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As simple to put as easy to live, this device offers a local contraceptive action and is suitable for all profiles of women, young or older, with or without children. Without hormones, it has no impact on the body, and can restore its fertility as soon as removed.

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What is an IUD?

IUDs are used by nearly 150 million women worldwide .
The intrauterine device (IUD) was  formerly called IUD, this term is no longer used because an IUD does not make it sterile. It is a contraceptive invented in 1928 by Ernst Grafenberg.This device, T-shaped, is inserted into the uterus through the vagina, to prevent fertilization. IUDs are put in place during a simple consultation, either by a gynecologist, a midwife or a general practitioner.

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It remains in place as long as contraception is desired: between 5 and 10 years depending on the model.

Used by nearly 150 million women worldwide, IUDs are the least expensive temporary contraceptive method for long-term use. In France, the IUD is the most used contraceptive method after the pill.

Since the early 1960s, when IUDs were made from inert materials, these devices have seen many improvements, including the use of copper.

How does the copper IUD work?

The copper-bearing IUD is indicated as an alternative method of contraception to chemical contraceptives, including oral hormonal contraceptive methods, to prevent their short-term or long-term adverse effects.

Its mode of action:

As soon as it enters the uterus, the IUD prevents the risk of pregnancy on two levels:

  • The IUD causes an inflammatory reaction (normal and non-infectious) of the uterine lining, which prevents implantation of the egg.
  • Copper, naturally spermicidal, prevents the spermatozoa from fertilizing an egg.

The copper IUD can also be used as emergency contraception after unprotected intercourse, provided that the pose does not occur more than 5 days after intercourse.

article-imageContrary to popular belief, there is no contraindication to the insertion of an IUD in a nulliparous patient .

The existence of two sizes: SHA called “short” and “standard” STA, for most copper IUDs is therefore justified because a childless woman whose uterus is smaller can be properly placed an IUD .

A “short” model can then be prescribed.

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How is an IUD inserted?

The pose is done during the first part of the cycle to avoid inserting an IUD into a woman who may be pregnant. Prior to placement, hysterometry may be useful to evaluate the shape, size and sensitivity of the uterus. In principle, the insertion of an IUD is not very painful. Women who have never had a pregnancy, to the extent that the risk of pain is higher, can take an antispasmodic 2 hours before the pose. The pose itself is very fast. It lasts a few minutes.

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A small sanitary napkin can be used because small bleeding can occur a few hours after insertion. For possible stomachaches, taking paracetamol relieves quickly.

It is useful to check annually during the gynecological surveillance visit to ensure that the IUD is well positioned. After 5 years, it is possible to remove the IUD and put a new one in the same consultation.

The copper-bearing IUD has the advantage of being very effective, having a long duration of action and presenting no cancer or cardiovascular risk.

Precautions:

Some contraindications to its pose exist however:
• Unexplained uterovaginal bleeding
• Pregnancy suspected or proven.
• A malformation of the uterus incompatible with the insertion of an IUD
• The antecedents or the existence of uterine or trophoblastic pathologies
• Situations at risk of infection (STD, high genital infection …)
• An allergy to copper or another of IUD components
• Postpartum (48 to 4 weeks);

Efficiency

IUDs are very effective. They are more than 99% effective. Since handling errors do not occur outside the time of insertion, the effectiveness of this method of contraception does not depend on the user, unlike the use of pills. Copper IUDs are effective from the day of insertion. They can be asked up to 5 days after the theoretical date of ovulation, the 19th day of the cycle. In ordinary conditions of use, IUDs maintain their performance where the failure rate of oral contraception rises to about 8% due to missed pill, digestive disorders … etc. Used as emergency contraception, the copper IUD is a very effective alternative to the morning after pill.

Advantages:
· Simplicity: you do not have to think about your pill every day
· Comfort: effective from the moment you set it up, immediately withdrawn back to previous fertility.
· The absence of hormones: health benefit
· The duration of use: tranquility for 5 years.

Disadvantages:
· Copper IUDs can lengthen and increase menstruation. If the rules are short and scarce, the difference will be imperceptible.
· Sometimes pain occurs at the time of menstruation or at the time of ovulation.

The rule:
“If you notice anything abnormal, ask your doctor for advice. “

362565245

The IUD: a contraceptive response adapted to young women

Did you know that the IUD – an intrauterine device, commonly known as an IUD – is the most widely used method of contraception in the world? Recommended by the World Health Organization (WHO) and acclaimed by our European neighbors, it remains little proposed in France, despite the recommendations of the High Authority of Health that places

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it as first-line contraception including women without children and very young women.Close up on this method of contraception with multiple advantages.

What is an IUD?

An IUD is a small, flexible plastic contraceptive device that is slipped into the woman’s uterus. It is most often T-shaped. At its bottom end is two wires allowing the doctor to remove it very easily.
There are two types of sterilets: copper IUDs , equipped with a copper wire fixed around the central axis and hormonal or progestational IUDs, having a reservoir containing the hormonal active on the longitudinal part.

What is the action of the IUD?

The IUD provides young women with temporary or durable contraception, which is 99% reliable and much less restrictive than the pill. Once placed, a copper IUD can remain in place between 5 and 10 years against 3 to 5 years for a hormonal IUD. The operation of the IUD is simple:

  • Copper is naturally spermicidal (s) thus preventing sperm from reaching up to the fallopian tubes. In addition, the intrusion of a foreign body into the uterus causes an inflammatory reaction of the uterine lining (normal and non-infectious reaction), preventing implantation of the egg.
  • Hormonal IUDs combine two effects: the inflammatory response and the contraceptive effect. The progestogen hormone contained in the reservoir is released regularly in small amounts to act on the uterine lining.

Contrary to popular belief, the IUD makes absolutely no sterile. He is very badly named and many health professionals prefer the name of “intrauterine device” (IUD).

The risk of infection related to the IUD is not zero, but it is rare. The information of the patient and the follow-up by a professional make it possible to limit the risks. An IUD should always be placed and removed by a health professional.

What are the advantages and disadvantages of the IUD?

The advantages of the IUD are numerous:

  • It is first and foremost a method of contraception totally reversible, which can be recommended to all women, including the youngest.
  • The female cycle is totally natural with the copper IUD
  • The copper device, without hormone, is ideal for all those who do not wish or do not support a contraception type oestro-progestative.
  • The hormonal IUD, for its part, has a beneficial effect on the painful and abundant rules.
  • The IUD can stay in place for many years, avoiding the daily use of an oral contraceptive.
  • Once put, its action is quite comparable to that of a pill, without the potential risk of forgetting.
  • It is mostly well tolerated and does not require regular gynecological monitoring as for hormonal contraception. (offers an easy and fast insertion and retrieval mode).
  • Whether copper or hormonal, all IUDs are reimbursed 65% by the Health Insurance.

On the disadvantages side:

  • The insertion of an IUD may sometimes lead to temporary abdominal pain in the following hours.
  • With a copper IUD, the duration of periods and their abundance may be greater in the first few months.
  • The cycle being natural, it can also be more irregular than contraceptive pill.
  • The hormonal IUD may cause some side effects such as breast strain, acne, weight gain, mood fluctuation, etc. In this case, do not hesitate to talk to your doctor to change the mode of contraception.

What are the benefits of the IUD versus the pill?

The pill requires a daily dose with the risk of forgetting deviation that can lead to an unwanted pregnancy. The IUD frees the woman from this constraint by providing her reliable contraception, in the long term, without drastic gynecological monitoring.

The IUD is also a more natural form of contraception. Copper-releasing IUDs – without hormones – do not show systemic passage. That is to say that their action is just local without passing through the blood.

Copper or hormonal IUD, what difference?

The copper IUD is considered the most natural because its principle is mechanical. It is available in different sizes to fit perfectly with the anatomy of the uterus of each patient. The inserter tubes proposed for the installation of each model are also adapted to the female anatomy.
The hormonal IUD contains, as its name suggests, a progestogen hormone that is released in small amounts and very gradually. It is offered in two sizes. The diameter of the inserter tube is a little larger because of the device with reservoir.

How to choose your IUD?

The notions of comfort and health benefit should be taken into account when choosing an IUD.

In cases of heavy, irregular and painful periods, the insertion of a hormonal IUD is recommended. It will reduce the pain felt by some women, reduce the duration and volume of the rules, or even eliminate them without any impact on health or fertility.

The copper IUD is perfect for women whose menstrual periods are low or normal. This device is also highly recommended for young women who can not take hormonal contraception for health reasons and for women who smoke: a hormonal contraceptive and smoking pose a high risk factor for health.

Does the copper IUD impact libido?

The copper IUD is completely hormone-free, so it does not affect libido or mood. This mode of contraception acts in a completely natural way thus allowing the woman to better feel her body and to feel its desires. The installation of this device sign even in many women until then pill the return of strong sexual desire.

Is the IUD suitable for nulliparous women?

The IUD, whether copper or hormonal, is ideal for women who have never had children. The most suitable devices for nulliparas within our 7MED range are the sterilized 7 MED 380 USHA and 7MED 380 NSHA, so-called “short” and specifically designed to match the uterine anatomy of women without children.
Totally reversible, the IUD also has the advantage of being able to withdraw overnight without any impact on fertility, or waiting time in case of desire of child.

Can the IUD be used for first contraception?

The IUD can be used in first-line contraception (Recommendation of the Haute Autorité de Santé). The pose is recommended from 17/18 years old. The choice will focus on a small copper IUD with small diameter inserter, flexible and thin to facilitate the passage of the neck.

Who to turn to for an IUD?

An IUD must be prescribed, placed and removed by a health professional: a gynecologist, a general practitioner or a midwife.

How does an IUD exit and retreat?

The insertion of the IUD is very simple. After measuring the depth of the uterus with a hysterometer (present with the IUD at the time of purchase) to define the (type of) most suitable intrauterine device, the practitioner places the IUD at the bottom of the uterus using the inserter. The pose lasts only a few minutes and is usually painless.
The withdrawal must also always be done by a health professional. He (it) is enough to pull gently on the withdrawal wires. This painless operation takes only a few seconds.

Is it possible to conceive a child immediately after removal of the IUD?

The IUD is a completely reversible mode of contraception. It has no impact on fertility and does not impose any withdrawal period after withdrawal to conceive a child.

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The IUD: An Ideal Way of Contraception for All Women

Recommended by the World Health Organization (WHO), the IUD or IUD – intrauterine device – is a method of contraception widely used around the world. Reliable, safe and reversible at any time, it is ideal for women without children, young mothers, as well as women wanting a safe method of contraception between two pregnancies. This is the first-line method of contraception recommended by the Haute Autorité de Santé in France.

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What is the principle of the IUD?

The IUD is a small device, equipped with one or two removal threads on its lower part. It is made of soft plastic and embellished with copper for copper IUDs or a small reservoir containing a progestogen hormone for progestin-only IUDs.
The IUD should be placed by a healthcare professional in the woman’s uterus. This is a very reliable, stress-free method of contraception that can be removed at any time.

Are there different types of IUDs?

There are two types of IUDs:

  • Copper IUDs , like those offered by our 7MED laboratory, are available in different sizes to best fit the patient’s anatomy. These intrauterine devices are natural because they do not change the hormonal functions.
  • Hormonal sterilets contain, for their part, a progestogen hormone (levonorgestrel) delivered in very small quantities. This hormone will have both a contraceptive and soothing effect allowing to relieve the painful rules and to reduce the volume and duration.

Can an IUD be inserted after childbirth?

The IUD is a perfectly recommended method of contraception after childbirth. If the baby was born naturally, the IUD can be placed 4 to 6 weeks after delivery, the time until the uterus becomes normal again (is correctly put back in place).
In case of caesarean section, it will be necessary to wait for the complete healing of the uterine wall, ie a delay of 6 to 10 weeks.

Is the IUD compatible with breastfeeding?

The copper IUD is completely compatible with breastfeeding. If it is a hormonal IUD, any problems encountered may be the same as with oral hormonal contraception.

Can an IUD be used as contraception between two pregnancies?

The IUD is an ideal contraceptive device between two pregnancies. Non-drug, this contraception is effective at 99.4% and imposes no constraints. It gives the woman a great freedom, without risk of forgetfulness linked to a daily intake and without any incidence on fertility or on health. In addition, this method of contraception is completely reversible, it is sufficient to have the device removed to give free rein to a new desire for a child.

Is an IUD inserted and removed easily?

The installation and removal of a copper or hormonal IUD is very easy.
– The insertion of the IUD takes only a few minutes. The practitioner, after having placed a speculum, introduces the inserter charged with the IUD and will simply slide the device to the bottom of the uterus. It is a generally painless act.
– For the withdrawal, the health professional will use the son fixed on the lower part of the device. This is a quick and painless act.

This method of contraception providing total reversibility, it is possible to rest an intrauterine device immediately after the withdrawal of the previous.

Can a new child be conceived immediately after removal of an IUD?

The intrauterine device is totally reversible. It does not modify the hormonal functions and allows the natural ovulation of the woman to persist. It is therefore entirely possible to conceive a child immediately after removal of the IUD.

What are the advantages and disadvantages of the IUD versus the pill?

Copper-releasing IUDs – without hormones – do not show systemic passage. That is to say that their action is just local without passing through the blood. They are therefore ideal for women who do not want or can not ingest a progestin hormone.
As for the hormonal IUDs, the released hormone dose being low, they do not generate the main side effects of the same nature as the pill; like migraines, low back pain etc. The IUD is a fully reversible, 99.4% reliable, long-term contraceptive that does not require frequent gynecological controls.

On the side of the inconveniences, transient pains can sometimes be felt in the hours following the insertion of the intrauterine device.

Does the copper coil have an effect on the libido?

Contrary to an old idea, the copper IUD has no negative impact on libido. This mode of mechanical contraception would even encourage the return of sexual desire in many women until now on progestin-only pills.
Regarding hormonal IUDs, the loss of libido is one of the common conditions encountered in women with this device.

What is the life span of an IUD?

The life of an IUD, copper or hormonal is particularly long. Copper IUDs can be worn between 5 and 10 years of age. Hormone IUDs should be changed every 3 to 5 years, depending on the model.

How old can I use an IUD?

An IUD may be the first contraception offered to a young woman and accompany her throughout her life, until menopause. The reversible nature of this method of contraception allows at any time to respond to the desire of a child and then to find a safe and quality contraception.

Who to turn to for an IUD?

IUDs are issued on prescription. Only health professionals: gynecologist, general practitioner, midwife are authorized to prescribe, pose and remove.

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IUD: a reliable method of contraception until menopause

Women over 40 years old still need reliable contraceptive methods because although fertility is declining, it does not go away. The IUD – or IUD – recommended by the World Health Organization (WHO), is a long-lasting contraceptive method, particularly well suited to mature women with or without children.

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Once laid, it is complementary to forget while ensuring maximum safety, comfort and freedom until menopause. This is the first-line method of contraception recommended by the Haute Autorité de Santé in France, for all women.

What is the principle of the IUD?

An IUD is a small, generally T-shaped device made of soft plastic and extended by one or two removal wires. It can be embellished with a copper wire (copper IUD) or a kind of small reservoir (hormonal IUD) at the central part. It is available in different sizes to best fit the anatomy of each woman. To be effective, the IUD must be positioned at the bottom of the uterus.

Are there different types of IUDs?

Two types of IUDs are available today. Copper IUDs have a copper wire fixed around the central axis. Some models, are also equipped with copper at the arms of the device. These devices, completely devoid of hormones, accompany women serenely and unconstrained until menopause.

The hormonal or progestational sterilets, meanwhile, have a reservoir located on the longitudinal part. The progestogen hormone (levonorgestrel) it contains is delivered slowly and in very small quantities throughout the duration of exposure (from 3 to 5 years depending on the model).

What are the advantages and disadvantages of the IUD?

The advantages of the IUD are plethora. As for long-term contraception:
– It avoids the daily use of an oral contraceptive and does not require gynecological monitoring as with the pill.
– Copper-bearing IUDs allow for more natural contraception, that is to say without progestagen hormone: an undeniable advantage for all women who do not want or do not tolerate estrogen-progestative contraception.

The hormonal IUD allows:
– To soothe and regulate painful and intense periods.
– Since the dose of hormones released is low, they do not produce the main side effects of the same nature as the pill; like migraines, low back pain etc.

Finally, an IUD, whether copper or hormonal, is totally reversible. It arises and retires very easily, without pain and is mostly well supported.

Side disadvantages, the installation of an IUD can sometimes cause temporary abdominal pain in the hours following the pose. Copper devices can sometimes make menses longer and more plentiful.

After 40, can a woman who has never worn an IUD get one?

Yes, a woman can wear her first IUD after 40, whether or not she has children, because an IUD can be placed at any age of fertile life. IUDs are now available in different sizes to fit perfectly to the anatomy of the uterus of each woman. There is no risk of particular infection.
In the case of long-term contraception, the IUD makes it possible to stop worrying about contraception, sometimes until menopause.

How old can I use an IUD?

An IUD can be worn until the menopause, that is to say until the hormonal functioning of the ovary stops. It is customary to wait a year after stopping to talk about menopause.

What is the life span of an IUD?

An IUD is a long-term method of contraception. This means that once slipped into the uterus, it can remain in place between 3 and 10 years depending on the model chosen.

  • Copper-bearing IUDs offer the longest life span: between 5 and 10 years depending on the model.
  • Progestin-releasing IUDs can remain in place between 3 and 5 years depending on the model.

It is important not to exceed the indicated date because the hormone contained in the reservoir is intended to be released over a given period and not beyond.

Is an IUD inserted and removed easily?

An IUD arises and withdraws in a few minutes, very simply. The pose is performed by a health professional who after placing a speculum, introduces the inserter charged with the IUD and will simply slide the device to the bottom of the uterus. He then checks that the withdrawal wire is in place.
The IUD can be removed at any time by a doctor or midwife. All they have to do is pull on the wire to retrieve the device.

Does the copper IUD have an effect on the libido?

The copper IUD does not alter the libido and does not give vaginal dryness. It would even encourage the return of sexual desire in many women, until now under oral progestative contraception. Regarding hormonal IUDs, the loss of libido is one of the common conditions encountered in women with this device.

Who to turn to for an IUD?

Only health professionals: gynecologist, general practitioner and midwife are authorized to prescribe, ask and remove an IUD.

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8 misconceptions about IUDs

There are quite a few misconceptions about IUDs (Intra-Uterine Devices): they come mostly from the time when this means of contraception had not been significantly studied, as is the case today. In addition, certain prejudices, such as “do not put an IUD in the nulliparous”, are specifically French. In other countries such as Belgium, for example, this practice is in common use. It is therefore important to clarify certain beliefs.

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1. Sterilets … as infertility ??

FALSE – This term is old but still commonly used to refer to intra-uterine devices. The IUD is a totally reversible contraception. The delay in fertility recovery following removal of the IUD is comparable to that observed for oral contraception, that is to say immediats.

2. IUD in the Nulliparous?

TRUE – The IUD is a contraceptive recommended in first intention by the High Authority of Health. The most suitable model for the nulliparous is the 7 MED 380 USHA or NSHA (short size). The often low observance in the nulliparous young woman (under pill) is thus optimized.

In nulliparas, the expected benefits should be weighed against the potential therapeutic risks. For young women, the main risk is related to Sexually Transmitted Infections, especially in the case of multiple partners.

Only the condom protects against this risk.

3. NSAIDs and decreased efficiency?

FALSE – No decrease in efficacy with anti-inflammatories and any other medication. It is perfectly legitimate to prescribe an anti-inflammatory drug for a woman wearing an IUD (whether copper or levonorgestrel). (Thonneau study, Human Reproduction 2006).

On the other hand: non-steroidal anti-inflammatory drugs can only be used in short treatment.

In short treatment, they do not influence the contraceptive efficacy of IUDs

4. Emergency contraception?

TRUE – The action of the IUD is more effective than that of the pill in a period of not more than 5 days.

NB: Only copper IUDs should be inserted in this context , hormonal IUDs (Levonorgestrel) do not have this indication.

5. Ectopic pregnancy?

FALSE – The rate of ectopic pregnancies with the IUD is 0.02% per year. It is significantly lower than that of women not using contraception.

6. IUD: Is its size embarrassing?

 FALSE:  The IUD is an effective contraceptive but its supposed large size causes patient reluctance …?! Judge for yourself …….

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7. Is the IUD sometimes the partner …?

FALSE – this is often a subjective feeling because penile sensitivity is relatively low. The wire connected to the IUD is cut short enough (2 to 3 cm from the external hole of the neck) so as not to generate the partner.

8. Does tobacco prohibit certain contraceptive methods?

TRUE – But not the insertion of an IUD: on the other hand, the combination of tobacco and hormones (the pill) is systematically avoided in the face of a greatly increased cardiovascular risk.