For women who want reliable contraception for a period of between 3 and 5 years. This method of contraception is not subject to a decrease in effectiveness due to interaction with other medications, bouts of illness such as diarrhoea or vomiting, or incorrect use. There are essentially two categories of coil contraceptives, the copper coil or intrauterine device (IUD) and the hormonal coil or intrauterine system (IUS).
HORMONAL COIL FOR YOUNG WOMEN (Jaydess®)
Pearl Index: 0,33
Advantages:
- new contraceptive designed especially for young women who have not yet given birth
- long-term contraception for three years
- duration and intensity of bleeding are reduced, periods become less painful
- protects against infections of the uterus and fallopian tubes due to impermeable cervical mucus
Disadvantages:
- bleeding patterns may be disrupted during the first 6 months after insertion, resulting in irregular periods and bleeding between cycles
For more Information:
www.jaydess.de
www.skyla-us.com (the American Jaydess)
HORMONAL COIL MIRENA®
Pearl Index: 0,2
Advantages:
- only needs to be inserted once every 5 years
- can be used while breastfeeding
- duration and intensity of bleeding is reduced, periods become less painful
- for about 20% of women, periods stop completely without posing any health risk and without increasing the risk of osteoporosis
- protects against infections of the uterus and fallopian tubes
Disadvantages:
- disruption to bleeding patterns, especially during the first 6 months after insertion
- possible side effects include acne, breast tenderness and headaches
COPPER COIL (INTRAUTERINE DEVICE)
The intrauterine device (IUD) is a small copper-coated plastic device also known as a copper coil. The device releases a small amount of copper into the uterine cavity. This amount is completely safe for humans. It works by making it difficult for the sperm to reach the egg and affects the structure of the uterine lining. It therefore impairs successful fertilisation and prevents fertilised eggs from being able to implant themselves in the uterine lining.
Pearl Index: 0,9-3,0
Advantages:
- no hormonal effect on the body
- pregnancy can occur immediately after removal of the coil
- can be used while breastfeeding
Disadvantages:
- periods may become longer in duration with a heavier flow during the first 3 to 6 months
- bleeding between periods may occur
- increased risk of ascending infection (inflammation of the uterus and fallopian tubes)
- If you currently have an IUD inserted and are experiencing symptoms that may suggest an infection, please come and see us at our surgery. Symptoms can include a fever of unknown origin, sudden abdominal discomfort, discharge and/or spotting.
HAVING AN IUD OR IUS FITTED
Fitting should preferably take place during your menstrual cycle as the cervix is slightly open and an existing pregnancy can be excluded with certainty. A Pap smear with normal results should have been carried out within the previous 6 months.
Before the device is fitted, a vaginal infection will be ruled out. The vagina and cervix are then disinfected, and the length of the cervical canal is measured using a thin probe. The coil is then gently inserted through the cervix and into the womb. Finally, the strings are cut to the appropriate length. During insertion and for the first few days, a slight tugging or pinching sensation in the abdomen may occur. This is temporary and will cease after a short while. A painkiller may be administered prior to inserting the coil and a local anaesthetic may be applied.