Contents:
- Medical Video: Patient Education Video: Intrauterine Device (IUD)
- Get to know the type of IUD
- When should I release spiral KB?
- Procedure for removing an IUD
- What happens after I remove the IUD?
- Can you have sex after you release a spiral KB?
Medical Video: Patient Education Video: Intrauterine Device (IUD)
Intrauterine Device (IUD) is a long-term family planning method that is quite effective. If you use an IUD, you may have to take it out for one reason or another. For most women, the process of removing an IUD is as easy as the installation process. Then, when is the right time to release this spiral KB? Check out the review below.
Get to know the type of IUD
An IUD is a T-shaped contraceptive that is inserted into the uterus to prevent pregnancy. There are two types of spiral KB commonly used, namely copper-coated IUD and hormonal IUD.
Copper-plated spiral KB is a contraceptive coated with copper on the trunk and arms. This contraceptive device prevents pregnancy by blocking sperm from fertilizing the egg, making it harder for the egg to be fertilized in the womb.
Meanwhile, hormonal spiral KB is a contraceptive that is coated with the hormone progestin, making the cervical fluid thicker, and thinning the lining of the uterus. This is what makes sperm unable to enter the uterus.
When should I release spiral KB?
Actually to release KB spiral can be done anytime, according to your needs. However, there are indeed some conditions that require you to release spiral KB even though you are still delaying pregnancy.
Spiral KB has a validity period, for copper-plated tools it can prevent pregnancy for up to 10 years after insertion. So you have to release the spiral KB after that period.
While hormonal IUDs have a validity period that varies, depending on the brand. Some brands can prevent pregnancy for up to three years, while others can last up to five years. When the validity period expires, you must release the spiral KB.
Before the validity period of the IUD, if you want to try to get pregnant, you can ask your doctor to take it off.
In addition, doctors also recommend releasing IUD KB if you experience:
- Blood pressure increases
- Pelvic infection
- Endometritis (inflammation of the uterine wall)
- Endometrial cancer or cervical cancer
- Menopause
If there are other side effects or a feeling of discomfort, this could be the reason for removing the IUD.
Procedure for removing an IUD
For most women, the procedure for removing spiral KB is a simple procedure performed at a doctor's clinic. Keep in mind, if this process can only be done by a doctor.
Besides being simple, usually the process of removing spiral KB does not cause certain side effects. So you don't need to worry and worry.
To remove the IUD, your doctor will hold the IUD thread with ring forceps. In most cases, the IUD arm will drop upward, and the device will slide out.
If it has been pulled and the IUD does not come out, your doctor will release the contraceptive using another method. You may need a hysteroscopy to remove the IUD if it attaches to the wall of your uterus. During this procedure, the doctor will expand your cervix to insert a hysteroscope.
The hysteria uses a small device that is inserted into the uterus. This procedure may require anesthesia and takes between five minutes to one hour.
Recent research also shows that using ultrasound (USG) assistance, can be an effective way to release IUD KB that cannot be removed. When compared to a hysteroscope, using ultrasound is much easier and cheaper.
What happens after I remove the IUD?
Some mild bleeding or cramps usually occur during, or during the procedure. Some doctors may advise some women to take painkillers before the procedure, so they don't feel too much pain when the procedure is done.
If an IUD is removed due to infection, your doctor may prescribe antibiotics or other treatments.
As long as there are no complications or infections, new copper or hormonal IUDs can be inserted as soon as the old IUD is removed. Inserting a new IUD can also be done on the same day.
Can you have sex after you release a spiral KB?
Having sexual relations in the days before and after removing the IUD is permissible and fairly safe.
However, keep in mind if you have not used any contraception, the chances of pregnancy returning are high. Sperm will easily enter and fertilize the egg.
Even sperm can survive in the female reproductive tract for 5 days after sex. This makes pregnancy possible if you have sex a few days before the IUD is removed.
New Zealand Family Planning recommends avoiding sexual intercourse at least 7 days after the procedure for removing an IUD, if the patient does not want to get pregnant.
However, alternatively, you can use another contraceptive method. After removing the IUD, if you switch to oral contraception, another form of protection should be used for 7 days until oral contraception starts working.
