When it comes to intrauterine devices, there are greater concerns about their side effects. In fact, due to its safety, effectiveness, economy and reversibility advantages, about half of the women in the country use iuds as a method of contraception。
Synopsis: the annual world contraceptive day is coming, and on the occasion of the 26th of september, the sex-love internet invites young gynecologist rae zhiwen, a contraceptive method that is not always mentioned: intrauterine devices。
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In the preceding words, limited to the background of one's knowledge, this paper only discusses the knowledge of iuds at the medical level. The choice of contraceptive methods should be tailored to the needs of people and i do not favour the practice of universal access for all women。
On 26 september, world contraceptive day, we usually refer to “conception” services as oral contraceptives, condoms, etc. In fact, there are currently six aspects of the contraceptive control technical services provided by the health and family planning sectors。
Conventional methods of contraception: the conventional methods of contraception are divided into two main categories, non-hormonal, such as intrauterine devices, barrier contraception (male condoms, uterine caps). The other is hormone-type contraceptive methods, such as oral contraceptives, injectable pills and under-cover planting。
Post-conception: includes emergency contraception, yellow-term contraception, etc。
Termination of pregnancy: if an unwanted pregnancy occurs, appropriate remedial measures may be taken, i. E. Termination of pregnancy, including a drug abortion, surgical flow, induced birth。
The other three are: male family planning; informed choice of family planning and quality services; and quality management of family planning technical services。
There is a lot of literature on short-acting oral contraceptives on the internet, but there are fewer articles on an iud (commonly known as “upper ring”), another contraceptive method that is common in the country, and there are more concerns about the side effects of iud。
In fact, iud is one of the main methods of contraception. Because of its advantages of safety, effectiveness, economy (the vast majority of which is between $10 and $200 and can be used for years or decades), reversibility (restoration of fertility once removed), about half of the women in need of contraception use iud as a contraceptive measure。
Iud contraceptive effects
The pearl index (pearl index, pi) which is the world's accepted indicator for evaluating contraceptive effectiveness is necessary to analyse the effects of contraception. It is defined as the number of pregnancies that occur every year for every 100 women using some form of contraception. The lower the pearl index, the better the contraceptive effect。
For example, if the pearl index for some form of contraception is 1, it means that 100 women use this method for one year and only one has an unwanted pregnancy。
As can be seen from the map of the pearl index for commonly used contraceptive methods provided by the world health organization, the pearl index for intrauterine devices is between 0 and 0. 9, well below the oral short-acting contraceptive pill, which is “very effective”。
Iud contraceptive method and type
The iud method of contraception is that, when placed in the uterine cavity, it can change the inner uterine environment to the detriment of the fertilized egg, affecting the activity of the sperm and the rate at which the egg moves in the tubal, thereby achieving the purpose of contraception。
Iuds are of a wide variety and can be classified as inert and active by components. Inert intrauterine devices are currently rare. The active intrauterine device is divided into an intrauterine device containing copper (e. G. Gini ring), an intrauterine device containing pregnancy hormones (e. G. Mangil) and an intrauterine device containing gimmicks (e. G. Gini to may)。
Gini rings can be fixed at the bottom of the uterus, with a low chance of falling, but with a higher haemorrhage response。
Manmoon inhibits local internal membranes, constricts the membrane gland, discourages fertilized eggs and reduces menstruation significantly. It has a mitigating effect on menstruation, anaemia, endometriosis, etc., and applies to breastfeeding women. However, there may be irregular vaginal haemorrhage and reversible closed-doors at the beginning of the placement。
Gini may inhibit prostate synthesis, mitigate haemorrhage and pain symptoms, and increase user tolerance。
Am i fit to use an intrauterine device
Women should choose their own method of contraception with full knowledge and not compulsory. Their preferences should be informed about their strengths and weaknesses, their adaptability and their taboos, and they should be consulted with doctors if necessary。
In general, iuds apply to women of reproductive age who are married, menstrual, normal, healthy and in need of contraception. Other contraceptive methods may also be used by persons who are unfit to use them, such as those who are not able to insist on using external drugs or who are vulnerable to leaking them; those who are unable to take contraceptives such as hypertension or severe headaches; those who are breastfeeding; and those who have had a good iud。
However, the following cases are examined by a doctor to determine whether iuds are available: genital inflammation, e. G. Acute, chronic pelvic inflammation; serious systemic acute, chronic, e. G. Abnormal liver and kidney function, severe anaemia; frequent menstruation, multiple or irregular vaginal haemorrhages; intrauterine pervulsion, severe cervix fracture, narrow or severe uterine decompression; uterine cavity or cervix; pregnancy or suspicious pregnancy; incompleteness of the placenta, uterine contraction and potential infection; uterine abnormalities; neoplasms of the genitals, e. G. Cervixoma, ovarian malignant tumors, intrauterine membrane cancer。
The minor physician suggests that, because of the basic state policy, certain provinces and municipalities may need to be approved by the prefectural and above-prefectural birth control authorities and to produce the relevant written material before having to perform an iud. In the current situation, unmarried girls are not recommended for iud contraception。
Placement and follow-up of intrauterine devices
The internal intrauterine device is placed within two or three days after the period of clean menstruation and after six to eight weeks of post-natal check-ups without special circumstances。
Outside the country, they can be placed during menstruation (days 3-5 of menstruation), immediately after the abortion, immediately after the mid-pregnancy, and as emergency contraception (within 5 days of sexual intercourse)。
The steps taken by doctors to place iud are: first, to expand the vagina with a vaginal peep, to expose the cervix, to clean the cervix and to disinfect it; then to enter the cervix directly in the direction of the uterus with a cervix probe, and to measure the depth and width of the cervix; and, lastly, to select a cervix appropriate to the size of the uterus, to place the selected cervix on the larvae, and to drop it gently in the direction of the cervix into the cervix。
The whole process will take only a few minutes and most women will feel slightly discomfort because of the need to expand the cervix. If you find it unbearable, some medication may be administered under the supervision of a doctor。
You're gonna need to look at these after you put in the birth control
Menstruation: mostly in the form of increased menstruation, extended bleeding time, irregular vaginal bleeding, etc., persons who have no treatment may consider taking out a birth control。
Unusual pain: the main manifestations are abdominal pain, back pain and sexual pain, which can be treated for different types of intrauterine birth control or other contraceptive methods。
The increase in the white belt: iud irritation of the uterine membrane has resulted in an increase in uterine fluids. As a non-infective reaction, the white belt does not smell and does not require special treatment. In the case of increased white belts due to infection, treatment should be provided accordingly。
Intrauterine devices may be removed, removed and alienated. Attention should therefore be paid to the removal of intrauterine devices within three months of placement, especially during menstruation or defecation。
It should be noted that iuds are not able to protect themselves from sexually transmitted infections (stis) or prevent fertilised eggs from sleeping outside the cervix, so that iuds are still at risk of heterosexual pregnancy。
The placement of intrauterine devices should be followed up on a regular basis for the first, third, sixth and twelfth months after placement and once a year thereafter。
At the same time, it should be noted that iuds are used for different periods of time, ranging from three to eight years, generally for about five years. Therefore, please maintain medical records of the placement of iuds in order to specify the exact time and type of iuds placed and to replace them in the regular medical sector before their expiry。
