Does the IUD cause problems for you

Intrauterine device / copper coil

The most commonly used intrauterine device (IUD) is the copper IUD. The T-shaped coil is inserted into the uterine cavity (intrauterine) and works on the same principle as the hormone coil. It just doesn't release hormones, it's made of plastic and copper. The spiral wrapped in copper wire releases copper ions. These damage the sperm and thus act as a contraceptive. In addition, the coil changes the lining of the cervix and the uterus. The effect is that the sperm are stopped on their way to the uterus and a possibly fertilized egg cannot implant.

Other IUDs are copper chains or copper balls.

Insertion of the IUD

The gynecologist inserts the IUD into the uterine cavity during menstrual bleeding. Withdrawal threads that protrude into the vagina give the user the opportunity to control the position of the spiral at any time.

It can remain in the uterus for up to 5 years.

IUD safety

The Pearl Index is 0.4 to 1.

Who are intrauterine devices suitable for?

Since an IUD can stay in the uterus for up to 5 years, this method of contraception is suitable for women who want to use long-term contraception and do not want to regularly use it, or whose family planning has already been completed. The IUD is also suitable for women who cannot or do not want to use hormonal contraceptives.

Benefits of the IUD

The greatest advantage of the IUD is the low daily effort. A one-time intervention is only necessary every 3 - 5 years and no mistakes can be made when using the "pill". A copper IUD does not interfere with the woman's hormonal system Pregnancy is possible again immediately.

Risks of the IUD

Inflammation of the uterus and fallopian tubes in IUD wearers is very rare (0.4% per IUD). The risk of ectopic pregnancy is also very rare (0.6% per IUD). Injury to the uterus from inserting the IUD is very rare.

Disadvantages of the IUD

Women who wear an IUD should have their position checked by a gynecologist using ultrasound at least every 6 months. The risk that the copper spiral slips and thus loses security is 1-3%. In addition, an IUD does not protect against sexually transmitted diseases. Another disadvantage can be prolonged or heavy menstrual bleeding.

The "afterward spiral"
The IUD can also be used to prevent pregnancy after other methods have failed or after unprotected sexual intercourse.
To do this, it must be inserted within 5 days of unprotected sexual intercourse in order to prevent the egg from implanting in the uterus. It can then remain in the uterus for further contraception, or it can be removed during the next period.