IUD (intrauterine device) is a form of contraception. When different types of IUDs are present, they do not allow the sperm to fertilize the egg. If by any chance, fertilization occurs; IUDs make the implantation difficult.
IUD is a T-shaped device placed in the uterus. Some IUDs release small amounts of progestin and are effective for 3-5 years, while copper-containing IUDs can be left inside the uterus for twelve years, and the copper acts as a spermicide, which is a substance that kills sperm.
An IUD has to be inserted by an experienced nurse or doctor. IUD placement in Midwood is done by doctors using a special inserter, which inserts the IUD in the uterus by opening the cervix.
All you need to know about IUD:
- Medications are given to the patient to reduce the pain and cramps that occur while inserting the IUD.
- Before inserting the IUD, the doctor explains the procedure. The doctor then performs a pregnancy test to ensure that there are no chances of a pregnancy. After this, the doctor conducts a bimanual examination. The doctor inserts two fingers and determines the location and size of the uterus for inserting the IUD.
- A speculum (a device used to dilate an orifice) keeps the vagina open, and a tenaculum stabilizes the cervix.
- Then the doctor measures the length of the cervical canal and uterus to avoid any perforations. An endometrial aspirator is used during this part of the procedure, helping the doctor place the IUD at a precise angle and in the correct depth.
- IUD is inserted in a tube, and the arms of the IUD are bent backward inside the tube. The tube is inserted along with the IUD, and once the tube is out, the arms open, and the IUD takes a “T” shape. The patient may feel cramps or itching while inserting an IUD. If any immediate severe symptoms like nausea, vomiting, or severe pain in the abdomen are seen, the doctor immediately removes the IUD.
- Once the IUD is placed, the speculum, tenaculum, and all the other instruments are withdrawn, and the IUD is held in place with strings attached to it. These strings hang down the cervix (1-2 inches).
- After the insertion, some women may feel discomfort and mild cramps, but these generally go away once the uterus adapts to the IUD.
- Once the patient feels comfortable with the IUD, it is okay for them to have sexual intercourse.
- It is advised to check strings of IUD 2-3 times a week. This ensures that the IUD is in place.
If you don’t want a baby and want an effective method of contraception without performing a tubectomy, then inserting an IUD is the best option. This method of contraception is 99% effective.