Metabolic syndrome a reality among young people
March 2024
Today, couples have many options when choosing a family planning method:hormonal contraceptives , either oral, injectable or implants, the intrauterine devices , various spermicides , diaphragms , the condoms or condoms , cervical caps, as temporary methods and male and female sterilization as definitive methods. Almost all people can use modern methods without risk, although the gynecologist will be the one who should tell the woman which is the most appropriate in her particular case.
The Intrauterine device (IUD) is a form of contraception that does not require daily attention and the woman can practically not worry about the subject, as long as it does not present any discomfort and assists the doctor periodically for its routine revision.
It is a small and flexible plastic device that is inserted by the doctor in the uterus or matrix through the neck of uterus vaginally. Its function is to prevent the meeting between Ovum and the spermatozoon . There are several types, almost all have one or two ropes or threads tied to them to facilitate their removal. The most used currently are the copper T and the liberator of hormones .
After an evaluation, the doctor will insert the IUD preferably during the last days of the menstrual period This facilitates insertion because the cervix is a bit more flexible during those days. Usually, the doctor will clean the cervix before placing the IUD and perform a pelvic exam to check the position of the uterus to make sure the woman can use an IUD safely. Subsequently, clean the neck of the uterus and the vaginal canal with an antiseptic solution and carefully insert the IUD. The threads are hanging at the point where the opening of the cervix meets the vagina . These threads can sometimes disturb the couple, during sexual intercourse in which case they can be cut. After the insertion, the doctor recommends the patient to lie down for 5 to 10 minutes to avoid dizziness . Generally, the woman will feel light Colic which can last a few days.
Copper IUD: It has a copper band around it that prevents the movement of sperm by the uterus , avoiding the fertilization of the ovules. This type of device can stay inside the body for up to 10 years.Hormone-releasing IUD: Constantly releases small amounts of the hormone progesterone or other progestogen , such as levonorgestrel. This interferes with the ovulation , alters the mucus of the cervix and the walls of the uterus , affecting the movement of ovules and the sperm . This type of IUD should be changed every year.
Not in all cases are presented, but the most common are:
In general, almost any woman can use an IUD, unless the doctor indicates otherwise. It is a good method in the following cases:
The IUD is not recommended for women who have: Recent medical history of ipelvic infections Several sexual partners who are at higher risk of contracting a sexually transmitted disease Endometriosis postpartum Abnormal or very heavy menstrual bleeding Very strong menstrual cramps Malformations of the uterus
As soon as the IUD is inserted it protects immediately and does not require another contraceptive method as a complement. If a woman becomes pregnant with the IUD put in place, she should request that it be removed immediately. It is better to remove it to avoid infections, and ideally it should be done within the first three months of the pregnancy . The risk of a miscarriage while having an IUD is 50%. If it is removed, it is reduced to 30%. Remember that it is important that it is the specialist doctor or a general practitioner or a trained family member who must place or remove the IUD. Periodic gynecological examination can prevent complications and detect serious diseases such as Cancer .
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