IUD - a small plastic device coated with copper, in the form of the letter T, used to protect against unwanted pregnancy. IUD must put a doctor.

Types of coils

Hormonal IUDs, which prevent pregnancy, a woman's body in throwing levonorgestrel, a synthetic form of the hormone progesterone. Hormonal IUDs slightly more effective copper. They effectively work for five years.

Copper spirals are the most common. This spiral can be placed at least 10 years. This is a very reliable means of contraception.

How does the IUD

Both types of IUDs prevent fertilization of the egg, damaging or killing sperm. They also affect the inner shell wall of the uterus - to egg implants after implantation.

Hormonal IUD spermatozoa damages and makes the cervical mucus thick and sticky, so that sperm can not penetrate into the uterus. It also does not give the endometrium to become thick enough that there could be a successful implantation of the embryo. Furthermore, hormones from such IUDs reduced menstrual bleeding and cramps.

Copper spiral makes the uterus and fallopian tubes to produce a liquid that kills sperm. This fluid contains white blood cells, copper ions, enzymes, and prostaglandins.

How to put a spiral

If you are not pregnant, the IUD can be placed at any time. This can be done by a doctor; The whole procedure takes only a few minutes. Sometimes the cervix previously injected local anesthetic, but it is not always required.

The easiest way to insert IUDs for women who in the past had a vaginal birth. To prevent infections, which can be entered during the procedure, women are sometimes given antibiotics.

Within 1-2 days after you put the spiral, you can watch the slack cramping in the lower abdomen, and easy bleeding.

After 4-6 weeks, you usually need to go to the survey, and to the doctor, and you have verified that the spiral is correct.

After each menstrual period is necessary to check whether the spiral in place. To do this, enter the vagina clean finger and palpate the cervix. If all goes well, you should feel the IUD thread. If you do not feel them, see your doctor. This does not necessarily mean that the spiral dropped - it is difficult to find the thread for different reasons. Sometimes, in order to ensure that the helix is ​​stationary, it is required ultrasound. Use other means of contraception or abstain from sex until they pass the examination.

Suitable for Spiral

You can use the IUD if:

• You have no active pelvic infection
• You have sex with one partner who has no other sexual partners and does not have any active infections.
• Are you looking for a reliable means of protection against pregnancy, the use of which does not require you to effort and after the rejection of the application that quickly restores fertility.
• You can not or do not want to take hormonal birth control pills Birth control pills - how effective are they?   or other hormonal contraceptives.
• You are breast-feeding.

The copper IUD can serve as a tool for emergency protection from pregnancy for several days after unprotected sex. This option is for you if you plan to use an intrauterine device in the future. As a one-time contraceptive copper coil will be more expensive than existing for that hormone pills.

Effectiveness

IUD is considered a highly effective means to prevent unwanted pregnancy:

• Of the 1,000 women using hormonal spiral during the first year of approximately 2 will become pregnant
• Of the 1,000 women using a copper spiral in the first year become pregnant about 6

Most pregnancies occur because women do not realize that the spiral dropped. IUD often drop out in the first months of use; women who are coil inserted soon after childbirth and those who never bear children.

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