An intrauterine device (IUD), also known as an intrauterine contraceptive device (IUCD or ICD) or coil, is a small, often T-shaped birth control device that is inserted into the uterus to prevent pregnancy. Copper coils are typically 10 years old, but some are 5 years old. If you currently have a Mirena (or Levosert or Benilexa) device inserted when you were 45 or older, then it will be removed by a doctor or nurse practitioner with specialist training.
A copper IUD is a small, flexible plastic device wrapped in copper wire, which is inserted into the uterus through the vagina by a trained healthcare provider. It has two thin threads on the end that hang through your cervix (entrance to the uterus) into the top of your vagina. A trained healthcare provider can usually have an IUD fitted at a GP surgery or sexual health clinic. The provider slowly and gently passes the uterine sound through the cervix to measure the depth and position of the uterus. They load the IUD into the inserter while both are still in the unopened sterile package.
The provider then inserts a speculum (the same instrument used for a smear test) into your vagina, and your healthcare professional will place the IUD inside your womb. The procedure involves holding the cervix and uterus steady with the tenaculum, gently inserting the IUD in its inserter through the cervical os into the uterus.
In summary, an IUD is a contraceptive device that can be safely inserted using the no-touch technique to prevent infection. It is important to keep items sterile or high-level disinfected during the procedure to ensure the safety and effectiveness of the procedure.
Article | Description | Site |
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Inserting the IUD | The provider slowly inserts the tenaculum through the speculum and closes the tenaculum just enough to gently hold the cervix and uterus steady. The provider … | fphandbook.org |
Steps for inserting intrauterine devices and specific job aids | Holding the cervix and uterus steady with the tenaculum, gently insert the IUD in its inserter through the cervical os into the uterus. See job aids: … | ippf.org |
What’s an IUD insertion like? | To put the IUD in, the nurse or doctor will put a speculum into your vagina and then use a special inserter to put the IUD in through the opening of your cervix … | plannedparenthood.org |
📹 The IUD (Health Workers) – Family Planning Series
The IUD is a small device that sits inside a woman’s uterus to prevent pregnancy. This video shows how to counsel a woman …
Is The Coil Painful To Insert?
Experiencing discomfort during IUD insertion varies from woman to woman. While some report minimal cramping, others feel more intense pain. Experts recommend scheduling the procedure during ovulation or menstruation when the cervix is naturally more open. Although many share stories of painful experiences, experts assert that having a coil fitted shouldn't be traumatic. Following BBC Radio's Naga Munchetty's account of her experience, many women voiced their own challenges with insertion.
Generally, while insertion may cause brief pain, it usually subsides quickly, often leaving users unaware of the coil thereafter. Some women advocate for better pain relief options. After insertion, side effects from an intrauterine system (IUS) vary, with most experiencing mild to moderate pain, as supported by studies. Women should be offered pain relief options, such as local anaesthetic or ibuprofen taken beforehand.
Though insertion is typically a quick process, individual experiences range from mild discomfort to stronger cramps. Factors like anxiety and certain conditions can influence pain perception. Ultimately, while discomfort is common, most find the process manageable and regain comfort shortly after the procedure.
Do You Still Get Periods On The Coil?
An IUS (intrauterine system) can result in shorter or lighter periods or completely stop menstruation. Initially, for 3 to 6 months post-fitting, users may experience longer, irregular, or more frequent periods, along with possible light bleeding between cycles. The effects on menstruation vary by IUD type; the hormonal IUS, like the Mirena, often leads to lighter periods, with around 20% of users eventually stopping menstruation altogether. The Mirena coil is effective in reducing menstrual pain, endometriosis, and adenomyosis symptoms.
Normal fertility typically resumes after removal. It's common to experience some hormonal changes, such as dark patches, in the initial months. In contrast, the Copper IUD generally does not alter the menstrual cycle but may cause longer and heavier periods. Light bleeding or spotting can occur after fitting, but for most users, cycles become significantly lighter over time. If periods stop for six weeks or more, it’s advised to consult a healthcare provider.
While hormonal IUDs decrease menstrual flow due to progestogen, the non-hormonal Copper IUD tends to maintain regular cycles, although users might endure more discomfort. Ultimately, experiences with IUDs may vary greatly, necessitating medical advice for specific concerns or persistent side effects.
Do IUDs Cause Weight Gain?
No evidence suggests that IUDs influence weight gain significantly. Research from the National Center for Biotechnology Information indicates hormonal birth control methods are unlikely to cause substantial weight gain. While some users of hormonal IUDs may report minor weight gain, this is often due to water retention rather than increased body fat. Copper IUDs, such as Paragard, do not cause weight gain as they are hormone-free and generally associated with fewer side effects.
Most IUD users do not experience weight gain; only about 5% of hormonal IUD users report it. Weight fluctuations may occur due to other factors like aging, lifestyle changes, or health conditions. While anecdotal evidence exists regarding weight gain linked to IUDs, scientific studies are inconclusive. For hormonal IUDs, any weight gain is usually attributed to hormonal effects, such as bloating. In contrast, non-hormonal IUDs like copper ones are considered neutral regarding weight changes, although they might result in heavier periods initially.
Therefore, hormonal contraceptives, including IUDs, are not typically associated with significant weight gain. Consultation with a healthcare provider is advised if weight gain concerns arise while using hormonal contraceptives.
What Age Does A Copper Coil Continue To Provide Contraception?
Copper IUDs, or coils, provide effective contraception for women, particularly those aged 40 and older, and can remain in place until menopause, or age 55. If inserted at or after age 40, a copper IUD can be used for 10 years or longer, effectively preventing pregnancy. After age 55, contraception is generally not required, even if periods continue. Copper IUDs are more than 99% effective in preventing pregnancy and can be utilized as emergency contraception as well.
Women who have a copper coil fitted can rely on it without the necessity of additional contraceptive methods prior to their appointments, as there must be no risk of pregnancy at that time. Regular check-ups are necessary, as the IUD must be removed by a healthcare provider after 10 to 12 years when it expires. Some hormonal IUDs can also remain effective until menopause if inserted at or after age 45. Overall, these devices offer comprehensive family planning options and STI management, making them suitable for women of various ages.
Does IUD Cause Weight Gain?
Hormonal IUDs typically do not lead to significant weight gain. Any unintentional weight increase may arise from factors such as aging, lifestyle changes, certain medications, or health conditions. IUDs, particularly the hormonal Mirena, can cause low levels of weight gain for some users, but scientific studies yield mixed results. Generally, if weight gain occurs, it is often due to water retention rather than an increase in body fat. In contrast, copper IUDs (like Paragard) are hormone-free and have not been shown to cause weight gain; they generally have fewer side effects, but can lead to heavier periods initially.
Concerns regarding potential weight gain from IUDs often deter people from considering them. Research indicates that the majority of IUD users maintain their weight, and hormonal IUDs are linked to weight changes in only about 5% of patients. While anecdotal evidence suggests some women experience weight variations, scientific studies do not support a definitive link between IUDs and weight gain. In summary, hormonal IUDs may affect some users, while non-hormonal options like copper IUDs are unlikely to contribute to weight fluctuations. Education on managing IUD side effects and understanding how these contraceptives function is crucial for potential users.
What Happens If A Contraceptive Coil Is Inserted While Breastfeeding?
Breastfeeding and the use of an intrauterine device (IUD) have important considerations. While some may experience pain during IUD insertion, many perforations go unnoticed initially. Surgery may be required for some complications. Although there is a low failure rate, it is generally safe to use an IUD while breastfeeding, as it does not typically affect milk production or harm the baby. Intrauterine devices are effective contraceptive options post-birth, suitable to start after four weeks postpartum.
Various types of IUDs are available, with insertion possibly occurring while still hospitalized after delivery. Alternatively, mothers may wait for a 6-week check-up. During this wait, other methods, like condoms, should be used. Research highlights that the risk of uterine perforation is higher among breastfeeding mothers compared to non-breastfeeding ones, while adverse event rates are similar or lower for breastfeeding mothers. Copper IUDs, which do not release hormones, are particularly recommended since they do not affect milk supply.
Breastfeeding can be an effective temporary contraceptive method during the first six months if no menstruation occurs. Additionally, hormonal contraceptives, such as the mini-pill, can be taken safely without impacting milk production. Overall, women have various safe birth control options while breastfeeding, with minimal risks tied to IUD usage.
How Is A Cervix Coil Inserted?
The insertion of a hormonal intrauterine device (IUD) involves a straightforward process performed by a trained healthcare professional. First, a speculum is inserted into the vagina to facilitate access to the cervix. The provider then uses a special inserter to place the IUD into the uterus through the cervical opening, which typically takes less than five minutes. Patients may be advised to take non-steroidal anti-inflammatory medication, such as ibuprofen, one hour before the procedure to manage any potential discomfort.
IUD insertion can occur at any point in the menstrual cycle as long as the woman is not pregnant. Prior to insertion, a bimanual examination and sounding of the uterus may be conducted to ensure proper placement. The Mirena coil, a popular IUD, releases the hormone levonorgestrel, thickening cervical mucus and thinning the endometrium to prevent implantation.
After insertion, the IUD will have strings that extend through the cervix into the vagina, allowing for easy removal when necessary. The end of these strings will be trimmed to about 1 to 2 inches in length. Proper post-insertion care and attention to bodily signals are recommended to ensure a smooth experience, as mild discomfort is considered normal.
How Do I Get A Copper IUD?
To obtain a copper IUD, you must consult a specially trained healthcare provider, such as those at Family Planning clinics, typically requiring two visits. During the first visit, you will discuss your general and reproductive health, undergo a vaginal/pelvic examination, and possibly a Pap test. The copper IUD, known as ParaGard, is a non-hormonal birth control method that remains effective for up to 10 years. It consists of a T-shaped plastic frame wrapped in copper, which induces an inflammatory reaction in the uterus that prevents pregnancy.
The cost of an IUD varies widely, from $0 to $1, 300, but many health insurance plans and Medicaid cover it fully or partially. The IUD must be inserted by a healthcare provider, and you can inquire about this at gynecologists, family planning clinics, or local Planned Parenthood centers. ParaGard is currently the only copper IUD available in the U. S., and it can also serve as emergency contraception for up to five days following unprotected intercourse.
Despite some differences from hormonal IUDs, the copper IUD is over 99% effective and suitable for most individuals. Before getting an IUD, it’s essential to discuss your medical history with your healthcare provider to ensure it’s the right choice for you.
When Is The Best Time To Insert A Coil?
IUDs (Intrauterine Devices), also known as coils, can increase complication risks during pregnancy, such as spontaneous and septic abortions; hence, many providers recommend inserting them within the first 5-7 days of the menstrual cycle to ensure the patient isn't newly pregnant. There is a 1 in 20 chance of coil expulsion after fitting, and the device may also displace over time. While current guidelines state that IUDs can be inserted anytime during the cycle, the ideal time is within the first seven days, as the insertion may be easier and poses the lowest risk of pregnancy.
A healthcare professional, such as a trained doctor or nurse, typically performs the insertion in about 15-20 minutes. The IUD works by releasing copper to prevent pregnancy, remaining effective for 5 to 10 years, depending on the type. If a hormonal coil is inserted later than seven days into the cycle, additional contraception is necessary for the first week. Insertion timing considerations include during menstruation, after childbirth (usually about four weeks), and after surgical abortion, with copper IUDs also usable as emergency contraception within five days post unprotected intercourse. Many clinicians prefer insertion while the cervix is dilated, making the process less painful for women.
What To Do Before Getting A Coil Inserted?
Preparing for your coil fitting involves several key steps to ensure a smoother experience. Firstly, discuss pain relief options with your clinician; paracetamol or ibuprofen are often recommended about an hour before the appointment. Ensure you're well-fed and hydrated prior to arrival, as this can significantly influence how you feel during the procedure. Rest and self-care post-appointment are also important.
Coils can typically be inserted, removed, or changed at any point in your cycle, even during your period. It’s advisable to have a light meal, as arriving on an empty stomach may lead to dizziness. A pregnancy test is usually conducted before fitting to confirm you're not pregnant, especially if you're having an existing coil replaced.
During your appointment, the provider will explain the procedure, allow time for questions, and require you to sign a consent form. An internal examination will assess the size and position of your womb, ensuring correct coil placement. Different pain relief options can be discussed, including local anesthetics.
To prepare: avoid unprotected sex for seven days leading up to the fitting; this minimizes the risk of pregnancy. If you're feeling overly anxious or have inquiries about the fitting process, advocate for yourself to your clinician regarding pain management. Following these steps can help alleviate discomfort and ensure a more favorable coil fitting experience.
Does An IUD Stop Your Period?
Hormonal IUDs can lead to irregular bleeding for several months post-insertion. Some women may stop having periods entirely, depending on the type of IUD, while many experience lighter or less frequent menstruation. Copper IUDs, however, may increase menstrual bleeding and cramping. After a hormonal IUD insertion, notably Mirena, approximately 20% of users see their periods vanish within a year of usage. Moreover, Mirena aids in reducing menstrual pain and discomfort associated with uterine lining growth, usually resulting in the cessation of periods after six months.
While IUDs don’t outright stop periods, they can alter bleeding amounts and patterns—hormonal IUDs commonly result in lighter, shorter, or even absent periods, contrasting with copper IUDs that might lead to heavier, longer menstruation. Standard-dose hormonal IUDs are more likely to halt periods than lower-dose types. Variations in individual reactions to IUDs are expected; while some might stop menstruating, others will have diminished menstrual flow.
It's essential to note that experiencing no periods often indicates effective IUD operation, although concerns about potential pregnancy should prompt consultation with a healthcare provider. Irregular bleeding or spotting may persist for up to six months, requiring follow-up if it extends beyond this timeframe. Overall, many women experience substantial improvements in menstrual symptoms with hormonal IUDs.
What Happens At A Family Planning Clinic?
Family planning clinics, such as those provided by the Western UP Health Department and other community health centers, cater to individuals of all ages and income levels, offering confidential services focused on reproductive health. Typically, two visits are required for procedures like IUD insertion. The initial visit involves a discussion about general and reproductive health, a pelvic examination, Pap test, and potentially testing for infections. The second visit is often for the procedure itself.
These clinics emphasize education on various contraceptive methods, reproductive health, and family planning, helping clients control the timing and spacing of pregnancies. Services may include testing and treatment for sexually transmitted infections, and they also offer prenatal care, advising on pre-pregnancy lifestyle choices like diet and exercise. Importantly, many clinics provide low-cost or free services, including for those without health insurance.
Family planning encompasses strategies for both achieving and preventing pregnancy, as well as guidance on healthy pregnancies. Patients can consult with healthcare providers about contraception, emergency contraceptives, and pregnancy options. Clinics often have resources like condoms available without a prescription. Overall, documentation and education are key components, empowering individuals to take control of their reproductive health and family planning needs.
📹 IUD Insertion & IUD Removal (Copper Paragard, Mirena) (Part 2)
IUD Insertion & IUD Removal (Copper Paragard, Mirena) (Part 2). Intrauterine devices, or IUDs, are extremely effective, …
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