IUD Insertion & Removal

1. CUT (Copper T) - Used as contraceptive. Available as as below

Available as as below :

• a) CUT 250 - 3 years validity
• b) CUT 375 - 5 years validity
• c) CUT 380A - 10 years validity

2. Hormonal Intrauterine Devices

Used for dysfunctional uterine bleeding. Birth control (patients for whom it is contraindicated :

• a) 5 years validity. Brand name - Mirena emirelle pregnancy
• b) Pelvic inflammatory diseases
• c) Irregular bleeding, unexplained vaginal bleeding
• d) Malignancies
• e) Distorted Uterine anomalies
• f) Ongoing Pelvic infection

Advantages :

• Efficacy
• Ease of reversibility
• Cost effective

How do you insert Uterine Device?

• 1. Apply antiseptic to perineum and vagina
• 2. Put a speculum in your vagina
• 3. Hold the anterior tip of the Cervix
• 4. Put the IUD through the opening of your Cervix into the uterus. Extra threads are cut short
  
  The process usually take less than 5 minutes. It is inserted on 5/6 day of the period

What to Avoid?

Tampons, Hot tub, Sexual intercourse, Swimming strenuous activity for 24 - 48 hours of insertion.

Hormonal IUD

These can also be used in Endometriosis, Chronic Pelvic pain, Adenomyosis, Dysmenorrhea Anemia.

What to expect post IUD insertion?

With Hormonal IUD you may face side effects like Headache, Acne, Mood swings, Breast pain, Spotting, Bleeding, Ovarian Cyst, Mild cramps for 1/2 weeks. Post that you can expect your regular period to come at its usual time. You can have Paracetamol or Dicyclomine tab for the same.

Follow-up after IUD insertion

After the first period post insertion ensure that the IUD is in place. If the strings bother you they can be cut short. One may also learn to check on the strings by themselves.

Preferably post periods it is done in the clinic. Doctor introduces Speculum and pulls at the strings. One may expect mild cramps or spotting for 24-48 hours.

Warning signs :

• Severe Pelvic cramp
• Heavy vaginal bleeding
• May miss your period
• Pain after intercourse