Many women get one Insert spiralin order to be protected from pregnancy for a longer period of time - the coil can remain in the uterus for up to five years. The gynecologist takes care of the insertion as well as the biannual controls that are recommended. Learn here how the spiral insertion works, whether it is painful and what other problems can occur in the sequence.
Use spiral: task of gynecologist
Your gynecologist can use a coil on request. You can not do it yourself.
First, the gynecologist will determine the location, size and shape of your uterus in order to select the appropriate size of the spiral. The T-shaped plastic rod is available in sizes between 2.5 and 3.5 centimeters. Your gynecologist will also take a swab and examine it to detect any possible infections or changes in the genital area and to be able to treat them in advance.
The best time for your doctor to use the coil is during the last days of menstrual bleeding. At this time, the cervix is soft and wide. With the help of a tubular applicator, your doctor gently pushes the coil into the uterine cavity. The upper part of the spiral unfolds and holds it in place. The vertical part (shaft) is wrapped in the copper spiral with copper wire and loaded in the hormone spiral with progestin and acts in both cases as a position stabilizer. The security thread at the lower end of the shaft protrudes several centimeters into the vagina after insertion of the spiral from the cervix.
Does spiral insertion cause pain?
Spiral insertion is considered by some three-quarters of women to be mildly painful. Some women also report more severe pain. Discuss with your doctor the possibility of taking a painkiller in advance of the insole. The doctor may also give you a medicine that opens the cervix slightly, making it less painful to push the applicator.
If you are severely sensitive to pain, spiral insertion can lead to circulatory problems or collapse. For such rare cases, the cervix can be locally anaesthetized, or the spiral insertion can even be done under general anesthesia.
What problems can occur after spiral insertion?
In the first cycle after the insertion of the spiral, it can lead to a pelvic inflammation, which must be treated with medication. Possible signs include abdominal pain, increased discharge and spotting. In case of such symptoms, go immediately to your doctor and get treated.
If the spiral slips or even slips out of the uterine cavity, it can no longer fulfill its function. In very rare cases, inserting the spiral can cause perforation of the uterine wall, causing the coil to enter the abdomen. In this case, only one operation can help.
Increased risk of ectopic pregnancy
If a woman becomes pregnant despite a spiral, there is a slightly increased risk of ectopic pregnancy. If you experience abdominal pain and notice spotting, seek medical attention immediately. This will then clarify with an ultrasound examination and laboratory tests, whether actually an ectopic pregnancy exists. In this case, a quick operation would be indicated, because an embryo growing in the fallopian tube would rupture the fallopian tube and cause a hemorrhage in the abdomen.