Installing your own spiral
An option for those who choose a specific model is most often a hormonal intrauterine system, which, in addition to contraception, treats heavy menstruation, adenomyosis, endometrial hyperplasia and protects the endometrium during menopause replacement therapy. The doctor checks the packaging and expiration date, confirms by ultrasound the absence of contraindications (polyp, submucous fibroid, anomalies) and inserts the system with a special guide from the manufacturer. Hormonal systems are established for 5–8 years; During the first 3–6 months, spotting is possible - a normal period of adaptation.
Indications and types of spirals
- long-term reversible contraception in parous and nulliparous women (according to indications);
- copper-containing IUDs - 5–10 years, without hormones, can increase menstruation;
- hormonal IUDs (levonorgestrel) - 5–8 years, reduce bleeding, treat hyperplasia, adenomyosis, fibroids with bleeding;
- emergency contraception with a copper-containing IUD for 5 days;
- contraindications: pregnancy, acute inflammation, uterine abnormalities, unexplained bleeding, for copper - heavy menstruation.
How it works
The copper coil creates an environment in the uterine cavity that is harmful to sperm and prevents implantation; the hormonal hormone secretes levonorgestrel, which thickens cervical mucus and thins the endometrium, causing menstruation to become scanty or stop. The effectiveness of both types is 99%, the action begins immediately, fertility is restored in the first cycle after removal. The IUD does not protect against infections, so a healthy smear before insertion and a stable partner are important.
