Does it hurt to remove the intrauterine device?


Author: Ekaterina Sibileva, last edited by 09/09/2017

The intrauterine device is today one of the most reliable methods of contraception. But no matter how comfortable the spiral is, it cannot be worn for too long. Sooner or later there comes a time when it has to be removed. The main reason for the removal of the spiral is the expiration of wearing. On average, the Navy “works” for 3-5 years, but there are variations that can perform its function for up to 10 years.

In exceptional cases, removal of the IUD occurs for other reasons - it may be rejection, inflammatory processes, diseases of the pelvic organs, pain or bleeding for unknown reasons, and just feeling unwell after installation. Indeed, whatever one may say, the intrauterine device is a foreign body inside the female body, and its response to such an invasion is purely individual.

General Information about the Navy

When it comes to installing or removing the IUD, every woman immediately has a million questions - is it painful, how comfortable is it to live with such a thing inside, what could be the consequences when you can have sex after installation. Therefore, it is immediately necessary to clarify the fact that if the IUD was installed by a qualified gynecologist, and the patient carefully monitored her health throughout the entire period of its use, then the removal of the helix would be absolutely painless. The main thing is not to wind yourself up and not to wait for something terrible from this elementary procedure.

To make sure that the installation and removal of the Navy really does not hurt, you need at least a little idea what it is and what the principle of its work.

The intrauterine device is a T-shaped device with a nylon thread attached to the stem, placed inside the uterus and preventing the embryo from fastening and its further development. After installing the Navy, the ends of the threads remain in the vagina so that you can easily remove it by pulling the thread. IUDs are made of plastic or with a small addition of silver or copper - these metals neutralize sperm, preventing their fertilization.

In addition to the usual spirals, there are hormonal, which not only protects from not planned conception, but also regulate the menstrual cycle, reduce the amount of secretions and pain during menstruation. Hormones placed in a spiral, make the mucus of the cervical canal more dense, which prevents sperm from entering the uterus. The total hormone level in the female body does not increase, ovulation blocking does not occur and the menstrual cycle is not disturbed.

After installing the intrauterine contraceptive device for several weeks, it is recommended to be more attentive to your body - the uterus will “get used” to a foreign body for a while, there may be pulling pain in the lower abdomen and spotting. As a rule, all these sensations pass during the cycle. If the pain and discomfort is strong, then perhaps this type of spiral does not suit you and then you will need to remove it and replace it with another type.

Nuances to Consider When Removing a Spiral

  1. One of the main points when removing the intrauterine device: the pregnancy can occur immediately after the procedure. If we consider that the sperm can live in a woman's vagina for up to 7 days, then it will take care of additional contraception a month before the planned extraction.
  2. In no case should you try to pull the helix out yourself - this threatens not only an infection, but also damage to the inner walls of the uterus and bleeding. Only a doctor with sterile instruments can remove the coil.
  3. You can remove the spiral yourself only if she fell out herself, but you still can’t pull or pull her mustache. It’s best to squat down, strain the muscles of your vagina until she comes out. After the procedure, it is necessary to see a doctor, as one of the causes of loss may be the onset of pregnancy.
  4. Remove the spiral is best on the day of the most abundant menstruation. The cervix becomes softer during this period and stretches well, making the contraceptive easier to remove.
  5. Monthly after removal of the spiral can come with a delay, but this is not a reason to worry. The reason for this may be ovarian dysfunction or hormonal failure. A delay of up to 2 months is considered normal, but if you do not exclude the possibility of conception, it is better to consult a doctor.
  6. If bleeding occurs after removal of the helix, this indicates damage to the endometrial mucous layer during extraction. If the bleeding is heavy and prolonged, you should see a doctor.
  7. If the reason for the removal of the helix is ​​pregnancy planning, then it should be noted that when using the hormonal IUD, the endometrial layer becomes thinner and you will not be able to become pregnant immediately after removing the helix. We'll have to wait until the endometrium reaches sufficient thickness to secure and nourish the embryo.

Staging and wearing any type of IUD is the longest, easiest and most inexpensive method of contraception. For several years, you do not need to buy expensive pills monthly and monitor their regular intake, and the degree of reliability of this method is 98%.

Using the IUD requires its owner to undergo regular gynecological examinations and ultrasound in order to control the position of the spiral in the uterus and eliminate the possibility of inflammatory processes.

Experts strongly do not recommend wearing the helix more than the prescribed period, since as a result, the growth of the elements of the IUD into the uterus can occur, and then it can only be removed surgically.

In addition to ingrowth, there are frequent cases of oxidation of metal parts of the helix with an “expired” shelf life.

The procedure for removing the intrauterine device consists in a preliminary examination of the patient in order to verify that the device has not shifted, and his antennae are of sufficient length so that you can pull them with tweezers.

  • After an external examination, a special dilator is placed in the vagina, which allows you to see the cervix and spiral antennae, after which the cervix and vagina are treated with an antiseptic.
  • If the antennae are long enough, then the gynecologist simply grabs the thread and pulls it, and the helix neatly folds inside the uterus and out through the cervical canal. In this case, the patient needs to relax completely so that the strained muscles do not interfere with the exit of the helix.
  • If during the procedure the threads break, then the further extraction is carried out using a special hook under the control of ultrasound.
  • Despite the seeming simplicity of this procedure, sometimes it is difficult to remove the spiral. Basically, all the difficulties arise because of the mixing of the Navy, why the ends of the antennae become too short and it is impossible to reach them with tweezers. In this case, the procedure of hysteroscopy is used - extraction of the helix using a special long tube with a camera and tools at the end. It is carried out under local anesthesia, so that no painful sensations arise.

Usually the helix serves 3-5 years, but there are cases when the removal of the intrauterine device occurs earlier than it should be.

Causes of premature helix removal

  • The most common cause of premature helix removal is woman's desire to get pregnant. A few years ago, it was believed that after removing the IUD, it is necessary to allow the body to restore the endometrial layer, but modern intrauterine devices make it possible to have a pregnancy immediately after their extraction, and if this happens before ovulation, the probability of pregnancy increases.
  • Inflammatory diseases of the female reproductive system, and these inflammations can be formed after the installation of the helix as a reaction of the body to the introduction of a foreign object. The likelihood of inflammatory diseases increases due to the frequent change of sexual partners, as it does not protect the woman from sexually transmitted infections.
  • Uterine myomawhile at the same time, if it is small and does not cause deformation of the uterus, then the helix can be not removed, but if after installation a growth or the appearance of new formations is observed, then removal is mandatory.
  • Ectopic pregnancy — although the helix protects against unplanned conception, the risk of ectopic pregnancy still remains. So if there is a delay of menstruation and there is a suspicion of pregnancy, it is better to appear to the gynecologist in order to exclude such a probability and possible consequences.
  • Suspicion of pregnancy (we are talking about normal uterine pregnancy), although the spiral is considered the most reliable method of contraception, there are still cases of conception with a spiral inside. In this case, the timely removed subject of contraception will save the child.
  • Perforation of the uterine wall - This is a very rare reason for the removal of the spiral, but the most difficult one. As a rule, this is due to improper location of the device, and the removal of the IUD is carried out only surgically.

It is better to entrust the installation of the intrauterine device and its removal to a qualified specialist who can not only remove the installed contraceptive carefully and painlessly, but also advise the patient about when it is better to pull out, what consequences may be after extraction, conduct a professional examination to eliminate inflammation and possible infections.

Installing an IUD or using other means of contraception is a personal matter for each person. The modern level of development of medicine offers a huge amount of these tools and the strength of each person to plan their lives in the way he sees fit. So if the birth of a child is not included in your immediate plans, then you should not ignore the reproductive capacity of the body and irresponsibly approach issues of reliable contraception.

Related topics

The timing of the removal of the spiral is coming .. I'm afraid :)

How to remove does not hurt: Girls, an hour as a gynecologist! Removed the spiral Miren, in which even a mustache was not visible. Until today, the year tried to remove from different doctors - nothing worked, it was painful and I stopped this process. From the last ultrasound punished to endure, but to remove - the myoma node has increased greatly. She was shaking for three days, she could not sleep at night (she remembered how they had shot the previous Miren). In the morning, tears, the doctor has a panic. As a result, the doctor offered to spray with anesthetic spray, after 5-8 minutes she began to pull out. She says, take a deep breath, do not breathe for 2-3 seconds (at that time she was sick, it was sick, but tolerable and fast), then she said to catch her breath, but calmly so that her head would not spin, as usual we breathe). Another deep breath, 2 seconds and pulled out. I cheat myself a whale, but believe me, this method is almost painless. All good health!

I read this thread for a long time. And I want to say this, that everything became clear to me. Girls, draw conclusions. It hurts to remove the navy from those who have grown and those who do not have the antennae of the helix. And the rest does not hurt. That's the whole answer. Although the spiral can vrosty as a year after the introduction (which is unlikely, but still there is a percentage) and after 15 years.

Hello! I had a spiral for 6 years, everything was fine, I didn’t know the problems, but I started to bleed a little, came to the gynecologist, removed it painlessly, I didn’t notice, but I prescribed 10 injections of calcium gluconate, she said, once she started to bleed, it means a slight inflammation , but everything is fine, then we plan to establish peace

I put a speral 15 days ago. And I still have bloods and severe pains, before bedtime I give myself a Ketanav injection. I do not know maybe the pain will pass. waiting Sometimes when severe pains begin, the hunt is to snatch and remove this sperale. Tell me who had this, and what does it mean?

The spiral "Mirena" stood for 7 years, cleaned the groups in the expensive clinic of the Medical, it is not pleasant to clean, it can even be said that it hurts, because looking at who has some kind of sensitivity, who doesn’t feel anything at all, and who was hurt too, was afraid, enrolled, and went, cleaned 06/17/2016 But I will not put more, because menstruation was not all these 7 years, on the one hand it’s good, as they say, you don’t look, you don’t check, you’ve come, no, now you just have to wait for them, and restore the cycle, because we want a second child.

The spiral "Mirena" stood for 7 years, cleaned the groups in the expensive clinic of the Medical, it is not pleasant to clean, it can even be said that it hurts, because looking at who has some kind of sensitivity, who doesn’t feel anything at all, and who was hurt too, was afraid, enrolled, and went, cleaned 06/17/2016 But I will not put more, because menstruation was not all these 7 years, on the one hand it’s good, as they say, you don’t look, you don’t check, you’ve come, no, now you just have to wait for them, and restore the cycle, because we want a second child.

Yes, of course, they did, but the ultrasound and tests showed good results, everything is in order, even if it stood, for 7 years.

And I wore a spiral for 14 years. I was afraid to scare terribly. I came to a good gynecologist and while I set myself up lying on the chair. I gynecologist showed my spiral. She removed her kartsangom I did not even feel. cleaned on the 3rd day of menstruation. Now we plan the second.

I spent 2.5 years with a spiral. I have a womb of the uterus. It was painful to put it, but rather quickly (5 minutes). Then for three days there was a feeling that I had a revolution in my womb. But the coil got up well and caught on. And delete. in short, the three gynecologists together removed and hook and forceps and prayers. half an hour later pulled out. Were glad as if they had given birth =) and all because there was no mustache. my body sees them chewed and spat out (immediately after the installation and). the enemy will not wish to undergo such a procedure. but if you need to put it again, I will. probably

And you did not feel anything?

I had already read my head from fear that was spinning. I was at the ultrasound and at the gynecologist today. The spiral is beautiful, but the mustache is not visible. I will go to the ultrasound now to the one who put it. How does it happen at all? Who is to blame or is it nature?

but when it came time to take it off, the doctor did not find the antennae. I also don’t wish anyone to experience this. Removed the spiral with a hook. Almost lost consciousness. But quickly recovered, drank 2 tablets of noshpa and came to her senses in the evening. after removal, erosion was detected, a colposcopy procedure is expected. terribly afraid. who knows how much this procedure is painful.

Thank God that I read all the comments before going to the gynecologist. It did not find the antennae from the spiral, and immediately. sent for cleaning! With tears, I trudged into the paid medical center, hoping for a miracle (the hook I read about here). So in this center, under local anesthesia, I was removed a spiral in 3 minutes. It turned out that the LCD does not have the necessary equipment (the same hook), so everyone is sent for cleaning! I am shocked by the negligence and indifference of free doctors, who did not even bother to talk about other ways to solve this problem.

Girls, I also have a spiral worth more than 2 years, but as soon as the mustache was placed it was not visible, the doctor said that it was not scary, it was not long ago that the pain in the lower abdomen started, what could it be?

zdrastvujte ..u menja kogda nachenajutsja mesichnije u menja adskaja bolj mne kazetsja wto ja vsjovremja hachu v tualet..ocenj siljna bolit..stait uze 6let. strawna idti vibiratj.

Girls! Mom put a spiral 25 years ago, after I was born. After some time, she went to the "doctor", she removed her spiral.
She recently underwent a course of treatment (heart problems, pressure jumps). They forced her to make a detour when it came to the gynecologist, it turned out that the spiral was still there.
Girls, maybe someone had such a case or with friends? I worry a lot about her, especially since she has heart problems (((

Heart problems due to the helix? It is doubtful. My mom's worth a lot longer too. And the vast majority of her friends from the generation that they put in the eighties. Everyone is still wearing and it hurt no one. Of course, to live to see these years and have perfect health -
from the realm of fantasy, there are cores among them, but no one has tied this up with a spiral. Moreover, there are no complaints with health in the female sphere.
Find a good doctor and everything will be fine.

[Girls help
Spiral ordinary is 4 years set after an abortion under general anesthesia. Her husband is very disturbed so far. Allocation which is all the time the smell is not pleasant. I want to delete but started the comments. I'm afraid terribly. Can I immediately ask for anesthesia? And whether pre-appointed ultrasound ?. 36749

Elena, the husband cannot feel the spiral, either it seems to him or she has shifted from you. Wait 7 months after the month will be 3 days. Good luck

girls need to pull out the spiral on the last day of the messech. Even not ponyla.

There are so many questions asked about the exciting topic, but it would be more correct to ask them at a specialist’s appointment because doctors are not so often on the Internet and cannot see the patient personally.
Many years ago, I asked the gynecologist when I needed to remove the spiral (it was 1996 and set in 1988). Она мне ответила что от меня это решение зависит лишь в том случае если желаю просто прекратить пользоваться
спиралью. In all other cases, the doctor decides! Only a doctor, knowing the type of spiral and its state, can decide whether the spiral is suitable for further use and whether it will bring harm to the body. So and
it turned out that all my life I used a single spiral and almost all this time was observed by the same doctor. Now, if I decided to remove, it would take a scraping. I knew well that to this
will lead but you can and leave so my body tolerates it well. I will delete only if there is a medical need.

good afternoon everyone the other day I went to remove the spiral (offset), had been reading everything terrible here, not everything turned out so scary girls. even oh did not have time to say, pulled out the strings and showed me the spiral (1 second). do not be afraid! remove! in a month I'll go put a new one

Good day! I had a spiral for 5 years, my stomach began to hurt and I decided to remove it. First I went to the local gynecologist to the clinic and she told me that she couldn’t see the mustache and that she would have to do the cleaning. Fortunately, I did not agree! After a while, I went to another gynecologist, I passed all the tests, ultrasound, and she sent me to the hospital and there, without any anesthesia, I calmly removed the spiral. I didn’t even get scared. Removed on the third day of menstruation. So girls do not be afraid!

I wear a spiral for 6 years, I forgot about it completely. Now I want to remove it. I'm afraid to go to the gynecologist (((please please advise something

Hello to all. yesterday put a spiral. I have two children, but both of them gave birth to a Cesarean. The first installation attempt ended with a blockade. The second time asked for anesthesia. I fell asleep, I woke up, nothing hurts, I love my husband, I didn’t turn away from sex, etc. Why endure if you can numb everything? earlier and abortions were done live, but now nobody would agree. so why not use the benefits of modern civilization?

my husband's spiral even scratched - and that's for sure. the scratch was deep, the blood was flowing. the spiral removed - the doctor said that she was dislodged, so it happened.
in general, I came to the conclusion that my body did not like the spiral, and I will not use this method of contraception anymore. although it is all individually.

I wear a spiral for 6 years, I forgot about it completely. Now I want to remove it. I'm afraid to go to the gynecologist (((please please advise something

I was put in a spiral a year ago and after that it’s painful to engage in sex, what should I do?

Bore in early June. Monthly came monthly. In early August, she put a ring-shaped spiral. Sooooo painful procedure, de also the pressure dropped. 10 days of blood, lower abdominal pain. The gynecologist examined everything and said that the spiral was well, just an addictive organism. Assigned pills and decoction of nettle. At the end of November she again turned to a gynecologist, but already to the others in connection with the relocation. Causes: pain in the lower abdomen and discharge with smell. We looked, they said that everything is well, it’s just that the body is still weak after birth, gets used to the spiral (((4th month gets used. Nightmare. But you still have inflammation. Polygynax and calcium gluconate were prescribed (hot injection 10 days). Everything was done as it should be and still, discomfort, pulling pain, after the discharge, but with a less pungent smell. And there were no menstruation. Rather, it is necessary to remove it. I have been torturing myself for a year, I felt 100 times better during pregnancy.

My mustache fell off, I was afraid very much, I’ve been reading here, and my gynecologist is a pensioner a long time ago, she set a chair, sat in front of my *****, the nurse kept the mirror, picked it up for 40 seconds and gave it to her. I won’t say that it didn’t hurt - it was sick, but it’s not that they would faint, as they say they fell. Do not be afraid of women, I had her 3rd. Maybe on the third baby we will think of with her husband, and for three months Dmitrievna said to take a walk, so that the uterus would rest.

I have put the spiral already 12 years old, but I didn’t feel any pain I felt sibya very well I wanted to remove the spiral I’m very afraid I want to please the child

Yes, I have a stoititum for 10 years. I have washed my uterus into the uterine cavity. Now I do local anesthesia. I also want to stop my daughter / quote] I

I’m afraid if I get a local anesthetic, will it hurt me?

but when it came time to take it off, the doctor did not find the antennae. I also don’t wish anyone to experience this. Removed the spiral with a hook. Almost lost consciousness. But quickly recovered, drank 2 tablets of noshpa and came to her senses in the evening. after removal, erosion was detected, a colposcopy procedure is expected. terribly afraid. who knows how much this procedure is painful.

. it hurt a lot the other day, they finally picked it up until they lost consciousness, but they never pulled it out. horror((

Girls, yesterday passed the "doomsday" I removed the Navy. I will say right away that all the deadlines are long gone, the spiral was probably 9 years old. I started it myself and don’t blame anyone for it, it’s worth it and it’s worth it, it doesn’t bother anyone, it doesn’t cause discomfort, but my mind took over and I went to the gynecologist. The doctor, of course, sighed and gasped, how can I treat my health carelessly that the coil could (and most likely had already grown into the wall of the uterus), and I would need to hook it up, and if it does not help, I will be scraped. Saw no-silo one tablet three times a day, starting five days before the onset of menstruation. Before removing the fear suffered, read terrible reviews, the state was as if I should have been burned at the stake! On the third day of the month (the most abundant) I went to the doctor, before that I remembered all the saints. And lo and behold. I didn’t even understand that the doctor had already removed the spiral to me, while I, lying on the armchair, was quietly praying. The only thing that I felt was a light sliver, you wouldn't even call it a sliver, as if it had bitten a mosquito. My expression was pretty stupid (as I can guess) when I asked again. and everything? The doctor with a smile said yes, everything, showed me my spiral and I safely went home.
Conclusion: It does not hurt, we wind ourselves up and draw scary pictures in our head. But. most likely I was lucky that the spiral did not grow over the years, and maybe I have a high pain threshold if everything went so smoothly. Everyone's body is different. Tip: Be sure to drink No-shpu if this procedure is to be done, it relaxes the muscles of the vagina and cervix, which allows the doctor to do the procedure without any effort and cause you less discomfort and discomfort. And do not wind yourself!

Hello, I also have a spiral. I had to remove it in May last year. But I did not remove it, since in March last year I had a lcd operation. Not before it was. There was a discharge when the blood was pale, when it was transparent and the smell was unpleasant. Went to the doctor. Passed a smear and blood. after three days ultrasound. I'm afraid very much. Has anyone encountered such a problem?

Girls, I would not want to frighten anyone either, I understand that cases may be different, but I would be very grateful if I had been warned about such a U-turn of events. I put the spiral 5 years ago, all these years it was checked by specialists, in general, everything went according to plan. Recently decided to remove the Navy. The doctor tried to pick her up, but nothing came of it, she advised me to come during the menstruation period, saying that then everything would be open and easier to reach, and in extreme cases we would get it with a hook. I returned to it, as it was appointed, on those very days a week after the first visit, and then the most interesting thing began: it turned out that she could not find the spiral at all, the ultrasound showed that the spiral was driven deep into the uterus. The gynecologist tried to hook her up a few more times until I began to lose consciousness, then said that my uterus was strange: I had “sucked the helix” and had to go to the hospital.
In general, there I was removed it under general anesthesia with partial cleaning of the uterus. The doctor at the hospital said that the gynecologist, trying to remove, only pushed the helix deeper into the uterine cavity and turned it across.
Of course, I understand perfectly well that almost everything depends on the competence of the doctor who installs or removes the IUD, but for myself I decided that this method of contraception does not suit me more. [/ Quot
And after that, did you easily get pregnant? I have the same situation. Only the spiral was pulled out without a mustache. Assigned hysteroscopy.

My mother has been walking with a spiral since the age of 82, I learned about it in 2008 when I myself had long ago had to remove the spiral. I put in the same year in 1997 as my mother, Lipps loop. For how long it has been calculated for me, no doctor told me, only when in 2008 I was on examination, the doctor asked me if I had a spiral and how long ago I said that I need to take it out, I wear it for a long time. I was going to do this, spoke to my mother and she told me that she, too, had a spiral for a very long time. When I asked why I did not delete it, she replied that the spiral did not bother her completely and was necessary, and now more than 20 years have passed and she was warned not to go over this period since the spiral would grow and she would have to be removed with the help of an operation. I ask why I did it, she says that everything is fine with her, so she decided not to delete and now she does not want to do the operation. I thought and also decided not to remove the helix, let it be because I have no complaints. This year was 20 years old as it stands. The gynecologist, whom I observe, says that if it were a spiral of the modern type with copper or hormones, it would have already made itself felt by an accidental pregnancy or complications. The doctor says about the need to be observed once a year and at least.

Girls, situations really are different, but for those who are afraid of how I was shaking today before deleting, I want to tell you that it does not hurt at all! Compared with a thin needle, the whole procedure takes a minute or two. I wore a spiral for 11 years. Just before the procedure, take 2 tablets of pentalgin or other analgesic and soothing tablets! Health to all of us!

Udplyala yesterday lost consciousness, and did not pull out, went made ultrasound no antennae and she shifted. Arrived again at the clinic did anesthetizing which did not save the pain bvla until fainting. I will prepare for anesthesia. Girls is a tin of pain before losing consciousness

Girls who know on the 4th day of menstruation will hurt to remove the spiral? Monthly usually I go 2-3 days, and then some kind of dark discharge.

Girls, maybe someone had “got pregnant with a spiral” when she found out that the doctor had advised to keep the spiral to remove did not convince her that she herself would fall out and today her mustache disappeared, then they went inside? So? What can you advise!?

Causes of helix removal

Photo: T-shaped intrauterine device

Basically, the life of the intrauterine device is from 3-5 to 10 and even 15 years. It depends on the type and composition of the helix: the copper-containing IUDs (3–5 years) serve less, the helix containing silver and hormones are valid for 5–7 years, and it is allowed to use contraceptives with gold for 10–15 years if there are no contraindications.

IUD removal: readings

Removal of the intrauterine device is made according to the following indications:

  1. Expiration of use. At the end of its life, the contraceptive effect of the product is reduced, and it is removed.
  2. At the request of a woman. This may be due to the fact that the woman decided to get pregnant and have a baby or is not satisfied with this method of contraception (“did not fit”).
  3. There was a shift of the IUD in the uterus or partial prolapse (expulsion). In this case, the woman may feel discomfort, tingling sensation, or notice that the antennae of the helix have become somewhat longer. In such a situation, there is no guarantee of effective contraception. Therefore, the tipsy helix should be removed and a new one installed.
  4. New pregnancy on the background of the use of intrauterine contraceptive. Unfortunately, such situations occur. And more often ectopic pregnancies occur. Removal of the helix is ​​mandatory without fail in the case of uterine or ectopic pregnancy.
  5. With menopause. A year after the last menstruation, the helix is ​​removed as unnecessary during menopause.
  6. For medical reasons. If you experience pain, bleeding, inflammation in the uterus and appendages, as well as the development or growth of a benign tumor of the uterus (fibroids) while using a contraceptive, its early removal is necessary.

It should be noted that by itself, uterine fibroids of small size is not a contraindication for the installation of the IUD. In this case, the doctor will recommend a spiral with a gestagen.

But if uterine fibroids first appeared on the background of the IUD or began to grow, then the contraceptive should be removed as soon as possible.

How to remove the spiral in women?

Photo: Patient on Navy Removal

Before the procedure begins, the doctor performs a gynecological examination of the patient. After vaginal examination, the cervix is ​​exposed by special mirrors and treated with any antiseptic solution. Then control contraceptive filaments are captured by a medical tool - forceps or forceps, and slowly sipping, the helix is ​​pulled out of the uterus.

If there were no complications and inflammation during the wearing of the IUD, then there are no problems with the removal. The procedure is simple and painless.

At the time of removal, the helix threads may break off. In this case, the doctor will pull out a spiral with a special hook. It is better if this happens under ultrasound control.

Sometimes there is a situation when the intrauterine contraceptive grows into the wall of the uterus (usually it happens when the terms of exploitation are missed) and it is not possible to remove it in the usual way. Then the removal of the IUD is carried out in the gynecological hospital under intravenous anesthesia using diagnostic curettage of the uterus or using a medical optical device - a hysteroscope.

If it is impossible to remove the IUD through the cervical canal (this happens when it atresia or fusion), they resort to pulling the helix through the abdominal cavity using laparoscopic methods under general anesthesia.

After surgery to remove the IUD, a course of antibacterial and anti-inflammatory therapy is prescribed, an ultrasound of the pelvic organs is performed.

How long does the procedure take? Is anesthesia needed?

It should be noted that the introduction of the spiral process is more painful and time consuming than its removal.

In the absence of complications, the correct location of the IUD in the uterus, the presence of control threads, the procedure takes several minutes, is simple and practically painless.

The pain threshold for each person is individual. And if a woman has a panic fear before the upcoming procedure, she can take a painkiller (analgin, ketorol, but - shpu). A doctor with a low pain threshold may use local anesthesia in the form of a lidocaine spray.

When the IUD is removed

Clearly established deadlines for removing the contraceptive have not been established. You can clean it at any time during the life of a woman that she sees fit.

Experts recommend to remove the coil during menstruation, because at this time, the outer cervix of the cervix is ​​slightly open and the extraction is more gentle and painless. The most favorable days for the manipulation are considered either the first or the last day of menstruation, when the discharge is not so abundant. However, compliance with this condition is not mandatory and, if necessary, the helix can be removed on any day of the menstrual cycle, including before and after the menstrual period.

If a woman is healthy and has no contraindications, then you can enter a new spiral immediately after removing the previous one. Rest breaks are not required.

Pregnancy after the helix

Intrauterine contraception does not affect subsequent pregnancy. If a woman decided to give birth to a child and has no health problems, then the pregnancy occurs almost immediately after the removal of the helix. In rare cases, if complications have developed (for example, endometritis) against the background of a standing contraceptive, the gynecologist will advise to refrain from conceiving until inflammation is cured. After recovery, you can safely become pregnant.

But it is still better to postpone pregnancy planning for 2 - 3 months. This time is necessary for the complete restoration of the uterine mucosa, where, after fertilization, the fertilized egg will be implanted. It would be advisable to conceive and taking vitamin preparations.

Preparing to remove the Navy

Before carrying out the procedure for removal of the intrauterine contraceptive, the patient should consult with a gynecologist. The doctor will conduct a thorough gynecological examination, assessing the position of the IUD, the length of the antennae and the type of intrauterine contraceptive. In addition, the doctor will perform an ultrasound examination of the pelvic organs, which will allow to evaluate the nature and localization of possible pathological processes, as well as take a smear on the microflora from the vaginal cavity and cervical canal.

Removing the IUD - removal of the intrauterine device from the uterine cavity at the expiration of its use.

If the removal of the IUD will be carried out in an instrumental way, a clinical and biochemical examination of the blood should be performed, as well as donated for hepatitis, HIV, RW.Depending on the medical indications, individual characteristics and the patient's state of health, additional instrumental and laboratory examination methods (colposcopy, urinalysis, bacteriological seeding from the vagina) can be performed.

In the presence of active processes of inflammation in addition to the standard diagnostic algorithm, the patient is prescribed antibacterial and anti-inflammatory therapy.

Methods and methods for removing IUDs

Most often, the Navy extraction is performed on an outpatient basis in the middle of the menstruation cycle. The procedure for standard removal of the intrauterine device does not require anesthesia. Removal of the IUD is accomplished through forceps (a special surgical instrument) or forceps for the antennae, which normally should hang from the cervical canal. This method of removing the intrauterine device is the simplest, safest and most inexpensive.

If the IUDs are absent, the intrauterine contraceptive can be removed instrumentally during hysteroscopy or with an extractor. Instrumental removal of the IUD is carried out under local or intravenous anesthesia. After mechanical expansion of the cervical canal, a hysteroscope is inserted into the uterine cavity. If the intrauterine device freely lies in the uterus, it is seized with special forceps, and then taken out. In severe cases, the instrumental method of removing the IUD may be accompanied by damage to the walls of the canal, uterus, and bleeding. If the cause of the removal of the intrauterine contraceptive is the presence of inflammatory, infectious, or neoplastic processes in the uterine cavity, after removing the IUD, smears are taken from it as imprints for further histological examination.

Often, during a preliminary gynecological examination, the doctor can identify the IUD, which has grown into the uterine walls. In this case, the removal of the intrauterine contraceptive is performed by curettage of the uterine cavity, followed by histological diagnosis of the resulting biomaterial. If a part of the IUD is located near large vessels, the ureter and bladder, or has grown into the abdominal cavity, the removal of the helix is ​​performed by means of a laparotomy operation or laparoscopy.

In any case, removal of the IUD should be carried out only by a qualified gynecologist. Removing the intrauterine device independently at home is contraindicated. Such actions can cause mechanical damage to the mucous membranes of the genital organs and their infection. When removing the IUD, the doctor can determine the possible consequences of using a spiral and, if necessary, develop an individual course of therapeutic treatment.

Recovery period after IUD removal

For 5-6 days after removal of the IUD, a woman should refrain from intimacy, using vaginal tampons and suppositories (candles). It is also not recommended to douche, go to the sauna and bath, do heavy physical activities and sports, take a hot bath and medicines that contain acetylsalicylic acid. In some women, after removal of the IUD, there may be a pulling, aching pain in the lower abdomen, as well as the appearance of minor bleeding or bloody discharge. The appearance of such pathological conditions is considered normal. They do not need treatment, because after a few days they should disappear on their own. The following menstruation may begin with a slight delay, which is also considered normal. If the hormonal IUD was injected, it may take a little longer to restore the menstrual cycle.

After removal of the intrauterine contraceptive in 30% of patients, pregnancy occurs within the first month, and in 60% during the first three months. Within 1 year after removal of the IUD, pregnancy occurs in 90-95% of women, provided that at this time they do not use other contraceptives.

Removing the Navy

Common causes of removal of the intrauterine device are:

  • replacing the one with a new one,
  • the need for surgery or another method of gynecological treatment,
  • switching to another type of contraception
  • desire for pregnancy,
  • unsuitable for physical sensations device.

Often, one week before the planned removal procedure, the doctor advises you not to have sex or start using barrier protection if the woman does not want to become pregnant. The reason is an increased risk of conception after extraction of the IUD, since a small number of sperm cells may be present near the cervical canal and penetrate into the uterine cavity.

In the office to the gynecologist should appear on the penultimate day of menstruation, usually remove the spiral when menstruation does not end. So the device is easier to fold and slide out, and the soft walls of the uterus, shrinking, help her to push. In the absence of monthly contraceptive removed in urgent cases, with the perceived discomfort a little higher.

During the procedure, the doctor acts in much the same way as during a normal examination: the woman is in a chair, the expander is placed inside the vagina, and the helix is ​​caught by the tweezers by the antennae and carefully removed. To reduce discomfort and pain, local anesthesia in the form of a spray is allowed.

Monthly after removal of the helix in most cases do not get off, however, sometimes there is a risk of small violations. Possible complications are likely with the ingrowth of part of the helix into the mucosa. In this case, the device must be removed using hysteroscopy or laparoscopy. As a result, endometrial damage occurs. Possible bleeding and subsequent violation of the cycle.

Recovery cycle after removing the spiral

After the helix is ​​removed, the monthly periods of the majority of women do not get off. Common changes: a reduction in their number, which is simply explained - the effect of a foreign body on the uterine cavity stops, and the bleeding becomes weaker.

If the helix was removed during menstruation, their next arrival is possible exactly on schedule. However, the displacement of menstruation in time, her small delay, may also be likely. The risk increases when removing the device without menstruation. The reason may be insufficient growth of the endometrium and difficulties with its rejection.

After extraction of the hormonal intrauterine device, there is probably a slight fluctuation in the hormonal level, due to which there can also be a delay in the next menstruation. If the cycle has been lost before, this body reaction almost always occurs.

A doctor should be consulted in case of a positive test result, the absence of menstruation for more than 2 months, the appearance of severe pain during menstruation, purulent or green clots in the discharge and other disorders.

Abundant monthly

Increasing the amount of discharge after removing the helix is ​​likely in rare cases. Normally, profuse bleeding is possible on the first day of the onset of critical days. This picture is explained by the individual characteristics of the location of the endometrium, the cessation of the effect of the helix on it. If the bleeding is becoming more abundant time after time, to rule out the possibility of the disease, it is better to consult a doctor. One of the common causes of increased menstruation is the development of uterine fibroids.

Delayed menstruation

The shift of critical days can be for 1-2 weeks, sometimes menstruation is absent up to 1-2 months. In all cases, after 10–12 days of delayed menstruation, a pregnancy test should be performed, since a small probability of conception persists.

In addition to normal pregnancy, it is also likely to have an ectopic, which carries a greater threat to the health and life of a woman.

Situations in which there is no menstruation for a long time after the removal of the IUD may signal the development of a hormonal failure or inflammatory disease. If the delay occurs due to adhesions or inflammation of the appendages, it is accompanied by abdominal pain. With the penetration and development of infections may appear purulent discharge from the genital tract, itching, severe discomfort.

Scanty monthly

If the amount of menstrual flow with the first arrival without a helix is ​​so small that they do not soak up the gasket, almost do not go outside, only slightly smear, it may be a depletion of the functional layer of the endometrium. Sometimes the next cycle proceeds as usual, the amount of blood and mucus returns to normal. If scanty periods persist during subsequent cycles, it is necessary to consult a doctor and be examined.

Opinion of the doctor

Intrauterine devices do not affect the endocrine functions of the ovaries, whatever they may be: normal or hormonal. Levonorgestrel IUDs contribute to thickening of the cervical mucus and prevent excessive growth of the endometrium, while working stationary. For this reason, heavy discharge during menstruation when they are applied is not typical. Spirals containing hormones have not only contraceptive, but also an additional therapeutic effect, reducing the likelihood of inflammation, the development of endometriosis, endometrial dysplasia and tumors in the uterus.

It must be remembered that all intrauterine devices have a fixed lifespan, after which they must be removed. Ignoring this requirement and leaving inside an expired contraceptive not only does not benefit, but often leads to the following complications: oxidation of parts of the device, their ingrowth into tissues, and an increased risk of inflammation.

For the planned extraction of the spiral, it is advisable to choose the last or the penultimate day of menstruation, when it is relatively easy to remove a foreign body. In the absence of monthly to resort to this procedure is only in urgent cases.

It is unacceptable to try to pull the spiral on its own - this can cause injuries, infection and other unpleasant consequences for the reproductive system.

After removing the IUD, especially outside the menstruation period, you can ask the gynecologist about possible problems with the cycle. It must be remembered that a subsequent slight delay is possible. After the removal of hormonal coils, such as Mirena and its analogs, the menstruation is missing for several weeks.

In case of any doubts and suspicions of the appearance of pathology, it is necessary to undergo additional medical examination.

Indications for removal of the intrauterine device

Doctors advise women to install the IUD for a period not exceeding 5 years. With modern spirals you can walk up to 8 or even 15 years. To prevent complications, it is necessary to periodically visit the gynecologist to monitor the position of the helix.

The indication for removal is the end of the life of the contraceptive. There are several types of IUDs: from copper (duration of use from 3 to 5 years), from silver with hormones (suitable from 5 to 7 years), from gold (worn from 10 to 15 years with no contraindications).

Other indications for removal: the onset of menopause (one year after the last menstrual spiral is removed from the internal organ due to uselessness), pregnancy (during the use of a contraceptive in women in rare cases, ectopic conception of the baby may occur), the offset of the helix or partial prolapse old and installed new).

The IUD is also removed at the request of the patient, if she wants to conceive a child or if this contraceptive method is not suitable for her. Medical indications for removal of the spiral: pain in the lower abdomen, bleeding, the occurrence of inflammation in the uterus and ovaries, the development or growth of tumors and neoplasms.

Contraceptive penetration (ingrowth of the helix into the muscular wall of the uterus) is a complication that is an indication for extracting a helix. When using the IUD longer than necessary, it begins to grow into the tissues of the body. This can also occur due to a violation of the contraceptive installation technique.

Symptoms that indicate spiral growth: worsening of the woman’s well-being, constant fatigue, internal bleeding, heart rhythm disturbance, dizziness and fainting, pale skin, pain in the lower abdomen.

How to accelerate the onset of pregnancy

Less than ten percent of women who use Miren will have negative consequences, and most of them will include pain, irregular spotting or bleeding, not associated with periods, missed periods, uterine or vaginal bleeding, or ovarian cysts. Mirena can be used to prevent intrauterine conception for 5 years. It can also help in the treatment of heavy menstrual bleeding and can be used by women who have previously had a child.

According to statistics, a little less than a third of women become pregnant in the first month after getting rid of a contraceptive, 60% have a pregnancy after three months, and the remaining 10% manage to conceive within a year.

  • It is better to begin a sexual life only after two weeks from the moment of extraction of a contraceptive. The procedure for removing the IUD is very painful and is associated with blood loss and damage to the uterine lining (endometrium). Therefore, the body will need time to recover and replenish lost resources.

Women with one of the following conditions should not use Miren. Patients with certain types of congenital or valvular heart disease or systemic pulmonary shunts that are surgically constructed should be careful, as Mirena may increase the risk of infective endocarditis or become a source of septic emboli. Patients with these problems should be given the correct antibiotics during the insertion and removal procedure. It is also important to monitor infections in the case of patients taking insulin due to diabetes or undergoing chronic corticosteroid therapy.

  • When extracting a metal-containing helix (with the addition of copper, gold, silver), it is necessary to withstand four months before attempting to conceive a baby. So much time is required for the body to fully restore the endometrium. Otherwise, fertilization may not occur, or the woman will not be able to bear the fetus.
  • When extracting hormonal coils is to give the body 6 months to restore reproductive function. Such contraceptives block the production of eggs and thin the endometrium, making pregnancy impossible. Therefore, it takes time for the ovaries to work as before, and the inner lining of the uterus will return to normal.

What to do if you are pregnant with Mireya?

Also use warnings with those who have. Severe arterial diseases Significant increase in blood pressure Exceptionally severe headache Migraine, focal migraine or other symptoms that may indicate short-term cerebral ischemia Coagulopathy or taking anticoagulants. Manipulating or removing this can lead to miscarriage, but half of the pregnancies that occur while using Mirena are ectopic.

There is an increased risk of ectopic pregnancy for patients with pelvic infection, tubal surgery, or ectopic pregnancy. This is the amount of data that will be released. So that you can talk in the office, here are some facts about the state of affairs. Three out of four people who regularly have sex prevent it. According to the survey, the most popular are pills and condoms. In each case, 5 percent of men and women are sterilized.

  • hormonal disbalance. Removal of hormonal coils leads to disruption of the hormonal background, and with it the monthly cycle. Chances of getting pregnant in such cases are extremely low.

Normalization of hormone production can take up to 12 months. If after a year the monthly cycle has not recovered, you should consult a doctor,

Latex has long existed. Medications damage contraception. Attention, which must take certain medications for a pill at the same time, may become pregnant. This applies, for example, to antibiotics, agents for fungal infections, or hypericum.

Sperm is not armpit. After ejaculation, sperm can survive up to five days in a woman’s body. This is evidenced by a new study conducted by the University of Louisville in Kentucky. While women were under severe stress during fruitful days, only four out of ten became pregnant during this period. There were even fewer women who felt constantly more tense.

  • endometrial inflammation. Sometimes the procedure for removing the IUD entails inflammation of the uterine lining. This happens for two reasons: if the gynecologist admits violations when removing the IUD, or if the woman does not comply with the intimate hygiene rules recommended by the doctor during the first two weeks after the operation.

Воспаление эндометрия проявит себя резкими болями внизу живота, периодическими гнойно-кровянистыми выделениями, скачками температуры тела и общей слабостью. В таком случае время терять нельзя: срочно идите к врачу.

Беременность после удаления спирали

В дополнение к таблеткам и презервативам все еще есть альтернативы контрацепции. “Barrier methods,” such as the diaphragm or cervix, which are placed on the cervix before intercourse and subsequently removed for some time, do not play a significant role in contraception, but may be of interest to some women. If you want to prevent this, you must have an appropriate cap, individually adapted in the doctor's office or in the counseling center. "If the lid is properly adjusted and used properly, it is a reliable contraceptive," explains Seiler.

Doctors advise to put intrauterine contraceptive women who never plan to give birth. If you want to conceive a baby, but you need to wait a certain period, having walked with a spiral, then you should take care to choose a good specialist who can deliver this device with minimal negative consequences for your health.

Using caps safely requires practice and experience and is too cumbersome for many women. The copper helix is ​​a small rod that is inserted into the uterus and can remain there for up to five years. Recent studies show that copper coil is even safer to prevent than tablets, says Sayler. Christian Albring, president of the gynecology professional association, considers both methods equally safe: "Unlike a pill, you can't forget the helix, but it can slide."

There are also risks and side effects with copper spirals. The menstrual period is often exacerbated, and allergic reactions can occur. Because of its size, the helix is ​​recommended especially for women who have already given birth. The difference between the copper chain and the already installed copper coils is that the copper chain is smaller and screwed into the tissue of the uterus. Advantages: According to the manufacturer, the copper chain is suitable because of its small size, especially for young women who have not yet been born and therefore have a smaller womb.

Ask your friends, read reviews on the Internet: women are happy to share this information. If the operation is successful, try and contact the same specialist for the removal of the intrauterine device.

While the body restores fertility, impaired by the presence of an intrauterine contraceptive, prepare it for conception and childbearing:

IUD Removal Procedure

The fact that it is screwed in must be prevented by sliding. Of course, like all spirals, this has the advantage of preventing the appearance of hormones throughout the body in place, which eliminates the hormonal side effects. Disadvantages: screwing directly into the tissue can lead to pain and bleeding even during removal, the risk of infection may be increased. Only a few gynecologists use this type. Safety: from 0, 1 to 0, 5 out of every 100 women per year unintentionally pregnant with a copper chain.

Cost: from 200 to 400 euros. Copper chain usually remains in the body for five years. A hormonal coil is a coil that consists of plastic, not copper, but constantly releases hormones into the uterus. However, until now, due to the size of this type, only women who have already given birth to a child could use this method. The new drug is now smaller and therefore contains less hormones and is therefore also suitable for young women. The hormone coil is used by the gynecologist in the uterus, where it can remain for up to three years.

  • drink a course of prenatal vitamins - they will help you get pregnant faster. In addition to fortifying substances, they contain folic acid, which is practically not produced by the body, but necessary for it to prevent the development in the embryo of developmental pathologies of the neural tube,
  • give up bad habits: alcohol and nicotine interfere with fertilization of the egg and cause serious disturbances in the development of the fetus,

The hormone levonorgestrel, which is contained in the helix, changes the lining of the uterus, so that sperm can no longer penetrate, prevents further movement of sperm and prevents the implantation of possibly fertilized oocytes. Benefits: Since hormones act directly in the uterus, low doses are effective. The hormonal coil does not contain estrogen and is therefore suitable for women with estrogen intolerance. Thus, the menstrual bleeding becomes shorter and weaker or stops altogether.

New hormonal coil can also be used before the first pregnancy. Disadvantages: As with all methods of hormonal contraception, side effects can occur, such as bleeding, acne, or sexual aversion. This may cause the coil to slip or eject.

  • normalize your weight. Too thin and very full women, in contrast to those with normal weight, quickly get pregnant will not succeed. Review your diet, go in for sports, but don't overdo it - consult a nutritionist and fitness trainer,
  • take care of your psycho-emotional state. Constant stress repeatedly alienates the prospect of getting pregnant.

Once you are convinced that the body is ready to take out the baby, choose the right time of conception: it is easiest to get pregnant in early spring and late fall. At this time, spermatozoa are most active and capable of fertilization.

Safety: every year 0, 9 out of 100 women will become pregnant, despite the use of a new hormonal coil. Cost: Depending on the practice, the cost of the spiral with the installation of about 240 euros. It can remain in the body for up to three years. When sterilized by this method, the gynecologist installs two microspirals in the holes of the fallopian tubes. In the normal sterilization process, the fallopian tubes are separated and need to be bitten outside the abdominal wall. A few months after the introduction of the spirals, the fallopian tube grows with spirals, so the fallopian tubes are constantly closed.

The intrauterine device is one of the most reliable contraceptives. This method of contraception involves the introduction into the uterine cavity of a special device. While the period of the spiral has not expired, the woman will not be able to get pregnant. But what to expect if the need for protection has already disappeared and the woman removed the spiral. How quickly the patient will be able to conceive whether pregnancy after the helix will be problematic - these questions bother every woman.

A woman can never get pregnant again. Advantages: This is the first sterilization procedure that does not require surgery. The spirals are inserted through the vagina through the uterus into the fallopian tubes. Disadvantages: just three months after the procedure, a preventive effect begins. This needs to be clarified once again in the x-ray procedure.

This will make it the safest method of contraception. Couples who want to abstain from all hormonal or material contraception can use the “symptothermal method”: a woman takes her body temperature daily and at the same time watches for changes in her vaginal fluid to determine her fertile days. On fertile days, couples should be abstinent or use condoms. Natural contraceptive methods are relatively safe according to the Federal Center for Health.

The smell of a newborn for a mother is better than the most expensive perfume

The intrauterine device is a foreign object that interferes with the fetal egg to consolidate to the uterine wall during implantation. In fact, the helix does not prevent the sperm from penetrating to the cell and fertilizing it, although the manufacturers and creators of this contraceptive claim the opposite. Yet the main purpose of the IUD is to prevent the fertilized egg from attaching to the uterine endometrium.

More than 50 years ago, this tablet revolutionized the love life of many Germans, and to this day most women prefer to use it. But she is still controversial. There are many contraceptives. With or without hormones, mechanical or natural. It is not easy to choose between many possibilities. And the life situation often changes.

Most teenagers worry about contraception before first intercourse. First of all it should be safe and easy. After three weeks, a one-week break follows. Hormones can cause side effects. Contraceptive ring The contraceptive ring works by hormones. It is inserted into the vagina during menstruation and remains there for three weeks. This is followed by a one-week break. Prevention of contraception depends on proper treatment.

  • Tablets A tablet is safe and good if it is well tolerated.
  • However, hormones can cause health problems.
  • Spiral contraceptive patches.
  • Contraceptive patches work as hormones.
  • It is glued to the skin on the first day of menstruation and changes every week.
Women who do not want to have children should stay with safe spirals or hormonal methods if they are well tolerated.

A similar effect is due to the inflammatory effect of the device on the uterine endometrium, with the result that the egg does not receive the necessary amount of the necessary nutrition, and the endometrial layer does not increase to the desired thickness. Together, these factors prevent pregnancy, and the fertilized cell leaves the uterus along with the menstrual flow. In other words, such intrauterine contraceptives constantly cause spontaneous miscarriages. That is why it is impossible to confidently say that getting pregnant after removing the helix will turn out without problems.

But those who think of children can go on to “natural family planning.” This is especially suitable for women who love to engage in their bodies. Temperature and hormonal computers can help determine fertile days on a monthly cycle. They can be used both to prevent pregnancy and to plan pregnancy. Warning: this method is not as safe as others - pregnancy should not be a problem!

Birth control contraceptives are usually not included in the health insurance catalog. Exceptions: if the pill is prescribed to treat a skin condition, such as acne or in young women, until.

  • Good to know!
  • Hormonal contraceptives are available only by prescription.
The big advantage of the diaphragm is that it is not worse than the unwanted side effects of hormonal contraceptives. However, in severe uterine depression or frequent bladder infections, the diaphragm is inappropriate.

The use of the intrauterine device is undoubtedly convenient, but only on condition that an experienced and qualified gynecologist installs the spiral. In addition, it is necessary to select the IUD individually for each patient. If the helix is ​​picked up incorrectly or if the technique is violated, the risk of intrauterine inflammations arises during the stay of the IUD inside the uterine cavity. To avoid such complications, it is necessary to strictly observe the requirements and take into account the contraindications for wearing the spiral, which include:

  • All kinds of inflammatory lesions of the reproductive organs,
  • Neoplasms of a different nature,
  • Congenital uterine malformations
  • Pathologies that occur during sexual intercourse,
  • The presence of allergic intolerance to copper or its alloys,
  • Bleeding from the uterus of unknown etiology,
  • Polyps or myomatous formations
  • Too young age, because the girl's sexual system has not yet been completely formed, and the installation of the spiral can lead to irreversible intrauterine abnormalities.

In addition, experts recommend using intrauterine devices, which have given birth to women. Why? Just the navy slightly opens the cervical canal, which increases the risk of penetration into the infectious processes that spread sexually. Against the background of such pathologies, it is rather difficult to get pregnant after removing the helix. Therefore, doctors warn patients that it is desirable to use such a means of protection only to those who have only one sexual partner.

Varieties of Navy

Any contraceptives are selected by the doctor individually.

There are many types of intrauterine contraceptives, however, only some of them are particularly popular. For example, a T-shaped device with hormonal components. Such a spiral has flexible tips and a ring for easy removal. Inside the core there is a special container containing a hormonal drug. Every day, it is excreted in microdoses into the uterus, creating additional protection against sperm. Usually such a spiral is set for a 5-year period.

The Navy with a silver component is also quite popular. Doctors say they work up to 7 years and are 98% effective, and impurities provide an additional anti-inflammatory effect. Intrauterine contraceptives can be quite diverse forms: loop, s-shaped, ring-shaped, in the form of an umbrella, etc.

Dangerous effects in the Navy

Usually, intrauterine contraception is tolerated quite easily by patients, but in rare cases, certain complications may occur, such as rejection of the device, severe bleeding, or pain. In general, complications associated with the IUD are conditionally divided into those associated with the installation of a contraceptive, with its use or arising after seizure. Already with the introduction of the IUD, problems such as uterine perforation, cervical rupture, vasovagal reaction or bleeding, inflammatory processes may occur. But such complications are quite rare, usually against the background of unprofessionalism or low qualifications of the doctor.

Somewhat more often, side effects occur when a woman already lives with an intrauterine contraceptive for a certain time. There is no specific data, after what time after the introduction of complications develop. But in general, in the process of wearing the helix, patients may face side effects like:

  • Copious or prolonged bleeding. Usually, abundant and prolonged menstruation is manifested with the first after the installation monthly. By the way, they are considered to be long if more than 8 days go by, and abundant if they are twice as strong. If within half a year the profusion or duration of menstruation has not decreased, then this can lead to severe anemia, therefore, the IUD is recommended to be removed.
  • Sharp pains in the lower abdomen. As a rule, the first three months are observed, especially in many non-giving up young patients and the use of a copper IUD.
  • The use of hormonal intrauterine contraceptives sometimes leads to amenorrhea, menstrual acyclicity, intermenstrual spotting, etc.
  • Also due to the presence of hormonal substances in the IUD during the first 3 months, symptoms of the systemic action of gestagenic hormones such as acne, chest engorgement, bouts of migraine pain and nausea-vomiting syndrome, decreased libido, radiculitis-like painful sensations in the back and excessive nervousness, psycho-emotional disorders up to depressed. If after 3 months after installing the IUD, similar symptoms do not disappear, then it is necessary to change the contraceptive method.

As for the adverse reactions that occur after the removal of the helix, they occur in extremely rare cases and manifest themselves in the form of low-inflammations, acute infections, ectopic conception, etc.

When, after removing the spiral, you can plan pregnancy

During planning it is very important to eat balanced

Can I get pregnant after wearing a spiral? Such a question arose in due time before many women. Statistics show that almost all women after the removal of the spiral quickly conceived and safely carried the baby. If you follow all the medical recommendations, the conception will come without problems within 6-12 months after the removal of the contraceptive. But many, having made a decision about pregnancy, want to conceive in the very near future, therefore, the question arises how to quickly become pregnant immediately after removing the helix.

Definitely no one can answer such a delicate question, because each case is different. The rate of pregnancy depends on many different factors, such as the duration of the wearing of an intrauterine contraceptive, because the long stay of the IUD in the uterus does not very well affect female reproduction. The spiral can provoke sexual inflammatory processes, microtraumas of the uterine wall, and if the device contains a hormonal component, its remnants fall into the uterus, which also makes it difficult to initiate pregnancy. Therefore, for each particular patient has its own individual recommendations.

Reasons for not conceiving

It also happens that after a spiral is withdrawn, patients cannot become pregnant for a long period, although they follow all medical recommendations. Этому может быть немало причин. Во-первых, спровоцировать затруднения с зачатием могут гормональные нарушения. Если ВМС содержит гормональные компоненты, то она может серьезно изменить гормональный фон женщины. Если через полгода зачать не удалось, то нужно сдать кровь на гормоны.

Also the reason why patients after a spiral do not become pregnant for a long time, may be endometritis. Often in the process of removing the spiral occurs trauma to the endometrium, which subsequently ends with inflammatory processes. If they are not treated for a long time, then endometriosis develops, which, when neglected of the pathological process, leads to infertility.

Problems and difficulties

Some, after removal of the IUD, develop microdamages on the uterine walls. What should the patient do in this situation? A doctor with such injuries prescribes specialized drugs that will help to quickly restore the damaged walls of the body. If the patient ignores the medical prescriptions and conception occurs immediately after the removal of the IUD, the risks of spontaneous abortion increase. Although in the obstetric practice more than once there were cases when patients became pregnant with an intrauterine contraceptive.

But it is still better if the patient complies with the doctor's recommendations, when you can become pregnant after the helix, otherwise the consequences can be dire.

  • It is necessary to begin sexual relations not earlier than two weeks after the withdrawal of the spiral. Why not before? It is just that when the helix is ​​removed, the uterine mucosa is injured, and sexual intimacy can cause bleeding or infection.
  • After the removal of the IUD, which has metal in its composition, conception attempts can be started only after a 3-4-month period of time. If this requirement is violated and after the helix is ​​not protected, then conception can lead to miscarriage or does not come at all.
  • If the hormonal coil was removed, then it will take at least six months for the final recovery. The IUD interferes with ovulation and thinns the endometrial layer, so the body will need some period of recovery.

According to statistics, patients successfully conceive in the first year. Although all organisms are different, therefore, how much time it takes to recover depends on individual characteristics. It happens that patients have been regularly observed by a specialist for months, complaining that I cannot get pregnant. But you don’t need to hurry with such a decision, it’s better to make sure and wait for the reproductive system to fully recover.

Although doctors give optimistic predictions about conception, in reality there are many cases when a woman faces difficulties and looks for ways to get pregnant after removing the helix. Most often, the presence of problems is explained by the lack of professionalism of the doctor, the poorly performed procedure of withdrawing the spiral or non-compliance with the rules of personal hygiene and sexual rest in the first couple of weeks after the removal procedure.

Question: When is it better to remove the spiral?

Hello, I have a MultiLoud spiral for 2 years now, now we want a second baby. When is it better to pull it out (during menstruation or how?), And after what period of time can you conceive the 2nd baby?

The spiral is recommended to be removed on the 4-8 day of the menstrual cycle. Conception can be planned 3 months after the procedure.

I already have 3 spiral 4.5 years. The previous 2 I deleted during menstruation, and now the doctor told me that it does not matter. This procedure is rather painful judging by my experience. Tell me how to do better? And how can you numb this procedure?

It is better to remove the helix during menstruation; during this period, removal is faster and with fewer complications. If necessary, general anesthesia can be applied, about the possibility of its use in your case, you need to consult with your general gynecologist.

Hello, tell me please, I want to remove the spiral. The doctor told me that before doing this, I had to do some kind of analysis, and then immediately take out the spiral. She also told me that they took out the spiral the day before menstruation. tell me what kind of analysis it is, is it painful to take it ... and generally it is painful to remove the spiral?

It is recommended to pass a swab from the vagina, remove the spiral is not more painful than to put it, so there is no need to worry so much.

Tell me please, and the day before menstruation you can remove the spiral? The fact. What when I told her that I read that the spiral is taken out during menstruation. She said that before removing the helix, I will still have an analysis and therefore the helix must be removed one day before the menstrual period. This is true? Do I need to do an ultrasound before removing the spiral? She took a smear from me at the time of the visit.

The easiest way is to remove the spiral at the end of the menstrual cycle. However, your doctor may set other dates for removal of the intrauterine device. If necessary, ultrasound diagnostics are performed before removing the helix.

I have a spiral, I want the husband to be the husband of the second child, I read in your answers that after removing the spiral, you need to wait 3 months before conceiving the child. What can be protected in these three months, except for a condom? and what will happen if the pregnancy comes before 3 months?

If you are planning a pregnancy in 3 months, then the use of hormonal contraceptives is undesirable. The most recommended method in such cases is the barrier method (condoms). After removal of the helix, the interval before pregnancy is necessary so that the pregnancy proceeds most favorably. If the pregnancy comes earlier, nothing terrible will happen, but this interval is needed to restore the physiological state of the uterine cavity. You can learn more about this in our site section: Intrauterine device.


Some women are wondering how to pull a helix out of the uterus at home. It is strictly not allowed to carry out this procedure yourself. All manipulations should be performed only by an experienced, qualified specialist, otherwise there is the likelihood of serious gynecological problems.

It is not recommended to use contraceptives longer than it is determined by the useful life. If we neglect this rule, then the following is not excluded:

  • The spiral can grow into the tissues of the reproductive organs,
  • Inflammatory diseases will begin to progress,
  • There will be chronic pelvic pain syndrome,
  • Reproductive organs will become more susceptible to infection,
  • Infertility may develop in women.

Every girl should be attentive to her state of health. It is necessary to undergo gynecological preventive examinations. It is also worth remembering that the spiral is set for many years, so it is possible that a woman can forget when she was introduced. Such data must be recorded and stored in a safe place so that timely withdrawals can be made.

The essence of the diagnosis

A specialist can diagnose an ingrown spiral after performing hysteroscopy. The study helps to determine the state of the contraceptive and the degree of its ingrowth into the uterus. Microsurgical intervention allows you to choose the tactics of removal of the IUD and determine its location. If the spiral is in the vicinity of other internal organs and large vessels, surgical intervention will be risky. About all possible risks, the patient is warned before manipulation.

Contraindications to hysteroscopy are: inflammatory and infectious diseases of the urogenital system, uterine bleeding, pregnancy, cancer or cervical stenosis, vascular and heart diseases, renal and hepatic failure.

Features of the ingrown helix removal

It is impossible to extract the spiral by yourself, for this you should contact a qualified gynecologist. The specialist will examine the patient on the gynecological chair before the procedure and refer her for testing. Laboratory tests that a woman must pass before manipulation:

  • Analysis of urine,
  • blood test,
  • smear on microflora,
  • bacterial culture.

Ultrasound examination of the uterus and colposcopy should also be performed. After the doctor is sure that the IUD grows into the patient's body, the doctor prescribes the time and day of the operation.

Extraction is carried out in stages using local anesthesia. Sanitization of intimate organs is performed: the female genitals are treated with antiseptic medicines. In the cervix are installed dilators, which facilitate access to the uterus. Next, a hysteroscope is inserted through the cervix, with which the gynecologist can examine the muscle walls in detail.

After the specialist finds the IUD, it is removed with sterile forceps or a curette. In the case when a large part of the contraceptive grows into the abdominal cavity, laparoscopy is prescribed.

If the helix is ​​located near the bladder, urinary tract and large vessels, laparotomy is indicated. At the end of the procedure, the doctor is scraping out the overgrown mucosal layer. The duration of the operation varies from 15 to 30 minutes.

If during the surgical procedure the helix threads come off, the gynecologist will pull it out with a special hook. It is desirable to further remove the IUD under the control of ultrasound.

If the ingrown intrauterine contraceptive cannot be pulled out through the cervical canal (during fusion or atresia), then a specialist removes it through the abdominal cavity. In this case, the extraction takes place using laparoscopic methods under general anesthesia. After surgery, antibacterial and anti-inflammatory drugs are prescribed, the doctor gives directions to an ultrasound of the pelvic organs.

When is the best time to perform the procedure?

The operation is most often carried out during menstruation, because during this period, the external pharynx of the neck of the internal organ is ajar and pulling out the IUD will be more painless and soft. The most favorable days for the procedure are the first or last day of menstruation, when there is a minimum amount of bleeding.

If the patient is disturbed by discomfort, discomfort due to the contraceptive, it can be removed any day. Some experts recommend removing the IUD for 5-7 days of the menstrual cycle.

Pregnancy after ingrown contraceptive

The contraceptive method does not affect the subsequent conception of the child. After a period of recovery (2-3 months), a woman may think about becoming a mother. During this time, the mucous membrane (mucosal layer) is fully restored and the microflora is normalized.

If a patient has complications, such as endometritis, due to wearing a contraceptive, refrain from conceiving until the disease is cured. After a successful course of therapy, you can safely get pregnant. If a woman feels good, she has no contraindications, pregnancy can occur immediately after removal of the IUD.

About complications of the grown Navy

The most common complications of ingrown spiral are: inflammatory processes, bleeding, chronic endometritis. Normal and acceptable symptoms after surgery are:

  • aching pain in the abdomen,
  • small amounts of bleeding
  • pelvic discomfort,
  • muscle cramps in the stomach.

If symptoms do not go away after 5-7 days, you should seek medical help from your doctor.

If you have purulent or brown discharge with an unpleasant odor, fever, deterioration of health after removing the IUD, you should consult with a gynecologist.

After conducting a series of studies and diagnostics, a specialist will be able to determine the reason for a woman’s deterioration in health and to prescribe a course of therapy.

Postoperative care

After removal of the ingrown spiral, a woman should observe simple rules. It is recommended that complete sexual rest for 3-4 days. You can not play sports and lift weights for 1-2 weeks, you must follow the rules of intimate hygiene.

In addition, you should refuse to visit the baths, saunas, tanning beds and swimming pools for 1-2 months. The use of tampons is prohibited, douching can not be used as a method of treatment of diseases of the genital organs. The recovery period can take from 3 to 14 days.

The presence of a foreign body in the internal organ and a long period of its wearing can have a negative impact on the woman's body. These are not only possible complications, such as the ingrowth of a contraceptive into the wall of the uterus, but also inflammatory diseases and even rupture of the cervix.

The female body can react to the IUD in different ways, so at the first sensations of discomfort and pain, it is worth visiting a gynecologist and undergoing examination.

The effect of the IUD on the menstrual cycle

The nature of the influence of the spiral on the cycle depends on the type of product. Modern contraceptives are made of plastic and metal in the form of letters “T”, “S”. The effect of protection is achieved due to the following factors:

  • the thickening of the secretion of the cervical canal, which makes it difficult to promote sperm,
  • prevention of endometrial proliferation and implantation of a fertilized female germ cell,
  • strengthening the contractile activity of the tubes, ensuring the passage of the immature ovum.

The spiral has an impact directly on the organs of the reproductive system. The effect of the product on the cycle is different individual character. Many women report a decrease in the intensity of bleeding during menstruation. In the adaptation period, the appearance of acyclic spotting is possible.

On which day of the cycle they put a spiral

Before putting the device, the gynecologist assigns the necessary research to the woman to exclude:

  • pregnancy
  • infections and inflammation.

Often, patients are interested in when it is preferable to put a spiral. The product must be placed in the uterine cavity by introducing it into the cervical canal. This area is anatomically narrow. Sometimes after the introduction of the spiral, discharge is observed as menstruation, which can be a symptom of injury.

Damage to the mucous membrane of the cervical canal is dangerous development of the inflammatory process and the occurrence of erosion. It is known that trauma to the cervix may complicate the course of subsequent labor.

It is recommended to put a spiral during the month, due to the following reasons:

  • cervical opening,
  • soft texture of fabrics
  • installation accuracy and painlessness.

If you put a spiral in the period of menstruation, adaptation differs easy flow. It is advisable to install the product by the end of the menstrual period due to non-intense bleeding and slight narrowing of the cervical canal.

Is it possible to put a spiral without monthly

Putting a spiral without menstruation is possible with the exception of pregnancy. The doctor can put a contraceptive without monthly after childbirth. If the helix has a hormonal effect, it must be placed on the 7th day of the cycle. For most women, by this time the menstruation stops, which can cause painful sensations during the procedure. To eliminate pain during the IUD installation, anesthetics are used.

How much are the monthly after the installation of the spiral

It is possible to change the duration of the cycle in the direction of its increase. It is known that normally the duration of critical days is up to 7 days. During the first cycles after the installation of the helix, sometimes long periods of time go. In this case, there should be no pronounced changes in the general condition of the woman.

For pain of medium intensity, you can resort to receiving antispasmodics and painkillers. Cramping pain and increased discharge during menstruation may indicate the development of the inflammatory process, rejection of the product, trauma to the tissues of the uterus. These symptoms require immediate removal of the IUD.

These hygiene products increase the risk of infection and prevent normal adaptation to an intrauterine contraceptive.

Delayed monthly with IUD

The slight delay in menstruation with a spiral in some women is due to the following reasons:

  • transferred stress
  • adaptation to a foreign body in the uterus,
  • possible hormonal changes.

The change in cycle time should not exceed 3 weeks. Otherwise, it is recommended to consult a gynecologist. Slight delays may occur over several cycles, which is considered normal.

Prolonged absence of menstruation with the use of a spiral requires the elimination of pregnancy. Before you put the IUD, you should consider the need for additional contraception for 2-3 weeks after installing the product. If there is a spiral in the delay of menstruation, and the test is negative, pregnancy is unlikely.

Extract helix

Gynecologist puts a spiral for a period of 5-7 years. The need to extract an IUD is associated with the following risks:

  • ingrowth of the product into the uterine mucosa,
  • development of the inflammatory process,
  • impaired reproductive function.

The period of use of the spiral depends on its type, the presence of possible indications and the desire of the woman.

Is it possible to extract a spiral without monthly

The removal of the helix without menstruation is performed if indicated. When a doctor puts on an IUD, he informs the patient about possible body reactions to a foreign body. In such cases, you can pull the spiral without menstruation.

Долго идут месячные после спирали

Длительность критических дней определяется продукцией половых стероидов и особенностями адаптационного периода. In most cases, the discharge after removing the product is scarce.

The duration of menstruation, exceeding a week, argues in favor of hormonal failure or trauma to the uterus. Gynecologists pay attention to the need to track the monthly after removing the device. In the absence of pathological symptoms, the patient visits the doctor one month after the contraceptive is removed.

Delayed menses after removal of the IUD

The first periods may occur with a delay, the duration of which is not more than 2 weeks. Long delays in critical days are attributed to the following factors:

  • period of use of contraceptive,
  • the age of the patient
  • type of product
  • the nature of the thinning of the inner layer of the uterus,
  • stresses
  • related somatic pathologies (inflammatory and hormonal).

The probability of ectopic pregnancy increases after various surgical interventions on the pelvic organs.

Recovery of the menstrual cycle

After contraceptive removal, scant bleeding is often noted due to prolonged suppression of ovarian function and endometrial development. The normal period should recover within 3 cycles. If after this period, menstruation resembles a daub, you must be examined by a gynecologist.

In the absence of complications and side effects, menstruation should return to previous indicators. Sometimes the long-term effect of the contraceptive on the reproductive system changes the nature of menstruation.

Possible side effects and complications

Since the intrauterine contraceptive is a foreign body, complications and possible side effects cannot be ruled out:

  • pain syndrome in unborn or emotional women with improper selection of the size of the product,
  • loss of the device in case of violation of the injection technique,
  • copious menstruation,
  • inflammatory processes due to undertreated infections, activation of conditionally pathogenic microflora,
  • bleeding and anemia,
  • the occurrence of fibroids,
  • ectopic and uterine pregnancy,
  • pain during sexual intercourse,
  • lack of orgasm
  • puncture (perforation) of the muscle wall,
  • ingrowth of the product into the fabric
  • copper intolerance.