INTRAUTERINE SYSTEM - IUS

Hormonal Method

An IUS also called hormonal coil is a small, flexible, T-shaped system that releases low levels of hormones and is placed inside the womb by your healthcare provider.

REGIMEN

<3-5
YEARS

IUS WHEN and HOW?

When can an IUS be inserted?

An IUS can be inserted into your uterus at any time of your cycle as long as you are not pregnant. Please note the following:

  1. If the IUS is inserted during the first 7 days of your cycle, you are immediately protected from pregnancy.
  2. If it is inserted at any other time of your cycle, you must use additional contraception, such as condoms, for 7 days.

 

How is the IUS placed?

  1. Before the IUS is inserted, your doctor will check the position and size of your uterus.
  2. You may also be tested for existing infections, such as STIs, and receive antibiotics.
  3. Your healthcare provider will use an inserter to fit the IUS into your womb.

This can be uncomfortable or painful, but you can have a local anesthetic to help. Please discuss this with your doctor in advance.

  1. Ask for pain medication (this can be given before or also after the insertion) or local anesthesia.
  2. If you experience pain or discomfort during the insertion of the IUS, please inform your healthcare provider. You can stop it at any time.
  3. After the IUS has been inserted, a follow-up appointment is often scheduled to make sure everything is fine. It's important that you keep this appointment.

Once the IUS has been fitted by a well-trained healthcare provider, you’re highly protected from pregnancy for up to 3 or 5 years, depending on the type.
Slight period-type cramps may occur afterwards. In case of any concerns please talk to your doctor.

IUS WHEN and HOW?

When can an IUS be inserted?

An IUS can be inserted into your uterus at any time of your cycle as long as you are not pregnant. Please note the following:

  1. If the IUS is inserted during the first 7 days of your cycle, you are immediately protected from pregnancy.
  2. If it is inserted at any other time of your cycle, you must use additional contraception, such as condoms, for 7 days.

 

How is the IUS placed?

  1. Before the IUS is inserted, your doctor will check the position and size of your uterus.
  2. You may also be tested for existing infections, such as STIs, and receive antibiotics.
  3. Your healthcare provider will use an inserter to fit the IUS into your womb.

This can be uncomfortable or painful, but you can have a local anesthetic to help. Please discuss this with your doctor in advance.

  1. Ask for pain medication (this can be given before or also after the insertion) or local anesthesia.
  2. If you experience pain or discomfort during the insertion of the IUS, please inform your healthcare provider. You can stop it at any time.
  3. After the IUS has been inserted, a follow-up appointment is often scheduled to make sure everything is fine. It's important that you keep this appointment.

Once the IUS has been fitted by a well-trained healthcare provider, you’re highly protected from pregnancy for up to 3 or 5 years, depending on the type.
Slight period-type cramps may occur afterwards. In case of any concerns please talk to your doctor.

 

    IUS PROS:

    • It can stay in place for either 3 or 5 years (depending on the type), but can be removed any time.
    • At 99.8%, it’s one of the most effective contraceptive methods
    • It doesn’t interrupt sex
    • Heavy periods can become lighter and less painful
    • Some women may have shorter lighter or less frequent periods, which reduces the chances of becoming anemic
    • Suitable for women who want long-acting reversible contraception for up to 3 or 5 years and wish to avoid daily, weekly or monthly regimens
    • It can be used when breastfeeding
    • Fertility returns to its previous level once the IUS is removed

    IUS CONS:

    • It requires a trained healthcare provider for insertion and removal
    • Irregular bleeding and spotting can be common in the first 6 months of use
    • Some women experience headaches, tenderness and acne after an IUS is fitted
    • It may cause cramps and/or irregular bleeding
    • Small risk of infection at insertion and of expulsion
    • Does not protect against HIV infection (AIDS) and other sexually transmitted infections (STIs)
    • It is rare but the IUS can come through the wall of the womb when it is put in (fewer than 2 in 1000)
    • Pregnancy outside the womb (ectopic pregnancy) is possible but very rare.

    All important details about the IUS

    The IUS also called hormonal coil is a small, soft, T-shaped device with a reservoir containing the hormone progestin that is placed in the womb by your healthcare provider. The IUS works by continuously releasing a low dose of progestin from the intrauterine system into the womb. It thickens the mucus of your cervix, which makes it harder for sperm to move freely and reach the egg and it also thins the lining of your uterus. At 99.8% effectiveness, you’re about as protected as you possibly can be by a contraceptive method. You’re highly protected from pregnancy for up to 3 or 5 years, depending on the type. It’s a great method for the super organized, the forgetful, the frequent traveler and pretty much anyone else who is keen on staying not pregnant. However, there are some individual risk factors that make an IUS not recommendable to some women. Therefore, consult your healthcare provider to find out about your individual situation.

    IUS a hormonal contraception method

    Questions & Answers about the IUS

     

    FREQUENTLY ASKED QUESTIONS

      An IUS insertion is usually well tolerated by most women. Some women may experience pain and dizziness after insertion, which usually settles after resting for a short time. Normal pain killers or local anesthesia may be applied to the uterine cervix prior to the insertion.

      The IUS was not investigated for use as an emergency contraception.

      The IUS must be inserted by a trained healthcare provider, who will follow the necessary procedure to ensure it is correctly positioned. Occasionally, the muscular contractions of the womb during menstruation may sometimes push it out of place or expel it. Very rarely it can perforate the wall of the uterus. If you experience any unusual bleeding, pain, or discomfort, please inform your healthcare provider as soon as possible.

      Yes, but remove each tampon with care to ensure that you do not pull the IUS threads.

      Neither you nor your partner should feel the IUS during sexual intercourse. If you do, sexual intercourse should be avoided until your doctor or healthcare provider has checked that the IUS is still in the correct position.

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