible from this elementary procedure.
To make sure that the installation and removal of the IUD does not really hurt, you need to at least imagine what it is and what the principle of its operation is.
The intrauterine device spiral is a T-shaped device with a nylon thread attached to the rod, placed inside the uterus and preventing the embryo from being consolidated and further developed. After installing the IUD, the ends of the threads remain in the vagina, so that you can easily remove it by pulling the thread. The IUDs are made of plastic or with a small addition of silver or copper - these metals neutralize spermatozoa, preventing their fertilization.
In addition to the usual spirals, there are hormones that not only protect against not planned conception, but also regulate the menstrual cycle, reduce the number of secretions and pain during menstruation. Hormones placed in a spiral make the mucus of the cervical canal thicker, which prevents spermatozoa from entering the uterus. The total level of hormones in the female body does not increase, there is no blockage of ovulation and the menstrual cycle is not disturbed.
After installing an intrauterine contraceptive for several weeks, it is advisable to treat your the organism - the uterus will some time "get used" to the foreign body, there may be pulling pains in the lower abdomen and spotting discharge. As a rule, all these sensations pass during the cycle. If the pain and discomfort are strong, then perhaps this type of spiral does not suit you and then you will need to remove it and replace it with another type.
Nuances that should be considered when removing the spiral
- One of the main points when removing the intrauterine device: pregnancy can occur immediately after the procedure. If you consider that spermatozoa can live in a woman's vagina for up to 7 days, then additional contraception will take care of a month before the planned extraction.
- In no case should you try to pull the spiral out yourself - it threatens not only infection, but damage to the inner walls of the uterus and bleeding. The spiral can only be removed by a doctor using sterile instruments.
- To take out a spiral independently it is possible only in the event that she has dropped out, but thus all the same it is impossible to pull or pull it for tendrils. It is best to squat, stretch the muscles of the vagina until it does not come out. After the procedure, you must always see a doctor, as one of the reasons for the fall can be a pregnancy that has come.
- To extract the spiral is best on the day of the most abundant menstruation. Cervix during this period becomes softer and well stretched, so that the contraceptive is removed more easily.
- Monthly after the removal of the spiral may come with a delay, but this is no reason to worry. This can be caused by dysfunction of the ovaries or hormonal failure. Delay of up to 2 months is considered normal, but if you do not exclude the possibility of conception, it is better to see a doctor.
- If there is bleeding after the removal of the spiral, this indicates damage to the mucosal layer of the endometrium during extraction. If bleeding is abundant and prolonged, you should see a doctor.
- If the reason for the removal of the spiral is pregnancy planning, then it should be taken into account that when the use of hormonal IUDs, the endometrium layer is thinned and conceived immediately after the extraction of the spiral will not work. It will be necessary to wait until the endometrium reaches a sufficient thickness for fastening and feeding the embryo.
Setting and wearing any kind of intrauterine device is the longest, easiest and inexpensive method of contraception. For several years you do not need to buy expensive pills every month and monitor their regular intake, and the reliability of this method is 98%.
The use of the IUD requires its holder to undergo regular gynecological examinations and ultrasound, To control the position of the spiral in the uterus and to exclude the possibility of the appearance of inflammatory processes.
Specialists strongly do not recommend wearing a spiral longer than the due date, because as a result the elements of the IUS grow into the walls of the uterus, and then it will be possible to remove it only surgically.
In addition to ingrowning, cases of oxidation of the metal parts of the spiral with "expired" shelf life are not uncommon.
The procedure for removal of the intrauterine device consists in a preliminary examination of the patient with the purpose of ascertaining the that the device has not moved, and its antennae are long enough to be pulled by tweezers.
- After external examination, a special expander is placed in the vagina, which allows you to see the cervix and the antennae of the spiral, after which the cervix and vagina are treated with an antiseptic.
- If the tendrils are long enough, the gynecologist simply grabs the thread and pulls it, and the spiral itself folds neatly inside the uterus and exits through the cervical canal. In this case, the patient needs to completely relax, so that strained muscles do not interfere with the exit of the spiral.
- If the thread breaks during the procedure, further extraction is carried out using a special hook under the supervision of ultrasound.
- Despite the seeming simplicity of this procedure, sometimes removing the spiral is a little more difficult. Basically, all the difficulties arise from the mixing of the IUD, why the ends of the antennae become too short and it is impossible to get them with tweezers. In this case, resort to the procedure of hysteroscopy - extraction of the spiral by means of a special long tube with a camera and tools on the end. It is performed under local anesthesia, so that no painful sensations arise.
Usually the spiral serves 3-5 years, but there are cases when the removal of the intrauterine device occurs earlier than the due date.
Causes of premature removal of the spiral
- The most common reason for premature removal of the spiral isthe woman's desire to become pregnant.Several years ago it was thought that after removal of the IUD it was necessary to give the body to restore the layer of the endometrium, but modern intrauterine devices protection make possible the onset of pregnancy immediately after their extraction, and if this occurs before ovulation, the probability of pregnancy increases.
- Inflammatory diseases of the female reproductive system, and these inflammations can be formed after the installation of the spiral as a reaction of the body to the introduction of a foreign object. The likelihood of inflammatory diseases is increased because of frequent changes in sexual partners, as it does not protect a woman from a sexually transmitted infection.
- Myoma of the uterus, while if it is small and does not cause deformation of the uterus, then the spiral can not be removed, but if After installation, the growth or appearance of new formations is observed, then the removal is compulsory.
- Ectopic pregnancy-spiral, although it protects from unplanned conception, the risk of ectopic pregnancy still remains. So if there is a delay in menstruation and there is a suspicion of pregnancy, it is better to show the gynecologist to exclude such probability and possible consequences.
- Suspicion of the onset of pregnancy(we are talking about a normal uterine pregnancy), although the spiral is considered the most reliable method of contraception, there are still cases of conception and with a spiral inside. In this case, the timely removal of the contraceptive subject will save the child.
- Perforation of the uterus wall- this is a very rare reason for removing the spiral, but at the same time the most difficult. As a rule, this is due to an improper arrangement of the device, while the removal of the IUD is carried out only surgically.
The installation of an intrauterine device and its removal is best entrusted to a qualified specialist who can not only accurately and painlessly remove the established contraceptive, but also advise the patient about when it is best to pull it out, what consequences may be after extraction, conduct a professional examination to exclude inflammation and possible infection.
Establishing an IUD or using other contraceptives is a personal matter for every person. The modern level of development of medicine offers a huge amount of these funds and it is in the power of each person to plan his life in such a way as he sees fit. So if the birth of a child is not included in your immediate plans, then you should not ignore the child's fertility and irresponsibly approach the issues of reliable contraception.