- I am 23 years old. I had no birth and no miscarriage or pregnancy loss. I used contraceptive pills recommended by my gynecologist for a year, and then I gave up. A year ago, I decided to use sterilization as the simplest and safest method of protection (because I was still hearing cases where girls could not become pregnant after using pills). I would like to know, is it dangerous for me and in general for girls who have not had any pregnancy or abortion, to use the sterile? Is there a risk of sterility in this case? About how long can you get pregnant after you remove the nipple?Answer:
Sterile or intrauterine device (IUD) is a small flexible device, which is inserted into the uterine cavity, where it acts as a contraceptive through several mechanisms, depending on the type of device used. There are three types: copper release - which interferes with the ability of sperm to cross the uterine cavity and inhibits fertilization; with progestin release - which thickens the cervical mucus and alters the endometrial mucosa; inert devices (non-medicated).
This contraceptive method is suitable for women of all ages, whether or not they have had births, who want a long-term, efficient contraception (3-5 years, some types up to 10 years), which does not require daily action; they are effective immediately, do not interfere with sexual intercourse and fertility usually returns immediately after extraction.
Not recommended: women who have an increased risk of genital tract infections and other sexually transmitted diseases (multiple partners or multiple partners) and women with a history of recent or recurrent pelvic inflammatory disease, women with deformed uterine cavity (fibroids) large uterines, uterine malformations (eg double uterus), with genital tuberculosis, cancer of the genital tract, etc. The risks of using this method are: increased bleeding and menstrual pain in the first months (only those with copper release), can be expelled spontaneously, rarely can the perforation of the uterus occur, prevent all ectopic pregnancies and increase the risk of pelvic inflammatory disease and consecutive infertility. in patients at risk for genital tract infections and sexually transmitted diseases. Very rarely, there has been loss of consciousness (syncope) and bradycardia (low heart rate) during IUD insertion or extraction.
IUD insertion is performed by a gynecologist after a consultation that should exclude pregnancy and genital infections; Extraction of the device can also be done only by the doctor. You will need to check the strands several times in the first month after insertion, especially after menstruation; after the first month you should check the wires after menstruation only if you have pain in the form of cramps in the lower abdomen, blemishes between menstruation or after sexual contact or pain after sexual contact. At the gynecological practice you will have to return to control after the first menstruation from insertion (4-6 weeks after insertion) and later, if you cannot feel the wires, feel the hard part of the device, expel the IUD, do not come your menstruation or want to withdraw. IUD. Please note, intrauterine devices do not provide protection against sexually transmitted diseases, including HIV.
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology -
Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu