One of the contraceptive methods: the use of intrauterine devices

　　1. What is an intrauterine device?

　　Intrauterine devices are generally made of antiseptic plastic or metal, and some are added with some drugs (such as those that can release female or indomethacin, etc.). Uterus Rings come in various shapes such as round, uterine cavity-shaped, and T-shaped. Doctors can choose the appropriate uterine ring according to the condition of each person's uterus.

　　2. Why can I prevent pregnancy after inserting an intrauterine device (uterine ring)?

　　After the uterine ring is placed into the uterine cavity, it changes the environment in the uterine cavity, causing uterine inflammation, which is not conducive to embryo implantation, thus causing early miscarriage to achieve the purpose of contraception. The effective rate of contraception with the intrauterine ring is about 94 to 99%, second only to oral contraceptives, sterilization, skin implantation, condoms and contraceptive injections.

　　3． What are the advantages of using an IUD?

　　The intrauterine device (IUD) has been used as a non-permanent method of contraception dating back to ancient times, but it was only in this century that it became an effective contraceptive tool and is widely used around the world. Since 1968 Scott was reported to be critically ill disease In the decade since IUDs have been linked to deaths, numerous studies have reported on the risks of this contraceptive method to users, including pelvic inflammatory disease disease (PID), uterine perforation, ectopic pregnancy (commonly known as Ectopic pregnancy ), spontaneous abortion or septic abortion are particularly important comorbidities. The IUD is a long-acting method of contraception that lasts from one year to several years. You can become pregnant again after the doctor removes the uterine ring. After wearing the ring, there is no need to make any preparations before sexual intercourse. Women who wear the ring will not feel the presence of the uterine ring, so it is suitable for women who need regular contraception.

　　4. Who should not use an intrauterine device?

　　Genital malformations or tumors, Dysmenorrhea Or menorrhagia, pelvic inflammatory disease, gonorrhea and women with multiple sexual partners and severe anemia , heart disease, and those with a history of ectopic pregnancy should not wear an intrauterine device. It is generally up to the doctor to decide whether this is appropriate.

　　5. When can I wear an IUD?

　　Basically, as long as it is determined that there is no possibility of pregnancy, the IUD can be placed by the doctor. It is usually best to wear a ring within two or three days after menstruation. exist Postpartum After a postpartum check-up at six to eight weeks, the ring can be worn if the doctor deems it appropriate.

　　6． Is inserting and removing an IUD complicated and painful?

　　Inserting and removing the IUD is easy. First, the doctor performs disinfection, and then uses the "ring delivery device" to deliver the uterine ring into the uterus. After withdrawing the "ring delivery device" and cutting off the nylon thread holding the uterine ring, the placement is completed. When removing the ring, you only need to gently pull the nylon thread at the end of the ring or use a "ring remover" to drag the ring out of the uterus. There is usually only mild lower abdominal pain during insertion and removal of the IUD.

　　7. Can I prevent pregnancy immediately after wearing the IUD?

　　When the IUD is first inserted, some women are prone to pregnancy while wearing the IUD, so doctors will instruct them to use external contraceptive methods one to two months after wearing the IUD to ensure safe contraception.

　　8. Do I need regular checkups after wearing an intrauterine device?

　　A routine check-up should be performed after the first menstrual period after wearing it. Then perform a routine inspection once a year if there are no special problems.

　　9. What should you pay attention to after having an intrauterine device?

　　After a woman wears the ring, her menstrual period can be extended by two to three days, and her menstrual flow may also be slightly heavier. Some women experience abdominal discomfort or abdominal pain during menstruation. This is an initial, unadapted reaction. However, individual women will experience a significant increase in menstrual volume, a small amount of bleeding outside menstruation, and obvious stomach ache , if these conditions persist, you should return to the hospital for examination.

　　10. What should I do if I get an unexpected pregnancy while wearing an intrauterine device?

　　There is still a 3% chance of unintended pregnancy using an intrauterine device for contraception, so if your period is delayed or you suspect pregnancy, you should ask your doctor for a check-up.

　　11. When should the uterine ring be removed?

　　Different IUDs have different usage periods, ranging from three to eight years. Generally it is about five years. The medical records of the IUD should be kept when the IUD is applied. Follow the doctor's instructions to remove or replace the ring on time. It is most likely to become pregnant during ring removal and ring replacement, and other contraceptive methods should be used at the same time.