If there is no menstruation after removing the mirena. Mirena intrauterine device: instruction

The most popular intrauterine hormonal contraceptive is the Mirena coil (Navy). Intrauterine contraceptives (IUDs) have been used since the middle of the last century. They quickly fell in love with women due to many positive qualities: the absence of a systemic effect on the female body, high performance, ease of use.
The spiral does not affect the quality of sexual contact, it is installed for a long period, practically does not require control. But the IUD has a very significant disadvantage: many patients develop a tendency to metrorrhagia, as a result of which they have to give up this type of contraception.

In the 60s, intrauterine systems containing copper were created. Their contraceptive effect was even higher, but the problem of bleeding from the uterus was not solved. And as a result, in the 70s, the 3rd generation of the VMC was developed. These medical systems combine best qualities oral contraceptives and IUDs.

Description of the intrauterine device Mirena

Mirena has a T-shape, which helps to securely fix in the uterus. One of the edges is equipped with a loop of threads designed to remove the system. In the center of the spiral is a whitish hormone. It slowly enters the uterus through a special membrane.

The hormonal component of the helix is levonorgestrel (gestagen). One system contains 52 mg of this substance. An additional component is a polydimethylsiloxane elastomer. The Mirena IUD is inside the tube. The spiral has an individual vacuum plastic-paper packaging. You need to store it in a dark place, at a temperature of 15-30 C. The shelf life from the date of manufacture is 3 years.

The effect of Mirena on the body

The Mirena contraceptive system begins to “release” levonorgestrel into the uterus immediately after installation. The hormone enters the cavity at a rate of 20 mcg / day, after 5 years this figure drops to 10 mcg per day. The spiral has a local effect, almost all of levonorgestrel is concentrated in the endometrium. And already in the muscular layer of the uterus, the concentration is no more than 1%. In the blood, the hormone is contained in microdoses.

After the introduction of the spiral, the active ingredient enters the bloodstream in about an hour. There, its highest concentration is reached after 2 weeks. This indicator can vary significantly depending on the body weight of a woman. With a weight of up to 54 kg, the content of levonorgestrel in the blood is approximately 1.5 times higher. The active substance is almost completely cleaved in the liver, and evacuated by the intestines and kidneys.

How Mirena works

The contraceptive effect of the drug Mirena does not depend on a weak local reaction to a foreign body, but is mainly associated with the effect of levonorgestrel. The introduction of a fertilized egg is not carried out by silencing the activity of the uterine epithelium. At the same time, the natural growth of the endometrium is suspended and the functioning of its glands decreases.

Also, the Mirena spiral makes it difficult for sperm to move in the uterus and its tubes. The contraceptive effect of the drug increases the high viscosity of the cervical mucus and the thickening of the mucous layer of the cervical canal, which complicates the penetration of spermatozoa into the uterine cavity.

After setting up the system, a restructuring of the endometrium is noted for several months, manifested by irregular spotting. But after a short time, the proliferation of the uterine mucosa provokes a significant decrease in the duration and volume of menstrual bleeding, up to their complete cessation.

Indications for use

The IUD is installed primarily to prevent unwanted pregnancy. In addition, the system is used for very heavy menstrual bleeding for an unknown reason. The probability of malignant neoplasms of the female reproductive system is preliminarily excluded. As a local progestogen, the intrauterine device is used to prevent endometrial hyperplasia, for example, in severe menopause or after bilateral oophorectomy.

Mirena is sometimes used in the treatment of menorrhagia, if there are no hyperplastic processes in the uterine mucosa or extragenital pathologies with severe hypocoagulation (thrombocytopenia, von Willebrand disease).

Contraindications for use

The Mirena spiral belongs to internal contraceptives, therefore, it cannot be used for inflammatory diseases of the genital organs:

endometritis after childbirth;
inflammation in the pelvis and cervix;
septic abortion performed 3 months before the system was installed;
infection localized in the lower part of the genitourinary system.

The development of acute inflammatory pathology of the pelvic organs, which is practically not amenable to therapy, is an indication for the removal of the coil. Therefore, internal contraceptives are not installed with a predisposition to infectious diseases (constant change of sexual partners, a strong decrease in immunity, AIDS, etc.). To protect against unwanted pregnancy, Mirena is not suitable for cancer, dysplasia, fibroids of the body and cervix, changes in their anatomical structure.

Since levonorgestrel is cleaved in the liver, the spiral is not installed in a malignant neoplasm of this organ, as well as in cirrhosis and acute hepatitis.

Although the systemic effect of levonorgestrel on the body is negligible, this progestogen is still contraindicated in all progestogen-dependent cancers, such as breast cancer and other conditions. Also, this hormone is contraindicated in stroke, migraine, severe forms of diabetes, thrombophlebitis, heart attack, arterial hypertension. These diseases are a relative contraindication. In such a situation, the question of using Mirena is decided by the doctor after laboratory diagnostics. The spiral can not be installed if pregnancy is suspected and hypersensitivity to the components of the drug.

Side effects

Common side effects

There are several side effects Mirenas, which are found in almost every tenth woman who has installed a spiral. These include:

disruption of the central nervous system: irascibility, headache, nervousness, bad mood, decreased sexual desire;
weight gain and acne;
gastrointestinal dysfunction: nausea, abdominal pain, vomiting;
vulvovaginitis, pelvic pain, spotting;
tension and soreness of the chest;
back pain, as in osteochondrosis.

All of the above signs are most pronounced in the first months of using Mirena. Then their intensity decreases, and, as a rule, unpleasant symptoms pass without a trace.

Rare side effects

Such side effects are noted in one patient out of a thousand. They are also usually expressed only in the first months after the installation of the IUD. If the intensity of manifestations does not decrease with time, the necessary diagnostics are prescribed. Rare complications include bloating, mood swings, itchy skin, swelling, hirsutism, eczema, baldness, and rashes.

Allergic reactions are very rare side effects. With their development, it is necessary to exclude another source of urticaria, rash, etc.

Instructions for use

Installation of the Mirena coil

The intrauterine system is packed in a sterile vacuum bag, which is opened before insertion of the coil. A previously opened system must be disposed of.

Only a qualified person can install the Mirena contraceptive. Before this, the doctor must conduct an examination and prescribe the necessary examination:

gynecological and breast examination;
analysis of a smear from the cervix;
mammography;
colposcopy and pelvic examination.

You need to make sure that there is no pregnancy, malignant neoplasms and STIs. If inflammatory diseases are detected, they are treated before Mirena is placed. You should also determine the size, location and shape of the uterus. The correct position of the helix provides a contraceptive effect and protects against system expulsion.

For women of childbearing age, IUDs are inserted in the first days of menstruation. In the absence of contraindications, the system can be installed immediately after the abortion. With normal contraction of the uterus after childbirth, Mirena can be used after 6 weeks. You can replace the coil on any day, regardless of the cycle. To prevent excessive growth of the endometrium, the intrauterine system should be inserted at the end menstrual cycle.

Precautionary measures

After installing the IUD, you need to see a gynecologist after 9-12 weeks. Then you can visit the doctor once a year, with the appearance of complaints more often. So far, clinical data proving a predisposition to develop varicose veins and thrombosis of the veins of the legs when using the spiral, are absent. But when signs of these diseases appear, you need to consult a doctor.

The action of levonorgestrel negatively affects glucose tolerance, as a result of which patients with diabetes you need to systematically monitor the level of glucose in the blood. With the threat of septic endocarditis in women with valvular heart disease, the introduction and removal of the system should be performed with the use of antibacterial agents.

Possible side effects of Mirena

Ectopic pregnancy - develops extremely rarely and requires emergency surgical intervention. This complication can be suspected if symptoms of pregnancy occur (long delay in menstruation, dizziness, nausea, etc.) together with severe pain in the lower abdomen and signs of internal bleeding (severe weakness, pale skin, tachycardia). There is a higher probability of “earning” such a complication after suffering severe inflammatory or infectious pathologies of the pelvis or a history of ectopic pregnancy.
Penetration (growing into the wall) and perforation (perforation) of the uterus usually develop with the introduction of a spiral. These complications may be accompanied by lactation, recent childbirth, unnatural location of the uterus.
Expulsion of the system from the uterus occurs quite often. For her early detection Patients are advised to check the presence of threads in the vagina after every menstruation. Simply, as a rule, it is during menstruation that the probability of the IUD falling out is high. This process goes unnoticed by the woman. Accordingly, when Mirena is expelled, the contraceptive action ends. In order to avoid misunderstandings, it is recommended to inspect used tampons and pads for loss. Bleeding and pain can be a manifestation of the beginning of the spiral loss in the middle of the cycle. If an incomplete expulsion of an intrauterine hormonal agent has occurred, then the doctor must remove it and install a new one.
Inflammatory and infectious diseases of the pelvic organs usually develop in the first month of using the Mirena system. The risk of complications increases with frequent changes in sexual partners. The indication for the removal of the spiral in this case is a recurrent or severe pathology and the absence of a result from the treatment.
Amenorrhea develops in many women against the background of the use of the IUD. The complication does not occur immediately, but somewhere in 6 months after the installation of Mirena. When menstruation stops, pregnancy must first be ruled out. After removing the spiral, the menstrual cycle is restored.
Approximately 12% of patients develop functional ovarian cysts. Most often, they do not manifest themselves in any way, and only occasionally can there be pain during sex and a feeling of heaviness in the lower abdomen. Enlarged follicles usually return to normal after 2-3 months on their own.

IUD removal

The coil must be removed 5 years after installation. If further the patient does not plan pregnancy, then the manipulation is carried out at the beginning of menstruation. By removing the system in the middle of the cycle, there is a possibility of conception. If desired, you can immediately change one intrauterine contraceptive with a new one. The day of the cycle does not matter. After removing the product, the system must be carefully examined, since if Mirena is difficult to remove, the substance may slip into the uterine cavity. Both insertion and removal of the system may be accompanied by bleeding and pain. Sometimes there is a fainting state or a seizure in patients with epilepsy.

Pregnancy and Mirena

The spiral has a strong contraceptive effect, but not 100%. If pregnancy does develop, then first of all it is necessary to exclude its ectopic form. At normal pregnancy the coil is carefully removed or a medical abortion is performed. Not in all cases, it turns out to remove the Mirena system from the uterus, then the likelihood of premature increases. It is also necessary to take into account the likely adverse effects of the hormone on the formation of the fetus.

Application for lactation

Levonorgestrel IUD in a small dosage enters the bloodstream and can be excreted in milk when breastfeeding a baby. The content of the hormone is about 0.1%. Doctors say that at such a concentration it is impossible that such a dose can affect the general condition of the crumbs.

Frequently asked Questions

The price of Mirena is quite high, and the use of a contraceptive can provoke a lot side effects. Does any positive influence remedy for the female body?

Mirena is often used to restore the state of the endometrium after bilateral removal of the ovaries or with pathological menopause. Also intrauterine device:

increases the level of hemoglobin;
performs the prevention of cancer and endometrial hyperplasia;
reduces the duration and volume of idiopathic bleeding;
restores iron metabolism in the body;
reduces pain in algomenorrhea;
carries out the prevention of fibromyoma and endometriosis of the uterus;
has a general strengthening effect.

Is Mirena used to treat fibroids?

The spiral stops the growth of the myomatous node. But additional diagnostics and consultation with a gynecologist are needed. It is necessary to take into account the volume and localization of the nodes, for example, with submucosal fibroid formations that change the shape of the uterus, the installation of the Mirena system is contraindicated.

Is the Mirena intrauterine drug used for endometriosis?

The coil is used to prevent endometriosis because it stops the growth of the endometrium. Recently, the results of studies proving the effectiveness of the treatment of the disease have been presented. But the system provides only a temporary effect and each case must be considered separately.

Six months after the introduction of Mirena, I developed amenorrhea. Is that how it should be? Will I be able to get pregnant in the future?

The absence of menstruation is a natural reaction to the influence of the hormone. It gradually develops in every 5 patients. Take a pregnancy test just in case. If it is negative, then you should not worry, after the removal of the system, menstruation resumes, and you can plan a pregnancy.

After installing the Mirena contraceptive, can there be discharge, pain or uterine bleeding?

Usually these symptoms appear in a mild form, immediately after the introduction of Mirena. Severe bleeding and pain are often indications for coil removal. The cause may be an ectopic pregnancy, improper installation of the system, or expulsion. Urgently address to the gynecologist.

Can Mirena coil affect weight?

Weight gain is one of the side effects of the drug. But you need to consider that it occurs in 1 out of 10 women and, as a rule, this effect is short-lived, after a few months it disappears. It all depends on the individual characteristics of the organism.

I protected myself from unwanted pregnancy with hormonal pills but often forgot to drink them. How can I change the drug to the Mirena coil?

Irregular oral hormone intake cannot fully protect against pregnancy, so it is better to switch to intrauterine contraception. Before that, you need to consult a doctor and pass necessary tests. It is better to install the system on the 4th-6th day of the menstrual cycle.

When can I get pregnant after taking Mirena?

According to statistics, 80% of women become pregnant, unless of course they want it, in the very first year after the extraction of the spiral. Due to hormonal action, it even slightly increases the level of fertility (fertility).

Where can I buy the Mirena coil? And what is its price?

The IUD is released only by prescription and is sold in a pharmacy. Its price is determined by the manufacturer, and varies from 9 to 13 thousand rubles.

Today, many women prefer the IUD method of contraception because it is the safest and most effective protection from unwanted pregnancy. Removal of the intrauterine device should be done only by a specialist, in no case should you try to get rid of the IUD on your own.

Intrauterine device- it is convenient, reliable, affordable. There are hormonal intrauterine devices, they help reduce the possibility of developing ectopic pregnancy, inflammatory processes, profusion of discharge during menstruation. A huge advantage of using an intrauterine device is the fact that this device does not cause discomfort for both the woman and the sexual partner.

Despite all the advantages, there are also disadvantages. For example, the appearance of side effects, the use of a spiral is not able to protect a woman from sexually transmitted diseases, the presence of contraindications.

Removal of the intrauterine device

Due attention must be paid to the extraction of the intrauterine device, which, as already mentioned, can only be performed by a gynecologist, but at any time - at the request of the woman. some women report pain in the abdomen of a dull aching nature, scanty bleeding or "daub" may appear. These phenomena do not require special treatment, they disappear on their own a few days after the removal of the spiral.

When do periods come after the removal of the spiral?

This question is of interest to many women, since the establishment of such a complex process as the menstrual cycle is a guarantee women's health. As a rule, the first menstruation after the removal of the spiral comes according to the cycle or with a slight delay. When applied, menstruation after its removal may be somewhat delayed.

Often, after the removal of the intrauterine device, women complain of a menstrual cycle disorder, which may be accompanied by an irregular cycle, an increase or, conversely, a decrease in the abundance of secretions, and a decrease in the duration of menstruation.

If menstruation is delayed for a long time after the removal of the spiral, get a pregnancy test, visit a gynecologist with complaints, since it is very important to exclude pregnancy, or to confirm it.

Intrauterine devices are among the most common contraceptives. This is due to their high reliability and safety. In addition, women like the fact that the use of a spiral requires only its installation and removal, and the rest of the time you can forget about contraception. This is much more convenient than, for example, taking birth control pills every day.

Intrauterine devices are metal-containing (most often coated with copper) and hormonal (Mirena). The use of spirals raises many questions. Often, women are interested in what are the periods after the spiral, as well as after its removal. Let's consider these questions.

Menstruation after the installation of the spiral

The nature of menstruation depends on the type of spiral installed. Monthly after the installation of metal-containing spirals may change as follows:

Menstruation becomes longer and more abundant than before the use of the IUD. Often, women note an increase in the intensity of pain.
Spotting bloody vaginal discharge appears before and after menstruation or between them.

As a rule, such phenomena are observed in the first 3-6 months after the installation of the spiral, then the woman's menstrual cycle returns to normal. However, sometimes the irregularity of menstruation and too much pain during menstruation causes the coil to be removed ahead of time.

Change in the nature of menstruation after installation hormonal spiral, as a rule, differs from the changes after the installation of a non-hormonal IUD. Usually, a woman has a significantly reduced duration of menstruation, and bloody issues become less abundant. Many note frequent delays after the spiral, and in 20% of women, menstruation disappears altogether. This is due to the suppression of the development of the mucous tissue of the uterus with small doses of hormones. Restoration of menstruation is observed only after the removal of the IUD. Some women are afraid of such a cessation of menstruation. And absolutely in vain. This process is absolutely safe, on the contrary, it leads to a qualitative improvement in a woman's life. In particular, the Mirena hormonal intrauterine device is often used to treat heavy uterine bleeding.

At first, it is worth noting that only a gynecologist should remove any spiral. After removal of the IUD, some women experience scanty or spotting discharge, dull aching pain in the lower abdomen. As a rule, such phenomena disappear after a few days and do not require special therapy.

Usually, the first menstruation after the removal of the spiral appears according to the cycle or with a slight delay. The exception is the removal of the hormonal coil. In this case, the menstrual cycle may return to normal within 3-6 months after its removal.

It is worth noting that often the removal of the IUD leads to a violation of the menstrual cycle. This is manifested by its irregularity, a decrease or increase in the abundance of secretions, as well as a reduction in the duration of menstruation.

If the delay after the spiral is observed for a long time, pregnancy should be excluded or confirmed. You can use a pharmacy pregnancy test, but it is better, of course, to contact a gynecologist.

If a woman has questions after setting or removing a spiral, it would be best to consult a specialist. Do not self-medicate, or rely on the advice of friends. Only a doctor can determine whether the ongoing changes in the menstrual cycle are the norm or a pathology.

One of the important indicators of women's health is a regular menstrual cycle. Therefore, many women who use modern methods contraception, including the IUD, the question is: what are menstruation after a spiral?

Modern medicine offers women a variety of methods of contraception to protect against unwanted pregnancies. The most popular method is the intrauterine device - IUD, which is reliable, affordable and convenient way. But sometimes an IUD can cause menstrual irregularities in a woman after it has been removed. Experts identify several such disorders: lack of menstruation, delay or heavy menstrual flow.

Absence of menstruation after the removal of the spiral

To avoid side effects, only a doctor should remove the intrauterine system. According to statistics, most women turn to the gynecologist with the problem: "I removed the spiral, no menstruation." However, practice shows that the absence of menstruation depends on the period of use of the IUD and its type, as well as on the thinning of the mucous epithelium of the uterus. The longer the drug is in the body of the uterus, the more time is required to restore the endometrial mucosa.

Often, young women, noticing that there are no periods after the removal of the spiral, worry about the high probability of pregnancy. However, these suspicions turn out to be unfounded. The reason for the delay (up to 6 months) can be a hormonal disorder, as well as ovarian dysfunction. These features occur when other causes (pelvic inflammatory disease, genital tract infections, or pregnancy) are excluded. To do this, you should visit a gynecologist.

Late periods after coil removal

Another feature observed in patients who have removed an intrauterine contraceptive is the delay in menstruation. This feature appears in women who used the latest generation of Mirena. Most often, the delay after the removal of the spiral is associated with the suppression of the development of the endometrium, as well as with the inhibition of ovarian function. After all, a small dose of the hormone is injected daily with a contraceptive into the uterine cavity. As a rule, after the removal of the drug, all functions are restored.

Gynecologists around the world agree that the delay in menstruation after the removal of the spiral is quite normal. This is also due to a decrease in the reproductive function of the female body due to the action of the contraceptive. After its extraction, the childbearing function gradually returns to normal, and, consequently, the menstrual cycle is normalized.

Abundant periods after the removal of the spiral - menorrhagia

The way menstruation goes after the spiral is an indicator of the effect of the IUD on the body. After all, choosing the wrong size entails the occurrence of a variety of side effects: inflammatory processes, infectious diseases, thinning of the uterine mucosa, ectopic pregnancy.

Very often, after the installation of the spiral, women experience heavy periods. They can appear due to the above factors, and also become a consequence of hormonal imbalance that occurs with prolonged use of the contraceptive. Abundant menstruation causes large blood loss, which reduces hemoglobin and worsens the well-being of women, since anemia may develop, general weakness, dizziness.

Menstruation after the removal of the spiral in each woman appears at different times. This is due to the characteristics of the organism and the factors described above.

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Reviews and comments

Victoria- 19 Mar 2019, 23:35

Hello. On January 16, 2019, the spiral was removed, on February 6, 2019 I had my period. It is already March 19, but there are no periods, the tests are negative. This is fine???

margarita- 17 Mar 2019, 09:17

Hello, I have removed the spiral and still have not stopped menstruation for 10 days! To me have appointed or nominated hormonal - novinet. I was given a small knot of fibroids. They said in three months you will do an ultrasound and see if it was clear because of the spiral or not. Can you please tell me why my period doesn't stop?

What is the Navy?

An intrauterine device (IUD) is a small plastic device inserted into the uterus to prevent pregnancy. Modern models are made of plastic and contain a metal or drug (copper, silver, gold, or progestin).

What types of intrauterine devices exist?

Modern intrauterine devices are small plastic or plastic-metal devices. Their dimensions reach approximately 3x4 cm. Usually, copper, silver or gold is used to make spirals.

The appearance of most spirals resembles the shape of the letter "T". The T-shaped form of spirals is the most physiological, as it corresponds to the shape of the uterine cavity.

1-27 - variants of spiral shapes. One thing in common is that they all play the role of a “foreign body”.

28 - Lipps loop. Spirals of just this form were common in the USSR. They were produced in three sizes. It was very inconvenient to insert them, since the disposable conductor, which is now attached to each spiral and is made of a transparent polymer, was absent, a metal conductor was used, with which it was difficult to control the insertion process. Therefore, complications such as perforation (perforation) of the uterus occurred more often than at present.

29-32 - T-shaped spirals or "teshki" - modern modifications of metal-containing spirals. 33 - also "teshka". An extremely convenient insertion and removal option. Due to the fact that the "shoulders" are drawn into the conductor, the manipulation is almost painless.

34-36 - multiloads or umbrella spirals. They perform their function perfectly, however, when they are inserted and removed, the cervical canal is often injured. There are also cases of defragmentation (when the "shoulders" come off the rod).

What are the best spirals?

There is no perfect spiral that would suit everyone without exception. This issue is decided by the gynecologist individually for each woman.

How does the Navy work?

The action of the IUD consists of several factors:

thickening of cervical mucus (i.e. cervical mucus), which makes it difficult for sperm to enter the uterine cavity;
a change in the properties of the endometrium (mucous cavity of the uterus), which makes it unsuitable for the introduction () of the egg;
due to the effect of a foreign body, the peristalsis of the fallopian tubes increases, which accelerates the passage of the egg through them, during which time it does not have time to reach the degree of maturity necessary for implantation.

How to use the Navy?

During a short, simple procedure, the doctor inserts an IUD into the uterine cavity.

If you want to make sure that the IUD is in the uterus, you can insert your fingers into the vagina and feel for the plastic threads attached to the IUD.

If pregnancy is desired, you can ask your doctor to remove the IUD. Your ability to conceive will be restored immediately.

What are the advantages of this method of contraception?

High efficiency, comparable to the effectiveness of hormonal contraceptives. To some extent, IUDs are more reliable than hormonal pills, since there is no danger of missing pills. When using a spiral on the part of a woman, absolutely no action is required to maintain contraceptive effect and, therefore, any possibility of error or accident is excluded.
Provides protection from pregnancy for a long time (from 5 to 7 years, depending on the type of IUD).
Application is not associated with sexual intercourse.
Compared to all other methods of contraception, the intrauterine device is the cheapest contraceptive method. Despite the fact that the cost of one spiral is many times higher than the cost of one package birth control pills or one regular pack of condoms, recalculating its cost for 5 years (the usual period of wearing one spiral) shows its undeniable superiority in economic terms.
Unlike birth control pills, metal or plastic coils that do not contain hormones have absolutely no general "hormonal" effect on the body, which (in some cases justifiably) many women fear. For this reason, IUDs, which do not contain hormones, are recommended as the primary contraceptive for women over 35 years of age, with active smoking or other conditions that make it impossible to use birth control pills, but require a very high level of protection against unwanted pregnancy.
The spiral is not felt at all during intercourse and does not interfere with partners.

What are the disadvantages of the method?

Unlike, for example, a condom, the IUD does not protect against sexually transmitted diseases.
Insertion and removal of the IUD is performed only by a doctor.
After the installation of the IUD, side effects are possible.

What can be side effects?

The installation of an intrauterine device can lead to some complications, however, not all women who wear the device develop complications. Modern research show that more than 95% of women who wear the IUD find them to be very good and convenient methods of contraception and are satisfied with their choice.

During or immediately after installation (for all types of coils):

Perforation of the uterus (extremely rare);
Development of endometritis (very rare).

During the entire period of use of the spiral (for metal-containing or plastic spirals without hormones):

Your periods may become more heavy and painful.
There may be bloody discharge from the vagina between periods.
Women with sexually transmitted infections (STIs) are at greater risk of developing pelvic inflammatory disease.
In some cases, expulsion (complete or incomplete prolapse) of the IUD from the uterus is possible.

When is it not possible to install an IUD?

Contraindications for the installation of the spiral are determined by the gynecologist. Only a specialist can determine exactly how safe the installation of a spiral is in your case.

An IUD cannot be installed if:

You think you may be pregnant.
You have more than one sexual partner.
There is an acute form of inflammatory diseases of the cervix or pelvic organs, including STIs.
During the last three months, inflammatory diseases of the pelvic organs were observed.
Vaginal bleeding of unknown origin is observed.
There is a fast-growing, also, if the myomatous node deforms the uterine cavity.
Has cancer of the genitals.
There is a severe form of anemia (hemoglobin<90 г/л).
There is a high risk of contracting an STI.

How to prepare for the installation of the spiral?

The procedure for inserting an intrauterine device cannot be performed in the presence of any genital infections or other gynecological diseases, therefore, before installing the device, the gynecologist performs a general gynecological examination, taking swabs for the degree of purity of the vagina and a smear for oncocytology, in some cases it is necessary to conduct an ultrasound scan. research. If any infections or gynecological diseases are detected, the insertion of the IUD is postponed until the cure.

Before installing the coil:

How to behave after the introduction of the spiral?

Within 7-10 days after the installation of the spiral, it is impossible:

Have sex;
Do douching;

After 7-10 days it is necessary to undergo a control examination.

Be sure to see your doctor early if:

Within a few days of having the coil inserted, you develop a fever, very heavy vaginal bleeding, abdominal pain, or unusual, foul-smelling vaginal discharge.
At any time after the insertion of the coil, you feel the coil in the vagina, notice that the coil has shifted or fallen out, and also if you notice a delay in menstruation by 3-4 weeks.

What is follow-up?

If menstruation has not occurred within 4-6 weeks after the insertion of the IUD, contact the consultation. You should contact the consultation for preventive examination at least once a year, and in case of questions or problems - at any time.

What symptoms should you see a doctor for?

Appeal is required if:

You suspect pregnancy.
You have heavy vaginal bleeding (more heavy or longer than usual).
Are you experiencing severe abdominal pain?
pain is felt and bleeding occurs during sexual contact.
There are signs of infection, unusual vaginal discharge, chills, fever.
You do not feel the IUDs or feel that they are shorter or longer than before.

Will there be any changes in the state of health and the nature of menstruation after the introduction of the IUD?

After installing spirals without hormones, the following changes are possible:

Menstruation becomes more painful, somewhat longer and more plentiful than before the installation of the spiral.
Spotting spotting from the vagina may be observed, before or after menstruation, sometimes (less often) and in the interval between two periods.
In some cases, due to increased menstrual pain and irregular bleeding, women are forced to stop using the coil and remove it before the expiration date.

After installing a spiral with hormones (in particular):

Perhaps a significant shortening of menstruation and a decrease in the total amount of bleeding during menstruation.
Approximately 20% of women using Mirena experience a complete disappearance of menstruation (amenorrhea). The restoration of menstruation in this case occurs only after the expiration of the spiral and its removal from the uterus. It is reliably known that the disappearance of menstruation in women using Mirena is not associated with inhibition of the ovaries (as when using oral contraceptives), but with the suppression of the development of the uterine mucosa with small doses of hormones.
Despite the fact that many women are afraid of the disappearance of menstruation, there is no reason to consider it dangerous to health. Moreover, this effect of hormonal coils may even be beneficial, as it significantly improves a woman's quality of life and is an effective treatment for anemia, which many women have with long and heavy periods. IUD Mirena is just used to treat severe uterine bleeding.

How is an intrauterine device removed?

Removal is usually done after 5-7 years (depending on the modification of the spiral). But at the request of a woman, this can be done at any time. The reason may be the desire to have a pregnancy or the occurrence of any complications.

Before removal, the same examination is performed as before the introduction of the spiral. If necessary, sanitation (improvement) of the vagina is prescribed.

Removal is done by pulling the tendrils of the spiral at a certain angle. In some cases, for example, in the case of wearing a spiral over the prescribed period, the removal has to be carried out in stationary conditions, with anesthesia, by scraping the uterine cavity.

Within 4-5 days after the removal of the spiral, you can not:

Have sex;
Use vaginal tampons (regular pads can be used);
Do douching;
Take a bath, visit a sauna or bath (you can take a shower);
Engage in heavy physical labor or intense physical exercise.

Removal of the IUD does not cause changes in the menstrual cycle. The exception is the Mirena Navy, when worn, there is no menstruation or poor cyclic spotting. After removal of Mirena, the menstrual cycle usually recovers in about 3-6 months.

Be sure to see your doctor if you develop a fever, very heavy vaginal bleeding, abdominal pain, or unusual, foul-smelling vaginal discharge within a few days of removing the coil.

Can I remove the coil myself?

Do not under any circumstances try this!

The coil is removed by pulling on the tendrils, which may break before it is removed. After that, the IUD can be removed only instrumentally and only with penetration into the uterine cavity. In addition, the mustache may break off at the moment the spiral passes through the cervical canal and it will get stuck there. Trust me, it hurts a lot.

To remove the spiral, be sure to consult a gynecologist.

How often should the coil be changed?

Metal-containing coils (for example, copper or gold) can be used for 5-7 years without replacement. Spirals with hormones (for example, Mirena) require replacement every 5 years.

Can I get pregnant if I am wearing an intrauterine device?

The occurrence of pregnancy in women wearing an intrauterine device is extremely rare. The probability of pregnancy in the case of using copper coils is no more than 8 chances out of 1000 during the year. When using spirals with hormones, the chance of getting pregnant is reduced to 1 chance in 1000 within a year.

At the same time, the course of pregnancy is no different from the course of a normal pregnancy, the spiral is located behind the fetal membranes, and during childbirth is born along with the afterbirth. Many women are afraid that the spiral can grow into the child's body. These fears are unfounded, since the child's body is surrounded by and. Pregnant women with a spiral are observed as threatened by.

The risk of pregnancy is greatly increased if the coil shifts or falls out of the uterus. This happens, especially often after menstruation, when the coil can be thrown out of the uterine cavity along with the rejected tissues.

In this regard, all women who wear a coil are advised to check for the presence of a coil in the uterus at least once a month by feeling for the tendrils of the coil in the depths of the vagina. If earlier you felt the antennae of the spiral well, but you can no longer find them, contact your gynecologist, as the spiral may have fallen out and you did not notice it.

How do I know if I'm pregnant while wearing a IUD?

If while wearing a non-hormonal intrauterine device, there is a delay in menstruation by more than 2-3 weeks, it is necessary to do a home pregnancy test and consult a doctor.

Can a spiral impair the ability to become pregnant in the future?

The contraceptive effect of intrauterine devices is easily reversible and disappears soon after they are removed from the uterine cavity. The probability of pregnancy within 1 year after the removal of the spiral reaches 96%.

Planning for pregnancy is possible as early as the next month after the removal of the intrauterine device.