Over 200 million women worldwide use IUDs to prevent pregnancy. Some use this type of contraception for a long period, periodically changing the IUD. Patients who have never resorted to this method of contraception are interested in whether it is painful to put a spiral.
Choosing a method of contraception
Currently, women are offered a large number of different methods that have advantages and disadvantages. And the selection of the type of contraception depends on the general condition of the woman and the presence of concomitant diseases. Little can be advised on the choice of oral contraceptives because of problems such as premenstrual syndrome, problems with conception, diseases of the thyroid gland and adrenal glands. Not everyone is happy with taking the pills, since there is a chance to forget to take the pill, which can lead to various malfunctions in the menstrual cycle.
Interrupted intercourse most often leads to pregnancy, and the use of vaginal suppositories, tablets is not always convenient. Condoms are a good method of contraception, but most often it does not suit men, especially if it is your regular partner.
Navy Benefits
An intrauterine device is the easiest, safest, and most effective way to control birth rates. But doubts arise: is it painful to put an intrauterine device, what complications are possible, how long-term wearing of an intrauterine contraceptive affects reproductive health.
Types of Naval Forces and their action
There are various intrauterine contraceptives. In general, they are a T-shaped device, which is an effective form of reversible birth control. The IUD is used for a rather long time - from 5 to 10 years, depending on the type. Most often, spirals with wound wires made of copper, silver, and gold are used. Some IUDs use 2 types of metals. Recently, the Mirena spiral has been very popular, which has a container with levonorgestrel and ensures the constant release of this hormone, which contributes to a complex contraceptive effect and, in some cases, the treatment of bleeding or hormonal disorders.
The main effect of intrauterine contraceptives is spermicidal, as well as an increase in uterine tone, thickening of cervical mucus and the formation of aseptic inflammation in the uterine cavity. An IUD with copper is also used for emergency contraception if it is administered within five days after unprotected intercourse.
How to put a spiral
In order to understand whether it is painful to put a spiral, you need to know how to install the Navy. Each intrauterine device comes with a guide to facilitate insertion.
Using mirrors, the cervix is removed so that it is accessible for manipulation.
After treatment with furatsilin or miramistin of the external opening of the cervical canal and taking with bullet forceps , an intrauterine probe is inserted to determine the length, location, physiological bends of the uterus and patency of the internal pharynx. Along the length of the probe, a restrictive ring is installed on the conductor so that the spiral rests on the uterine mucosa in the bottom. Then a conductor with a spiral is inserted, and after removing the conductor, the spiral should be located in the uterine cavity, and the control antennae in the vagina. The cervix is treated with an antiseptic solution, and the mirrors are removed.
After the introduction, a woman is recommended to exclude sexual activity, weight lifting during the week. 2-3 days is recommended to take a prophylactic dose of antibiotics to prevent inflammatory diseases.
Anesthesia manipulation
Does it hurt to put a spiral? Reviews of women who use this type of contraception indicate that basically this procedure is painless. The most unpleasant sensations arise when the cervix is tightened before the introduction of the probe and when it passes through the internal opening of the cervical canal.
Basically, anesthesia is not applied. For especially sensitive women, the cervical canal is treated with a solution of dicain, dexalgin, tramadol is administered intravenously or intravenous anesthesia is performed.
When is it better to put a spiral
An IUD can be placed at any time. Some doctors prefer the 4-7th day from the beginning of menstruation. Everyone who is offered to come to the antenatal clinic at this time is interested in whether it hurts to put a spiral during menstruation. At this time, the pain is minimal, since the cervical canal is ajar for menstrual flow and the threshold of pain sensitivity is reduced.
When it is better to put the spiral after childbirth and abortion
After giving birth, the IUD can be placed after 48 hours. But it is advisable to carry out this procedure 21 days after the birth. It is necessary to make sure that there are no inflammations and pregnancy, sexually transmitted diseases. For this, an ultrasound is performed and a smear is taken. Does it hurt to put a spiral after childbirth? Most often, during this period, the introduction of the IUD is painless, since the uterus has not yet completely contracted and the cervical canal is completely open. After cesarean section, the introduction of the spiral is carried out after 3-4 months, not earlier, since an unformed scar on the uterus is a contraindication for the introduction of a contraceptive. Many doctors are of the opinion that the introduction of an IUD immediately after childbirth does not make sense, since the myometrium is constantly contracting to restore the structure of a non-pregnant uterus and pushes the spiral.
After an abortion, the introduction of an IUD is possible immediately after curettage. However, the doctor must be sure that the remains of the ovum are not left to prevent inflammation and septic conditions. Is it painful to put a spiral in this period? In this case, the woman does not feel any pain, because the cervical canal is open; both abortion and IUD are performed under intravenous anesthesia.
Spiral "Mirena"
Recently, the Navy "Mirena" is in great demand - a contraceptive that constantly secretes gestagen hormone from a special container. Is it painful to put the Mirena spiral? This question is of interest to many women with endometriosis, who are offered the introduction of this IUD for therapeutic purposes. Soreness of the procedure depends on the qualifications of the doctor and compliance with the rules of administration. Pain can occur in the first weeks after the helix is inserted. They can accompany abundant spotting from the genital tract. All this passes within 1-2 months.
Effects
After the introduction, various complications are possible, which should send a woman urgently to a doctor. In the early days, there may be pulling pains in the lower abdomen and prolonged
abundant periods. Subsequently, an exacerbation of the chronic processes of the pelvic organs is possible. And so the question of whether it is painful to put a spiral is not so important, it is important not to miss the complications after its introduction. It is especially worthwhile to be attentive to your feelings in the early days: if the pain does not go away within 1-2 days or there are abdominal pains that may be accompanied by fever, you need to urgently visit a doctor to exclude a formidable complication -
uterine perforation. In some cases, an independent spiral expulsion is possible. This is observed in those cases when, after the introduction of the IUD, the woman was engaged in heavy physical labor or had an active sex life.
IUD removal
After the contraceptive period of the spiral (from 5 to 10 years, depending on the type of IUD), it must be removed. The removal procedure is painless.
After removing the cervix with mirrors, the doctor pulls the control antennae and removes it from the uterine cavity. In some cases, in the absence of inflammatory diseases, cervicitis, infectious colpitis and good tolerance, the extraction and introduction of a new spiral can be done in one go.