How to twist a spiral. Extended coils (IUD twist from local anesthesia). How does contraceptive administration work?

Many women, especially those who already have children, choose intrauterine contraception (IUD) as their main method of contraception. This is an effective way to eliminate unnecessary vagusity with the ability to continue living without the need for hormonal changes.

The IUD is a T-like flexible device with a nylon thread attached to its stem. The spiral is inserted into the empty uterus for the final term (2-7 days). Due to the special design and power of the spiral material (copper, silver, instead of hormones), the embryo cannot be fixed in an empty uterus and develop there. The ends of the threads of the installed spiral will become loose. They are needed so that after the end of the service period, the spiral can be easily removed through the folding mechanism.

When is it necessary to remove the spiral?

The IUD must be removed before the end of the term. A “stitched” spiral can grow in the tissue of the uterus, lead to infection and inflammation of the reproductive organs, and result in infertility.

If a woman, after inserting an IUD, experiences continuous pain, intermenstrual bleeding or the presence of pus, a change in the flow of menstruation or a delay in menstruation, discomfort during the period of the statutory act and other pathologists Initial processes, of course, are not suitable for women with IUDs, and they need to be removed without waiting for the end of the process.

How is the internal uterine device removed?

There are instructions on the Internet on how to remove a spiral from women at home using a hand mirror and tweezers. However, gynecologists are absolutely contraindicated in converting wives every time without doing it on their own. Only a doctor, using sterile instruments and knowledge of anatomy and physiology, knows how to twist the spiral in women without causing harm.

During the period before the IUD is removed, doctors recommend initiating unprotected contacts, and even immediately after the IUD is removed, ovulation and pregnancy may occur. The process of removing the spiral will be easier if you perform the procedure on the 3-4th day of your period, if the vision is not so clear. The IUD is quicker and comes out softer from the empty uterus and uterus. However, if a woman is experiencing severe pain, it is not obligatory to wait for menstruation to remove the IUD.

Treatment procedure

Immediately before the removal of the spiral, the patient is examined with palpation of the cervix and uterine area. The doctor describes how to remove the IUD from women in order to prepare the patient before the procedure. The gynecologist knows the threads of the IUD, inserts the expander to stabilize the uterus and sprays the empty area with an antiseptic. Removal of the spiral does not require anesthesia, although, if necessary, the woman can be given a mild sedative.

The woman can take a deep, deep breath, at which point the gynecologist inserts the IUD threads with forceps and carefully removes the IUD from the uterus. The standard procedure is to trim a bunch of hvilins.

In the online store of gynecological products “Arabin 24”, women can buy an intrauterine device from the best manufacturers at an affordable price.

Obstetrician-gynecologist Graduated from the Altai State Medical University, residency in the specialty “Obstetrics and Gynecology”.

When tidying up the intrauterine device? As a rule, they are seen when the term of the vicoristic spiral ends, then after 5-7 years. However, sometimes it is necessary to work earlier. Women who use such methods of contraception must be vigilant about the health of their reproductive system. A woman’s body flows onto a third body, and so on. The presence of a spiral increases the risk of the appearance of ignition processes, in addition, obvious pathologies can provoke its exacerbation.

The main reasons for inserting an internal uterine device before the end of the term.

It is the responsibility of the doctor-gynecologist to remove the internal uterine device, but the fragments must be removed correctly, in order to determine the possible consequences of the implantation of the IUD, and also, if necessary, to bath.

However, the most common reasons for the appearance of a spiral are the following:

    It’s as if the spiral has moved to the middle of the uterus. It is important to pay attention to the stench, as the stench has become long or short. Then women need to remove the old spiral and install a new one. When the term of wearing the spiral ends. Many similar contraceptives are covered by the term 3 – 5 days of use in the mother, in addition they can be used for up to 10 days. If during this period the spiral is removed, serious inflammation processes may begin in the woman’s womb, as well as growth of the endometrium. Vaginism. So, there is evidence that women will begin to love this spiral. Moreover, it is necessary to remove the IUD both for normal vaginosis and for post-uterine vomiting. Situation If you tidy up the spiral more quickly, then the woman’s wife will become a mother. After the use of contraception, pregnancy may occur immediately. Doctors used to recommend that you stop trying to conceive every time, but today it is entirely less likely to be due to signs of complications such as inflammation of the endometrium. After the insertion of the IUD, the uterine fibroids began to enlarge. When the uterus and uterine appendages are inflamed. In such a situation, the removal of the IUD is accompanied by a course of antibiotics.

The process of removing the internal uterine device.

This procedure is absolutely painless, only if the woman is completely healthy. If it were not, it is the fault of the fakhivet, as splinters, if you twist the spiral independently, can seriously damage the uterine mucosa. The whole procedure is carried out in two stages:

    The woman must first undergo a forward examination. The doctor is responsible for assessing where the spiral is located and whether it can be removed safely. If the code is incorrect (for example, there are no sounds), You can take the Mirena spiral after hysteroscopy. Vidalnya spirals (often ceremonies for menstruation).

Methods of centerless removal of the internal uterine device.

    The IUD can be used during the period of menstruation, during the period of menstrual pain. For additional hysteroscopy under general anesthesia (if there are no IUD inserts or other defects). Through the wife the cherry is empty. A similar type of spiral appears in situations where it is impossible to complete the procedure beyond the cervical canal.

When choosing a spiral, a woman needs to remember what she will have to remove in the next hour. Pannochka, who is protected from conception by an IUD, is always responsible for the health of her organs, since there is a foreign body in her mother, and her body is bound to be unresponsive (for example, it may fail and aseptic ignition of the uterine inner surface).

Similar statistics.

Alternative names: removal of the IUD instrumentally, removal of the IUD for intestinal tract, surgical removal of the IUD with the help of hysteroscopy, English: Intrauterine Device Extraction, IUDremoval.


The internal uterine device is one of the methods of barrier contraception. The IUD prevents the penetration of sperm into the empty uterus, including the fermentation of the oocyte itself. The spiral is installed on the last term - in the middle there are three to five rocks.

After the end of the exposure period, the internal uterine device may be removed. This procedure may be carried out by a gynecologist in the gynecological office.

Indications before removal of the intrauterine device

The intrauterine device is removed for the following reasons:

  • the term of use of the spiral has been completed (the term is indicated in the instructions for use and the skin before inserting the IUD may be informed about the term for which it will be installed);
  • planning of female vaginity;
  • the onset of menopause (after the end of menstruation);
  • The woman's bamboo remove the spiral;
  • expulsion of the IUD - the tightening of the spiral, in which case it is possible to overcome the viscosity of the vasculature;
  • vagusness;
  • inflammation of the organs of the female reproductive system;
  • Other diseases of the female thyroid system - uterine fibroids with nodules that grow quickly.

The drive for removing the internal uterine device can be the following:

  • persistent pain in the lower abdomen;
  • persistent fever after insertion of an IUD;
  • pathological views from state paths;
  • dysfunctional uterine bleeding;
  • diagnosing cancer of the uterus and cervix.

Contraindicated

There is no contraindication until removal of the IUD, since the spiral itself contains a third-party implant, it may be removed very early.

Preparation

How does an extended internal uterine device work?


The IUD is removed by a gynecologist; it is recommended to remove the IUD at the hour of menstruation. In the simplest form, regardless of any complications, it is possible to pull the helix by the threads (“wushi”) that come out of the cervical canal. The procedure is practically painless, and it is rare for women to feel uncomfortable about something.

In complex cases, for example, when the spiral migrates into the empty uterus, removal is carried out instrumentally - with the help of a hysteroscope. The hysteroscope, which has an endoscopic device, is inserted into the empty uterus after anterior dilatation of the cervix. Using a hysteroscope, a visual spiral and, sealed with an extractor, are removed from the empty uterus.

It is rarely observed that the helix migrates into the general myometrium or migrates through the myometrium into the lumen. In this condition, the spiral can only be tightened within an hour of laparoscopic surgery.

Folding after removal of the internal uterine device

The complications after the removal of the internal uterine device are largely associated with troublesome conditions, and not with the removal procedure itself. The most common symptoms are mild inflammation of the uterus and appendages and infertility.

additional information

The intrauterine device is one of the most effective ways to prevent unnecessary vagutness. To prevent the IUD from becoming complicated, it is necessary to remove it promptly. Once the coil has been removed, re-installation is possible after a few months.

If pregnancy is planned, it is important to know that after the removal of the IUD, the reproductive function of a woman may not resume immediately: only about 30 women will be pregnant in the first month, in other cases the pregnancy will begin є 6-9 months after the spiral is formed.

After the installation of an internal uterine device, the woman must undergo regular examination by a gynecologist - at least once a day, as well as regular ultrasound monitoring of the position of the IUD.

Literature:

  1. INSTRUCTIONS (information for caregivers) for medical use of the MIRENA® intrauterine therapeutic system.
  2. Strizhakov A.M., Davidov A.I., Bilotserkovtseva L.D. Minimally invasive surgery in gynecology. - M: Medicine, 2001.

Removal of the intrauterine device

In its unfolded version, the remote internal uterine device falls into the category of gynecological outpatient supplies.

The shape of the intrauterine contraceptive, the elasticity of the material from which it is prepared, the presence of cervical threads have been thought out to make the procedure for removing the IUD from an empty uterus simple, practical and practically painless for the woman.

The removal of the internal uterine device may be performed by a gynecologist. You can remove the spiral at any time, but the simplest way is to remove it at the hour of your period. Below you can check the prices for the service, and also make an appointment with a gynecologist by choosing a clinic located in the most convenient area of ​​Moscow for you.

Removal of the internal uterine device after the end of the term

The main indications for removing the internal uterine device are the end of the term and the short term. As research has shown, simple “copper” spirals will provide protection against unnecessary moisture from 3 to 5 layers (along with the hidden area of ​​the copper braid). IUDs, which additionally replace the surface, which has a protective effect in the middle, can last for 5-7 years. Golden spirals can be found in the meaning of the day and can be in the mat for up to 9 days.

Why are you not to blame for your spiral’s meanings?

    The contraceptive effect of the IUD decreases due to the oxidation of the copper and metal braid, and therefore the risk of post-uterine vagusness increases.

    The risk of ignition processes is growing.

    The distressing pressure of an unbreakable spiral on the wall of the uterus can lead to it “growing” in it.

Pre-line spirals

The IUD may be screwed in advance. If your reproductive plans have changed, your pregnancy plans have changed, or you have decided to choose another method of contraception, contact a gynecologist at the “Family Doctor” clinic to remove the contraceptive.

When the intrauterine device is removed pre-line according to medical indications

  • Uterine bleeding and development of anemia (5-15% of cases))
With the use of an IUD, menstruation becomes more generous and less intense. The monthly loss of a significant amount of blood increases the risk of anemia.
  • Bil

If the internal uterine device is removed, pain may worsen during menstruation. If the pain is stronger and does not occur after taking analgesics, the doctor may recommend pre-line removal of an internal uterine device.

  • Inserted IUD (2-8% of cases)

Most often, displacement of the internal uterine device (the medical term is partial impulse) occurs in the first place when using a contraceptive. About the change in the position of the IUD, talk about the appearance of bloody visions that smear, from the state lines, tightening the threads of the spiral, introducing a foreign body into the soil. To determine the position of the spiral, the doctor will perform an ultrasound scan and, if the warning about impulse is confirmed, give a recommendation to remove the IUD. The spiral that has been displaced will not provide protection from vagutnost, so keeping it away from the vicor does not harm the sense.

  • Illness of the uterus and appendages

Inflammation of the uterus (endometritis) and appendages (adnexitis) and serious complications of internal uterine contraception are most often associated with infections that are transmitted by the vagina. If these illnesses develop, the doctor will first order emergency treatment without taking an IUD. If the effect lasts for three days, the use of an IUD and continuation of anti-inflammatory therapy are indicated. You can switch to intrauterine contraception only 3 months after completing the treatment course.

  • Vaginism due to IUD

In the third pregnancy, the cause of vaginess on the aphid is the displacement of the spiral from the empty uterus into the cervical canal, so that there is no connection with the embryo. The risk of pregnancy interruption when the IUD is removed is lower, and the risk of pregnancy loss is lower when the pregnancy develops due to the presence of an IUD in the mother. If vaginal pregnancy is caused by intrauterine contraception, the doctor may recommend using the IUD.

How the show is carried out

In addition to using intrauterine contraception, the removal of an internal uterine device is a simple and painless procedure. The most favorable days for it are the first days of menstruation, when the cervix is ​​open and the intrauterine contraceptive can easily pass through the cervical canal.

In this case, giving will not require pain relief. After exposing the cervix in the speculum, the doctor squeezes the ends of the cervical threads and, pulling them firmly, pulls the spiral from the uterus.

The insertion of an IUD at the middle or end of the menstrual cycle promotes anterior dilation of the cervical canal with the help of a special dilator. For pain relief, paracervical anesthesia is used - an anesthetic is injected into the tissue to irritate the cervix.

If you want to continue using intrauterine contraception, a “new” IUD can be inserted after the “old” one is removed. If you do not plan to further withdraw from the Navy, the award can be completed.

However, for example, when the cervical threads are cut or the IUD is inserted, the doctor cannot pull the IUD out of the uterus in the normal way. And here the contraceptive is administered under anesthesia with the help of a special pump and under visual control during hysteroscopy for the surgical hospital.

After removal of the internal uterine device

A simple IUD will not require additional postoperative treatment.

However, if not just removal, but replacement of the intrauterine contraceptive is being carried out, the doctor can recommend staying away from physical contacts for 10 days, as well as using ultrasound to monitor the position of the IUD in the mother.

The IUD or intrauterine device is a highly effective remedy against unnecessary vagusity. Such devices can reliably work during difficult or difficult times. And in that period, if the IUD still provides an anti-plastic effect, the woman can ask the doctor to remove the IUD if she wants to give birth to a child.

Let the coils be drawn from the uterus in two stages - if the stench no longer brings corysts, since there is no need for them.

If a woman doesn’t want to become a vagina, here’s the following:

  • do not have sex until just a week before you see the spiral;
  • vikoristovat other ways of controlling the population.

If, after the IUD has been removed, the woman wants to go to the next step, it is necessary to use contraceptive insurance methods, such as condoms, for seven days after the strengthening procedure. This period must be observed so that oral contraceptives begin to have an anti-plastic effect.

Teepee Navy

There are currently two main types of intrauterine devices. The first type is mist copper, the other is female state hormone.

Copper spiral is a plastic device with a copper coil wound on the stem and arms of the spiral. This constant application causes the uterus to trigger an ignition reaction, which causes a toxic effect on the sperm.

Plastic IUDs are hormonal devices that contain the hormone progestin. It thickens cervical mucus and protects the fertilized egg with sperm.

Progestin can also thicken the lining of the uterus, which prevents implantation of the fertilized egg into the uterine wall.

Other ways to control the population

Cream IUD, unnecessary vomiting can be overcome by other methods.

Mechanical and Barriers

Barriers to contraception mechanically prevent sperm from reaching eggs. The most popular barrier device today is human condoms, which also protect people from various common infections that are transmitted by air.

Barrier methods of contraception can be used in combination with spermicides, which are chemical ways to kill sperm.

The use of human condoms and contraceptive barriers should be as follows:

  • women's condoms;
  • anti-plastic sponges;
  • anti-plastic diaphragms;
  • cervical cups.

Hormonal contraceptives

Hormonal methods of contraception include synthetic hormones and progestin in a woman’s body.

Before such costs come the following:

  • vaginal rings;
  • Implants;
  • pills;
  • Injections;
  • plastic.

Sterilization

Sterilization is not an irreversible or an important form of protection due to unnecessary vomiting.

To implement this method in women, the surgeon cuts or repositions the fallopian tubes.

In cases of pregnancy, the surgeon destroys the passage of the channels through which sperm moves. This procedure is commonly called vasectomy in medical practice.

In some cases, doctors can restore fertility in people who have undergone sterilization, but they cannot guarantee that after this procedure, both men and women will return to conception.