Removal of an IUD during menstruation. Insertion and removal of the intrauterine device. Reasons for removing the IUD
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Removal of the IUD (intrauterine device) is carried out if the contraceptive has expired or at the request of the patient (when planning pregnancy). Sometimes emergency removal of the IUD is required. This occurs with the development of complications provoked by the presence of a foreign body in the uterine cavity.
The procedure for removing the IUD is indicated if a woman is diagnosed with a pathological process in the reproductive organs, the development of amenorrhea. The likelihood of pregnancy when using this method of contraception is low, but this situation is possible. If a woman decides to give birth, it is recommended that the IUD be removed.
Preparing the patient
Preparation begins with a consultation with a gynecologist. You can ask the doctor any questions you have about the procedure. If conception is undesirable, the method of contraception that the woman will use in the future is determined. Doctors advise starting to take some contraceptives well in advance, some time before the IUD is removed.
In cases where a woman does not plan to become pregnant after removing the IUD, unprotected sexual intercourse is excluded 3-4 days before the procedure. You should have sex using barrier contraception to prevent sperm from entering the cervical canal. This is due to the fact that male reproductive cells remain viable for some time. If ovulation occurs immediately after the procedure, conception is likely.
Removal methods
It is categorically unacceptable to remove the intrauterine device on your own; this procedure is performed only by a gynecologist in a medical institution.
It is preferable to prescribe the procedure on days 3-4 of the cycle, while menstrual bleeding continues. At this time, the cervix is soft and elastic, which makes it easier to remove the device. The secretions ensure easy sliding of the spiral. However, according to indications, the procedure is performed at any time, regardless of the cycle.
The patient is placed in a gynecological chair. The doctor examines the patient, palpates the uterus to determine the location of the spiral. Then you need to detect the tendrils of the IUD located outside the uterine cavity. After this, the organ is stabilized using an expander, and the manipulation area is treated with an antiseptic solution.
If the spiral threads cannot be found, hysteroscopy may be required - examination of the uterine cavity using a special optical system.
Standard IUD removal only takes a few minutes and no painkillers are needed. The issue of anesthesia is discussed in advance; its need is determined by the patient’s individual pain threshold.
The doctor fixes the cervix with a gynecological speculum and, using a special operating instrument (Gross-Meyer clamp, forceps) or tweezers, pulls out the spiral by the antennae. This manipulation normally occurs without difficulty, the woman does not experience pain, and mild discomfort is possible.
In some cases, the IUD does not come out of the uterus, then the doctor has to expand the cervical canal. Sometimes the threads break, but an experienced gynecologist will be able to remove the device using a hook inserted into the cervix. In such cases, the use of local anesthetics is required.
What difficulties may arise during removal?
When removing the intrauterine device, sometimes more serious difficulties arise. In some cases, the spiral antennae are not detected. Then it is necessary to determine the location of the device and determine whether it is there at all. For this purpose, visual examination methods (ultrasound or radiography) are used. If during the study it turns out that the spiral has perforated the wall of the uterus and is located outside its cavity, emergency surgery is required.
There are situations when the antennae of the spiral are in place, but the gynecologist is unable to remove it. In such cases, an ultrasound or x-ray is needed to determine the cause of the immobility of the spiral. It happens that the device fits too tightly to the walls of the uterus.
Much more dangerous is the situation when a foreign body grows into living tissue. Most often, this consequence occurs if the spiral is not removed in due time, that is, the validity period of the medical device has been exceeded. In such cases, invasive surgery is necessary to remove the coil.
Rehabilitation period
After removal of the IUD, no specific rehabilitation measures are required, but the woman should follow some recommendations. To prevent possible consequences within a week after the procedure, you must:
- refuse vaginal sexual intercourse;
- carry out thorough intimate hygiene;
- refuse to visit the pool, steam room;
- do not use hygienic vaginal tampons;
- do not douche.
Possible consequences
Most patients do not experience any consequences after removing the IUD. This is a common, frequently performed procedure in gynecology, so if the technique is followed and there are no complications, it is quick and painless.
Normally, after the procedure, a small amount of blood is released from the vagina, the lower abdomen may hurt, and sometimes spastic contractions of the smooth muscles of the uterus are felt. These symptoms disappear after two or three days and do not require seeking medical help.
After removing the IUD, women notice disruptions in their menstrual cycle. Usually after a few months everything returns to normal. How quickly this happens depends on the patient’s health and age, the presence of concomitant pathologies, and the type of spiral.
The nature of menstrual flow also changes. As a rule, after installing the device, periods become abundant. After the procedure for removing the intrauterine contraceptive device, the volume of discharge decreases, this is normal. The IUD inhibits the endometrium and the functioning of the ovaries; they need time to recover and begin to function fully.
An increase in the amount of blood during menstruation after removal of the IUD is uncharacteristic and indicates a pathological process (damage to the uterine walls or inflammation of the endometrium).
If the cycle does not return within three or four months, this indicates a hormonal imbalance. It is recommended to undergo an examination of the reproductive organs or endocrine glands.
You should not delay removing the IUD longer than the time specified by the gynecologist during installation. If pregnancy is still undesirable and there are no contraindications, then removal of the IUD is combined with the installation of a new intrauterine contraceptive device. Both manipulations can be done at once, visiting the doctor just once.
IUD removal is done in all gynecological clinics, the cost of the procedure is 1400-2500 rubles.
Removal of the intrauterine device is carried out by gynecologists at the antenatal clinic in Butovo by appointment. Any type of intrauterine device can be removed at an appointment with a gynecologist. Removal of the intrauterine device is carried out of any complexity.Replacing the intrauterine device
If you are planning to replace the IUD, the new IUD should be inserted immediately after the old one is removed. In this case, the doctor needs to make sure that there is no inflammatory process and other possible contraindications. In this regard, the doctor will prescribe an additional examination.When is it necessary to remove the coil?
The shelf life of the intrauterine device is five years. After five years, the IUD loses its contraceptive and healing properties, after which it must be removed. The spiral can also be removed before the expiration date according to indications.
Indications for IUD removal:
- The spiral can migrate (move) into the uterine cavity. In this case, an examination by a gynecologist is necessary, on the basis of which a decision will be made to remove or preserve the intrauterine device.
- The spiral can cause complications in the form of bleeding, pain, and heavy menstruation. This may be an indication for early removal of the IUD.
- Also, the IUD must be removed if a woman has any infectious viral diseases of the genital area or other diseases that require removal of the IUD.
- And finally, if you decide to get pregnant, the IUD should also be removed.
Uncomplicated removal of the coil
Removal of the intrauterine device, if worn correctly within the specified expiration date, usually takes place much faster than its insertion. This does not require additional examinations, only an examination of the gynecologist on the chair in the gynecological speculum and palpation for the location of the uterus. If the spiral has not changed its position, the threads of the spiral come out into the vagina, the gynecologist simply hooks the threads with tweezers and removes the spiral from the uterus. This manipulation is called uncomplicated removal of the intrauterine device. In this case, the removal of the IUD itself takes only a few seconds.Complicated removal of the IUD
If the spiral has changed position, the doctor cannot find the threads of the spiral or remove the spiral from the uterus, an ultrasound of the pelvic organs may be needed. Under ultrasound control, the doctor will be able to determine the exact position of the intrauterine device. This manipulation is called complicated removal of the intrauterine device and is divided into degrees of complexity. For example, with prolonged wear, the intrauterine device may become fused with tissue. This is the most difficult option, which should be avoided by removing the IUD on time, undergoing an annual gynecological examination and ultrasound examination during the entire period of wearing the IUD.In case of complicated removal of the intrauterine device, local anesthesia may be necessary to completely avoid discomfort. A woman may also experience slight spotting and cramps during the removal of the IUD.
How to plan replacement or removal of the IUD in the clinic
- It is best to plan the removal and replacement of the intrauterine device in advance, choosing days 1-5 of the menstrual cycle, when the cervix is slightly open and the device will be easier to remove.
- Make an appointment with a gynecologist in advance to have the IUD removed.
- When planning to replace the intrauterine device, an examination should be carried out, which will be prescribed by a gynecologist.
Intrauterine devices (IUDs) are popular devices for preventing pregnancy. At the University Clinic, you can install a model containing silver, copper or hormones, which has not only a contraceptive, but also a therapeutic effect.
It is important that the procedure is carried out correctly. Violation of technology leads to displacement of the device, which threatens pregnancy, the occurrence of inflammatory processes and damage to the uterine wall. Therefore, you should trust your women’s health only to experienced doctors.
How does an IUD work and how often does it need to be changed?
The intrauterine device prevents fertilization by changing the properties of the mucus in the cervical canal of the uterus. The mucus plug becomes more viscous and does not allow sperm to enter.
The properties of the internal uterine mucous layer (endometrium) change, which becomes unsuitable for embryo implantation. There are also models that contain hormones that inhibit ovulation, acting like birth control pills.
The reliability of contraceptives reaches 90%. Unlike hormonal drugs and other methods, the IUD works all the time, does not depend on the woman’s actions and is compatible with any medications.
Contraceptive device Depending on the model, it lasts from 3 to 7 or more years, after which it must be removed, replacing it with a new one if desired.
Contraindications for IUD insertion
- Pathologies of the cervix. Installation of an IUD against the background of ectopia (erosion) or dysplasia can lead to the development of cancer. Therefore, before introducing a contraceptive, these diseases must be cured. This can be done here, at the University Clinic, using a laser and a radio knife.
- Inflammatory processes in the vagina and uterus. In this case, an exacerbation of the pathology and the formation of an ascending infection may occur, which will spread to the fallopian tubes and ovaries. Insertion of a contraceptive device is possible only after treatment.
- Tumors of the uterus or cervix. Contraception cannot be used not only for malignant neoplasms, but also for a number of benign ones.
- Hypermenorrhea – prolonged and heavy menstruation. Since the device itself increases menstrual bleeding, its introduction against the background of hypermenorrhea can lead to significant blood loss. In this case, the Mirena IUD is suitable, containing the hormone levonorgestrel, which helps with heavy periods.
- Models containing copper and other metal components should not be administered to women with metal allergies. For them, products with silver, gold, or made of pure plastic are recommended.
Preparing for the insertion of an intrauterine device
Before the introduction of a contraceptive, a woman is examined by a gynecologist who takes smears of her flora from the genital tract and cervical canal.
To examine the cervix, colposcopy is used - examination using a colposcope equipped with an optical system and a light source. With its help, the doctor makes sure that there is no pathology of the cervix.
To identify inflammatory processes, which are also contraindications for installing a contraceptive, a pelvic ultrasound is performed.
How is contraception administered?
The procedure is carried out in the last days of menstruation or immediately after its end. During this period, the device is easier to insert through the slightly open cervix, and the woman is definitely not pregnant. The procedure is painless and therefore does not require anesthesia.
First, an intrauterine contraceptive is selected, which can be of various shapes and sizes. If you are prone to inflammation, IUDs containing silver and copper are used. For gynecological pathologies, Mirena is placed, which has not only a contraceptive, but also a therapeutic effect.
Before the procedure, the doctor performs a bimanual examination of the patient on a gynecological chair, during which the location of the uterus is determined. This allows the doctor to decide on the tactics of the procedure.
A speculum is inserted into the genital tract, and the vagina and cervix are treated with an antiseptic drug. After this, a probe is inserted into the cervical canal connecting the uterus and genital tract, with which the doctor measures the uterine depth.
The contraceptive along with the guide device is inserted through the cervical canal until it comes into contact with the uterine fundus. The procedure is performed very slowly and carefully so as not to injure the tissue.
After this, the IUD is pushed out of the guide into the uterine cavity, where it straightens out to take the desired shape. The conductor is removed.
The “antennae” of the installed spiral are trimmed, which should not hang too much from the cervical canal. If the woman wishes, they can subsequently be reduced slightly. However, significant shortening of the threads will cause problems when subsequently removing the contraceptive.
After 7-9 days, a second appointment is required, at which the doctor looks to see if the contraceptive device has moved. For a more accurate diagnosis, it is prescribed.
Cost of gynecologist services at the University Clinic
Installed contraceptive requires attention
A woman protected with an intrauterine device needs to visit a doctor at least once every six months to monitor the position of the device. It is imperative to monitor the regularity of your critical days, since no method of birth control, including the IUD, provides a 100% guarantee against pregnancy.
After each menstruation, you need to use your finger to check whether the threads from the contraceptive are in the genital tract. If they are absent, you need to urgently consult a doctor.
Reasons for removing the intrauterine device
- Expiration of service life. In this case, one contraceptive device is immediately replaced by another. There is no need to take any breaks.
- The desire of a patient who has decided to give birth to a child or use another method of birth control.
- Onset of pregnancy. In this case, the product is removed so that it does not interfere with the development of the fetus.
- The appearance of inflammatory processes in the uterus, ovaries, tubes and surrounding space. In this case, after treatment, you can install a new contraceptive.
- Significant increase in the volume of blood released during menstruation. Sometimes your periods get so intense that the IUD has to be removed.
How is the intrauterine device removed?
Removal of the IUD is carried out during menstruation, when the contraceptive can be removed without pain or discomfort. Before the procedure, a gynecological speculum is inserted into the genital tract. The doctor carefully pulls the antennae and removes the spiral. If removal is difficult, a dilator is placed in the cervix.
Sometimes the threads, by which the spiral is usually removed, go far into the cervical canal. In this case, they are picked up with narrow angled alligator tongs.
If the threads break, the device is removed using hysteroscopy - a procedure during which a hysteroscope device equipped with a light bulb and an optical system is inserted into the uterus.
Sometimes the patient wears an IUD for too long, which is implanted into the tissue of the uterus. In this case, you have to resort to scraping.
At the University Clinic you can install any type of spirals. The procedure will be carried out by experienced ones who are fluent in this technique. In our medical center you can prepare for the introduction of a contraceptive - cure cervical pathologies, inflammatory processes and other diseases that interfere with the use of the IUD.
One of the most popular means of protecting against unwanted conception of a child is the intrauterine device (IUD). This contraceptive is very effective, easy to use and has a long service life. Despite the numerous advantages, sometimes there is a need to remove the coil.
Indications for removal of the intrauterine device
Doctors advise women to install an IUD for a period of no more than 5 years. With modern spirals you can walk for up to 8 or even 15 years. To prevent complications, it is necessary to visit periodically to monitor the position of the spiral.
The indication for removal is the end of the contraceptive's useful life. There are several types of IUDs: copper (duration of use from 3 to 5 years), silver with hormones (suitable for 5 to 7 years), gold (worn for 10 to 15 years in the absence of contraindications).
Other indications for removal: the onset of menopause (a year after the last menstruation, the device is removed from the internal organ due to uselessness), pregnancy (while using a contraceptive in women, in rare cases, ectopic conception of the baby may occur), displacement of the device or its partial loss (removed old and a new one is installed).
The IUD is also removed at the request of the patient if she wants to conceive a child or this method of contraception is not suitable for her. Medical indications for removing the IUD: pain in the lower abdomen, bleeding, the occurrence of an inflammatory process in the uterine cavity and ovaries, the development or growth of tumors and neoplasms.
Contraceptive penetration (ingrowth of the IUD into the muscular wall of the uterus) is a complication that is an indication for removing the IUD. When an IUD is used longer than necessary, it begins to grow into the organ tissue. This can also occur due to improper installation of the contraceptive.
Symptoms indicating the ingrowth of a spiral: deterioration in a woman’s well-being, constant fatigue, internal bleeding, heart rhythm disturbances, dizziness and fainting, pale skin, pain in the lower abdomen.
The essence of diagnosis
A specialist can diagnose an ingrown helix after performing a hysteroscopy. The study helps determine the condition of the contraceptive and the degree of its growth into the walls of the uterus. Microsurgical intervention allows you to choose the tactics for removing the IUD and determine its location. If the spiral is located near other internal organs and large vessels, surgical intervention will be risky. The patient is warned about all possible risks before the procedure.
Contraindications to hysteroscopy include: inflammatory and infectious diseases of the genitourinary system, uterine bleeding, pregnancy, cervical cancer or stenosis, vascular and heart diseases, renal and liver failure.
Features of removing an ingrown helix
You cannot remove the IUD yourself; to do this, you should contact a qualified gynecologist. Before the procedure, the specialist will examine the patient in a gynecological chair and refer her for tests. Laboratory tests that a woman must undergo before manipulation:
- Analysis of urine;
- blood analysis;
- microflora smear;
- bacterial culture.
An ultrasound examination of the uterus and colposcopy should also be performed. After the doctor is confident that the IUD has grown into the patient’s organ, the doctor sets the time and day of the operation.
Extraction is carried out in stages using local anesthesia. Intimate organs are sanitized: the woman’s genitals are treated with antiseptic medications. Dilators are installed in the cervix to facilitate access to the uterine cavity. Next, a hysteroscope is inserted through the cervix, with which the gynecologist can examine the muscle walls in detail.
After the specialist detects the IUD, it is removed with sterile forceps or a curette. In the case when most of the contraceptive grows into the abdominal cavity, it is prescribed.
If the coil is located near the bladder, urinary tract and large vessels, laparotomy is indicated. At the end of the procedure, the doctor scrapes out the overgrown mucous layer. The duration of the operation varies from 15 to 30 minutes.
If the IUD threads come off during surgery, the gynecologist will pull it out using a special hook. It is advisable to carry out further removal of the IUD under ultrasound control.
If an ingrown intrauterine contraceptive cannot be pulled out through the cervical canal (due to occlusion or atresia), then a specialist removes it through the abdominal cavity. In this case, extraction occurs using laparoscopic methods under general anesthesia. After surgery, antibacterial and anti-inflammatory drugs are prescribed, and the doctor gives a referral for an ultrasound of the pelvic organs.
When is the best time to perform the procedure?
The operation is most often performed during menstruation, since during this period the external os of the cervix of the internal organ is slightly open and removal of the IUD will be more painless and gentle. The most favorable days for the procedure are the first or last day of menstruation, when there is a minimal amount of bleeding.
If the patient is bothered by discomfort or discomfort due to the contraceptive, it can be removed any day. Some experts recommend removing the IUD on days 5-7 of the menstrual cycle.
Pregnancy after an ingrown contraceptive
The contraceptive method does not affect the subsequent conception of a child. After a recovery period (2-3 months), a woman may think about becoming a mother. During this time, the mucous membrane (mucosal layer) will be completely restored and the microflora will be normalized.
If the patient experiences complications, such as endometritis, due to wearing a contraceptive, she should refrain from conceiving until the disease is cured. After a successful course of therapy, you can get pregnant safely. If a woman feels well and does not have any contraindications, pregnancy can occur immediately after removal of the IUD.
About complications of an ingrown IUD
The most common complications of an ingrown IUD are: inflammation, bleeding, chronic endometritis. Normal and acceptable symptoms after surgery are:
- aching pain in the lower abdomen;
- bleeding in small quantities;
- discomfort in the pelvic area;
- muscle spasms in the abdomen.
If symptoms do not go away after 5-7 days, you should seek medical help from your doctor.
If purulent or brown discharge with an unpleasant odor appears, body temperature rises, or health deteriorates after removal of the IUD, you should consult a gynecologist.
After conducting a series of studies and diagnostics, the specialist will be able to determine the reason for the deterioration in the woman’s well-being and prescribe a course of therapy.
Postoperative care
After removing the ingrown IUD, the woman must follow simple rules; complete sexual rest is recommended for 3-4 days. You cannot play sports or lift weights for 1-2 weeks; you must follow the rules of intimate hygiene.
In addition, you should avoid visiting baths, saunas, solariums and swimming pools for 1-2 months. The use of tampons is prohibited, and douching cannot be used as a method of treating diseases of the genital organs. The recovery period can take from 3 to 14 days.
The presence of a foreign body in an internal organ and wearing it for a long time can have a negative impact on a woman’s body. These are not only possible complications, such as the growth of a contraceptive into the wall of the uterus, but also inflammatory and infectious diseases and even rupture of the cervix.
The female body can react to an IUD in different ways, so at the first feeling of discomfort and pain, you should visit a gynecologist and undergo an examination.
Content
Using an intrauterine device as a means of contraception has certain advantages. Despite the effectiveness of protection from unwanted pregnancy, cost-effectiveness and long-term use, removal of the IUD at a specific period of time is considered a necessary procedure.
When to remove the coil
The service life of an intrauterine contraceptive varies from 3 to 15 years. The duration of use of the spiral depends on the type of device and the base material:
- copper-containing IUDs – from 3 to 5 years;
- silver-based products that release hormones – from 5 to 7 years;
- contraceptives using gold - from 10 to 15 years.
The following indications for IUD removal are distinguished:
- end of the operating period;
- pregnancy planning;
- selection of another method of contraception;
- displacement or expulsion (loss) of the product;
- the onset of conception;
- entering menopause;
- gynecological pathologies including inflammation, tumors, pain or bleeding.
Important! The presence of small uterine fibroids does not prevent the installation of an IUD with a progestogen. If the tumor begins to grow while using a contraceptive, the IUD must be removed.
How to remove a spiral from the uterus
Removal of the intrauterine device is called minor medical manipulation. It is prohibited to remove the device yourself due to the risk of compromising the integrity of the uterine mucosa, infection and the occurrence of an inflammatory process. If the IUD is removed incorrectly, sometimes there is a rupture of the antennae, the product is located in the cervical canal, which is accompanied by intense pain.
Preparing to remove the spiral
Typically, IUD removal is performed on an outpatient basis. The procedure requires compliance with aseptic and antiseptic rules. Before removing the product, the gynecologist performs a general examination.
The preparatory stage for removal includes performing:
- general urine and blood analysis;
- smear for flora and oncocytology;
- ultrasound examination of organs localized in the pelvis;
- colposcopy.
Removing the IUD from the uterus
Removal of the contraceptive is carried out after examination of the vagina and cervix. For the procedure, it is necessary to use gynecological speculums, with the help of which the vaginal part of the cervix is exposed. In order to prevent the penetration of pathogenic flora and inflammation, the mucous membrane is treated with any antiseptic.
To remove the spiral, the doctor grabs the antennae, which are the control threads of the product, with tweezers or a forceps. Using a medical instrument, the gynecologist slowly pulls the contraceptive out of the uterine cavity.
There is no set time limit for product removal. However, it is recommended to remove the device during menstruation, since the external os of the uterine cervix is slightly open. This simplifies the procedure for removing the contraceptive and makes it painless. The first and last days of menstruation are considered a favorable period for manipulation due to the absence of intense discharge.
Important! In the absence of contraindications, a new contraceptive can be introduced immediately after the previous one is removed.
How to remove a spiral if the antennae are not visible
Sometimes, during removal of the intrauterine device, the threads or tendrils tear off. In this case, the product is removed with a special hook. If the antennae are not visualized, it is recommended to perform the procedure using ultrasound equipment. Removing a spiral without antennae may take longer.
Can the IUD grow into the uterus?
Ingrowth of the IUD into the uterine wall is sometimes observed when adequate time for removing the contraceptive is missed. This complication prevents routine removal of the device in an outpatient setting.
Removal of the IUD in women is carried out after hospitalization in a gynecological hospital. The manipulation is performed under general anesthesia using the curettage method under the control of a hysteroscope.
Reference! A hysteroscope is a device used to diagnose and treat pathologies of the uterus. Special equipment is inserted through the cervical canal to remove tumors and take tissue samples for subsequent histological diagnosis.
Sometimes it is not possible to remove the contraceptive through the cervical canal, for example, in case of infection or atresia. Gynecologists use laparoscopic techniques to remove the IUD through the peritoneal cavity. The operation is performed under intravenous anesthesia. During the recovery period, antibiotics and anti-inflammatory drugs are prescribed. Ultrasound diagnostics is mandatory.
Is it painful to remove the coil?
Gynecologists emphasize that if there were no complications or inflammatory processes during the use of the spiral, removal is performed quickly and without consequences. Painful sensations usually do not occur during the removal of the coil.
Inserting an IUD is considered a more labor-intensive process compared to removing it. The duration of the procedure in most cases does not exceed several minutes.
It is known that the pain threshold differs from individual to individual. If the patient experiences a strong fear of manipulation, you can take any painkiller. If the pain threshold is quite low, local anesthesia (lidocaine in the form of a spray) can be used.
Possible complications
The IUD is a foreign body that sometimes causes complications. Removing the coil may have the following consequences:
- bleeding;
- acute and chronic endometritis;
- inflammation of the uterine appendages.
After removing the IUD, a woman may experience the following symptoms:
- cramps in the abdominal area;
- pain syndrome covering the pelvis;
- moderate bleeding.
Aching pain reminiscent of menstruation is not considered pathological and does not require consultation with a doctor. The appearance of discharge with an unpleasant odor, a rise in temperature, and deterioration in health are reasons to seek medical help.
Recovery after removal of the spiral
The procedure for removing an IUD is a simple procedure. In the absence of complications and surgical intervention, the patient should follow a number of rules:
- maintain sexual rest for several days;
- reduce the intensity of physical activity;
- adhere to recommendations related to intimate hygiene;
- exclude visiting the bathhouse, sauna, beach;
- stop using tampons and douches.
Wearing an IUD for a long time can lead to serious consequences. A woman must remove the contraceptive after its expiration date.
Attention! Since the coil can provoke the development of inflammatory processes and discomfort, you should not wait until it is removed if you have complaints.
After removal of the IUD, a change in the nature of the menstrual cycle is sometimes noted. The length of the recovery period varies and can be several months.
The length of the recovery period is influenced by the following factors:
- type of spiral (hormone-containing);
- woman's age;
- duration of contraceptive use;
- level of endometrial depletion;
- concomitant pathologies;
- psycho-emotional state.
Menstruation after removal of the IUD may be:
- abundant, which sometimes indicates inflammation;
- scanty due to inhibition of ovarian function.
Attention! The duration of the recovery period should not exceed 4 cycles.
How much does it cost to remove the IUD in gynecology?
The price may include an examination by a gynecologist, as well as preliminary diagnostics. In Russia, removing an IUD costs from 1,500 to 2,000 Russian rubles.
Conclusion
Removal of the spiral must be timely. The service life depends on the type of product, as well as the individual characteristics of the woman. If signs of a pathological condition appear, the IUD can be removed before the due date.