Medical services

IUD removal

The intrauterine device (IUD) is an effective method of protection against unwanted pregnancy. The spiral looks like a small spring, a wand or a plate with tendrils, which is made of different materials (it is important to check with the doctor before installation). To date, there are about fifty varieties of intrauterine devices, which differ in both materials and form. The established spiral inside the uterus impedes the process of attaching an egg cell to its walls.

The peculiarity of this method is that it is effective for 5-10 consecutive years. After the expiration date of the shelf must be removed. It is important to carry out the removal of the IUD in time, as it can grow into the walls of the uterus and entail a number of serious consequences and complications.

When you need to remove the intrauterine device

Removal of the IUD is a gynecological procedure that is carried out in order to properly remove a contraceptive from the uterus. To date, there are several reasons that are indicative of the removal of the helix from the uterus.

The expiration of the service life is indicated on the packaging of the device or in the instructions for use, the doctor is obliged to consult the patient in this matter. Most types of IUDs are set for a period of three to five years, but there are also modern ones that can act without harm to the body of a woman from seven to ten years.

Copper spirals slowly release copper into the body - they are placed for about 10 years. A hormonal-type device is installed for a maximum of 5 years. If the package did not find information about the life of the contraceptive, then you need to take the deadlines by default - 5 years. At the end of the term of the IUD, it must be removed, so as not to provoke the occurrence of inflammatory processes that adversely affect the health of the woman.

The IUD expulsion is, in other words, the displacement of the helix. If the device has shifted, it can no longer fully perform its contraceptive functions. Most often, if there is an IUD bias, it falls out of the vagina independently.

If there is an offset, the device must be removed and manipulated to install a new one. It is important to understand that the installation of a new spiral should be carried out, but it is strictly prohibited to install the old one. When reinstalling the IUD, it is necessary that the gynecologist selects an alternative method of contraception at the time of adaptation of the uterus to the device.

Pregnancy with the presence of the IUD in the vagina - it should be understood that the helix can not completely guarantee the prevention of pregnancy, as well as other types of contraception:

  • barrier contraceptives;
  • vaginal and cervical diaphragms;
  • chemical contraceptives;
  • hormonal contraceptives, etc.

If even the slightest suspicion about pregnancy appears, it is recommended to immediately contact a gynecologist.

Planning of pregnancy - every woman may have a pregnancy after helix removal at different times, who is fertilized almost immediately, and who will need a whole year to do so. No interruption to the restoration of the endometrium after the removal of the contraceptive is not necessary - if the woman is completely healthy, you can safely proceed to action.

Formation and growth of a benign neoplasm (fibroids, fibroids) - the presence of a small benign lesion in the uterus is not a contraindication to the installation of the helix, provided that the formation did not change the shape of the uterus. But in the case of fibroma or fibroid growth after installing an IUD, a device for contraception must be removed.

The presence of acute inflammatory processes in the urogenital system of a woman — any inflammatory process in the pelvic area is an indicator of the removal of the IUD to prevent the development of serious complications.

Among the indications for helix removal are also found: diagnosis of the presence of malignant tumors in the pelvic organs, regular uterine bleeding, the presence of gonorrhea.

Preparing for removal

It is recommended 7 days before the procedure to refuse to have sexual intercourse in order to exclude the possibility of getting pregnant - the spermatozoa are active for several days, therefore, under all favorable conditions (ovulation and IUD extraction) an unwanted pregnancy may occur. You can remove the spiral on any day of the cycle, but it is recommended in the first days of menstruation.

Algorithm for removing a spiral from the uterus

The procedure is carried out painlessly, easily and quickly, provided that during the period of use of the IUD there were no complications. Removal is performed under outpatient sterile conditions and exclusively by a gynecologist. It is strictly forbidden to carry out the procedure yourself!

The helix is ​​usually removed in the first days of the menstrual cycle. The gynecologist, before proceeding with the procedure, examines the woman as closely as possible at the time of complications, if everything is in order, the procedure will not take much time and effort: the doctor will just gently pull the strings of the helix. Before the procedure, the gynecologist treats the vagina with a 3% hydrogen peroxide solution and twice treats it with an antiseptic in order to prevent the infection from entering the female's genital system (it is minimally protected during menstruation).

If the threads break off, the doctor can use a special hook to grip the device - this procedure is performed under ultrasound in order not to touch the uterine wall. If complications are observed, the helix can be removed by abdominal surgery through the abdominal cavity. Surgical intervention is performed under general anesthesia. After the procedures for removing the helix are performed, the doctor takes a smear from the vagina for cytology.

If all procedures are performed in the clinic and with the help of an experienced gynecologist, no complications arise after removal of the helix. The correct removal technique is uncomplicated and completely painless.

Watch the video: Patient Education Video: Intrauterine Device IUD (December 2019).