In the article, we will consider how the removal of the intrauterine device is carried out.
The use of these devices as contraceptives has a number of distinct advantages. However, despite the fact that this method of preventing unwanted pregnancy is effective, economical and long-term use, removing the intrauterine device at a certain time is a necessary procedure.
Timing
The duration of use of these contraceptives can vary between 3-15 years.
Not everyone knows when to remove the intrauterine device.
The term of use depends on what kind of device is used, as well as on the material from which it is made:
- IUDs containing copper can be used for 3-5 years.
- Navy basedsilver, hormone-releasing - 5-7 years.
- Navy made with gold - 10-15 years.
The intrauterine device is subject to removal if there are the following indications:
- Pathologies of a gynecological nature, including inflammation, tumors, bleeding, pain syndrome.
- The onset of menopause.
- The onset of conception.
- Prolapse (expulsion) or displacement of the helix.
- Switching to another type of contraception.
- Planning pregnancy.
- End of service life.
If the patient is diagnosed with uterine fibroids, which have a small volume, the installation of a spiral with a progestogen is not contraindicated. In the case when the neoplasm begins to actively increase in size against the background of the use of a contraceptive, the intrauterine device should be removed.
What is the process?
Removal of the intrauterine device refers to minor medical manipulations. It is forbidden to extract a contraceptive on your own, as there is a risk of violating the integrity of the mucous membranes of the uterus, developing the process of inflammation, infection. Incorrect extraction of the IUD in some cases leads to rupture of the antennae, the movement of the contraceptive into the cervical canal. Such situations are always accompanied by the development of a pronounced pain syndrome.
Intrauterine device removal code according to ICD-10 A11.20.015.
Preparation for extraction of the uterine coil
Usuallyremoval of the intrauterine device is carried out in an outpatient setting. Manipulation should be carried out under aseptic and antiseptic conditions. Before removing the coil, the gynecologist conducts a general examination of the patient.
At the preparatory stage of the removal of the spiral are performed:
- Colposcopy.
- Ultrasound examination of organs located in the small pelvis.
- Laboratory study of a smear for flora, oncocytology.
- General laboratory testing of blood, urine samples.
So, let's find out how to remove the intrauterine device.
Extraction
The extraction of contraceptives is carried out after examination of the vagina and uterine cervix. To carry out the procedure, you will need the use of gynecological mirrors - with their help, the gynecologist exposes the vaginal part of the uterine cervix. To prevent the development of inflammation and the penetration of pathogens, the mucosa is treated with any antiseptic drug.
Which instruments are used to remove the intrauterine device?
To extract the spiral, the doctor grabs her antennae, which are the control threads of the product, with a forceps or tweezers. With the help of medical instruments, a specialist slowly removes it from the uterine cavity.
There is no fixed timeline for extracting the spiral. Nevertheless, it is recommended to remove the device during menstruation, since during this period the opening of the cervix of the uterine cervix occurs. This greatly facilitates the procedure for extracting the coil, making it less painful. Mostthe first and last days of menstruation are considered favorable periods for manipulation, since there are no intense discharges at this time.
It is worth noting that a new contraceptive can be introduced immediately if the woman has no contraindications.
How to remove the intrauterine device after menopause, many people are interested.
Removing a spiral without antennae
In some cases, in the process of extracting the spiral, its antennae (threads) come off. In this case, the product is removed using a special hook. If the antennae cannot be visualized, it is recommended to perform the extraction procedure using ultrasound equipment. In terms of time, the removal of a spiral that does not have antennae may be longer.
How is an ingrown intrauterine device removed?
Ingrown Probability
In some cases, there is an ingrowth of the contraceptive into the wall of the uterus. This happens, as a rule, if the patient misses an adequate time for extracting the coil. Such a complication leads to the fact that it is not possible to remove the spiral in the usual way in an outpatient setting.
In this case, the spiral is removed after the patient is hospitalized in the gynecological department of the hospital. The removal procedure is performed under general anesthesia using the scraping technique. In this case, the process is controlled using a hysteroscope. A hysteroscope is a device that is used to diagnose and treat uterine pathologies. Special equipment is inserted through the cervical canal,to remove a neoplasm or to take samples of tissue structures for the purpose of subsequent histological examination.
In some cases, there is no possibility of removing the intrauterine device through the cervical canal, for example, if artesia or its infection is observed. In this case, gynecologists use a laparoscopic technique to remove the IUD through the abdominal cavity. This operation is performed under general anesthesia. In the rehabilitation period, the woman is recommended to use antibiotic drugs, anti-inflammatory drugs. Obligatory examination in this case is ultrasound diagnostics.
Painful IUD removal procedure
Gynecologists do not tire of emphasizing that the removal of the intrauterine device, if a woman had no inflammation and complications during its use, occurs very quickly and without any consequences. During the manipulation to extract the spiral, a woman, as a rule, does not experience pain.
The installation of a contraceptive is considered to be a more complex and time-consuming process in comparison with its removal. The removal procedure lasts in most cases no more than a few minutes.
It's no secret that every woman's pain threshold is different. If the patient is very afraid of manipulation, the use of any anesthetic drug is allowed. If the pain threshold is low enough, the use of a local anesthetic, such as Lidocaine spray, is allowed.
Probablecomplications after IUD removal
In fact, the IUD is a foreign body for the body, sometimes provoking various complications. After removing the spiral, a woman may develop such consequences as:
- Inflammation of the uterine appendages.
- Acute and chronic forms of endometritis.
- Bleeding.
After the coil is removed, a woman may experience the following symptoms:
- Mild spotting.
- Pelvic pain.
- Abdominal cramps.
The presence of aching pains resembling menstrual pain is not considered a pathological situation, it does not require a gynecologist's consultation. The appearance of discharge that has an unpleasant odor, fever, poor he alth - a direct reason for obtaining medical help.
Development of inflammation after extraction
Manipulation to extract the spiral is a simple procedure. If there are no complications and surgical intervention, the patient is recommended to adhere to a number of certain rules:
- No douching or tampons.
- Exclusion of visits to the beach, saunas, baths.
- Following recommendations regarding intimate hygiene.
- Reducing the intensity of physical activity.
- Compliance with sexual rest for several days.
With prolonged wearing of the intrauterine device, serious consequences can develop. It is important that a womanremoved the contraceptive as soon as its useful life ended.
It is worth noting that the spiral can cause the development of inflammation processes, discomfort, so you should not wait until the end of its service life if there are such complaints.
After the removal of the IUD, in some cases, the nature of the menstrual cycle may change. The duration of the recovery period can vary and reach several months.
How long the recovery period will last is determined by factors such as:
- Psycho-emotional state of the patient.
- Presence of concomitant pathologies.
- Endometrial thinning rate.
- Duration of wearing an intrauterine device.
- Age of the patient.
- A type of spiral (simple or hormone-containing).
After removing the coil, menstruation may be:
- Scanty due to the oppressed functionality of the ovaries.
- Coarse, which in some cases may indicate the presence of an inflammatory process.
It is worth noting that the maximum recovery period can last 4 cycles.
Cost of procedure
In some clinics, the cost of removing the IUD includes a gynecological examination and preliminary diagnostics. The average cost of an IUD removal procedure in Russian clinics is 1,500-2,000 rubles.
Where can I remove the intrauterine device? The doctor will also be able toconsult in advance.
You can remove the contraceptive from almost any gynecologist in a public or private clinic.
Thus, the spiral should be removed in a timely manner, the service life of the product is determined by its variety and the individual characteristics of the female body. If pathological symptoms appear, removal of the IUD before the end of its operational period is indicated. Subject to the advice and recommendations of a gynecologist, the use of an intrauterine device does not cause any inconvenience to a woman and does not cause any complications.
Reviews on the removal of the intrauterine device
Women respond positively to intrauterine devices, as a rule, since this method of contraception has a number of advantages over other methods. However, contraception using the coil is not as common as oral or barrier contraception. The process of removing the IUD (in the absence of a complication in a woman) also does not cause inconvenience - the manipulation is quick and, as a rule, painless.
