At times, there could be a need to replace the IUD on its expiry or damage, and bleeding after IUD removal may occur. Alternatively, couples may decide to enjoy parenthood. And would want to do away with the IUD.
An only experienced doctor or a trained nurse must remove the IUD. Generally, removal does not take more than 10–15 minutes.
However, if because of some locational issues, it makes take some time. But eventually, the doctor will be able to retrieve it.
Similar to the insertion, the removal is also pain. Cramps also felt. Also, during the removal, and later for a few days, some bleeding or spotting may happen. It is very typical.
In the case of profuse bleeding or frequent bleeding after IUD removal, please consult the doctor.
What Is The Intrauterine Device?
As HealthLine says, IUD (Intrauterine Device) or IUC (Intrauterine Conception), sometimes called, is a birth control device. It helps plan parenthood. Colloquially it is also known as the coil.
Essentially it is ‘T’ shaped contraption, which gets fitted in the uterus. And, hence the intrauterine device name. It is to avoid the fertilization of the egg by obstructing the sperms from reaching the egg.
IUDs generally accepted as one of the most effective birth control options worldwide. Moreover, it has less than one percent chance of pregnancy when in use. Besides, when compared to condoms and pills, it has a better success rate. IUDs are characteristically considered a long-term solution (3-10 years). And, at the same time, is easily reversible. The IUD can be easily removed and pave the way for happy parenthood. Medically it belongs to the LARC (Long-Acting Reversible Contraception) category of devices.
It does have an onetime cost. But, once fitted, it is hassle-free for either partner. And the intimacy is not compromised. However, it does need occasional visits to the doctor for check-ups and readjustments in some cases.
Side Effects And Potential Risks Due To Intrauterine Use
According to plannedparenthood.org, for all its ease and convenience, the IUD has several side effects and risks. Some of these are minor and may vanish on its own in a few months.
However, some complications can have severe repercussions. As compared to the yore days, the IUDs have improved a lot. Nevertheless, they still carry some risk that needs to be understood and evaluated.
In the first place IUD should not be used:
- If someone has breast cancer or has suffered it in the past.
- Existence of uterine of cervical cancer
- Presence of any kind of liver disorder.
- The women who have some pelvic infection or inflammation
- Excessive unexplained vaginal bleeding.
Since an external device gets implanted in the body, it takes some time for the body to accept it. And most of the side effects are a result of that. Some very prevalent side effects are:
- Feeling of pain and discomfort in the lower abdomen and back. Insertion of the IUD is a minor procedure. In this, the muscles of the reproductive system undergo some undue stretch. Because of this, pain develops.
- The muscles of the lower abdomen feel cramped up. However, this feeling goes off in a few days.
- In the initial 3 to 6 months, there could be irregular periods.
- Intermittent spotting happens randomly.
- In the case of Copper T, heavy and prolonged bleeding persists for a long time.
- The Hormonal IUD induce lots of mood changes and also results in breast tenderness.
- The Hormones of the IUD can also give rise to acne.
Additionally, there can be some severe after-effects too:
In about 10% of the IUD implant cases, cysts develop in the ovaries. These are fluid-filled sacs that manifest on the ovaries. These cysts cause swelling and bloating in the lower abdomen.
Generally, it does not complicate further and disappears in about a year. But this condition must not be taken lightly. Also, it is advisable to be under medical supervision.
Pelvic Inflammatory Disease (PID)
The chances of infection are very high in the first 20 days after IUD implantation. The IUD, along with the string, goes deep in the body, and any foreign matter in the body is a probable cause of infection. The ovaries, fallopian tubes, and the uterus are susceptible to infection, and collectively it is known as a pelvic inflammatory disease.
The typical symptoms of PID are:
- High fever accompanied by chills. It is a prevalent symptom of infection in the body.
- There will be moderate to intense stomach pain, more particularly towards the lower abdomen.
- The act of sex turns painful and challenging to endure.
- There is heavy bleeding after IUD removal
- In quite a few cases, some smelly discharge oozes out.
In scarce instances, the arms of the IUD could puncture the wall of the uterus. It is a severe affliction. Then, immediate medical action will be needed to resolve it. However, it does not happen often.
The chances of the IUD expulsion from the uterus is very high. Especially in the case of women who had a pregnancy in the past. Probably the flaccid muscles of the uterus and the cervix are not able to hold the IUD in place. In general, the probability of expulsion is just around 1 in 20 cases. If the IUD gets thrown out, do not try to reinsert it yourself. Instead, check with the doctor, who will be able to do the needful.
It is the most severe complication. The egg gets fertilized outside the uterus. Further, in such a situation, pregnancy does not survive.
This condition is dangerous for the patient also. Therefore, such a situation needs to be handled by an experienced and expert medical professional.
It is not that in all the cases, the body accepts the IUD in due course of time. As in some cases, the body does not accept it. Complications and rejections symptoms keep on rising. In such cases, it is necessary to remove the IUD. In short, some medical intervention sought to make the body accept the IUD.
Use Of An Intrauterine Device After Natural Abortion Or Artificial Abortion
As with the post-delivery situation, IUD can be used after abortion as well. The doctors are very keen to ascertain non-pregnancy before fitting the IUD. In the case of abortion, either natural or forced, pregnancy is 100% ruled out.
In case of forced abortion, it indicates non-readiness on the part of the would-be mother to go for motherhood. The IUD comes as a great option to prevent any further unwanted pregnancy.
Clinically speaking, it is very much possible to fit IUD after abortion. However, the probability of expulsion is high post-abortion too. But it all depends on what the patient desires.
If the patient is looking forward to enjoying motherhood, then obviously, the idea of IUD is much misplaced.
In any case, post-abortion, too, the side effects and risks stand as it is. Furthermore, the decision should be taken, considering all favorable and unfavorable facts and consequences.
Use Of An Intrauterine Device After Pregnancy
One can decide to use an IUD after pregnancy. Most couples prefer to do that way. Typically, the IUD can be fitted right after the birth of the child. Many find this convenient. Anyway, one must get it in the hospital and under the supervision of a doctor anyways.
But some may feel this is too much action. At that time, one may opt for the IUD inserted during a postpartum check-up. The visit is due 4-6 weeks after childbirth. Besides, that can also be a suitable time for the IUD insertion.
However, the doctor should decide the timing. He has to consider the condition of the patient and the risk of expulsion. Generally, the risk is very high immediately after childbirth. Also, the recuperation of uterus is another concern.
The most significant advantage of this contraception is that it does not interfere with the lactation of the mother. Therefore, she can feed the child normally.
However, the pain and the discomfort associated with the IUD insertion will manifest even for the new mother. Most of the symptoms go away in a short while.
How Does IUD Work?
The contraceptive function of IUD achieved in two ways. That gives rise to types of IUD:
- The Hormonal Type: Hormonal discharge and physical blockage of the path, affect the contraception. Liletta, Kylena, Mirena, and Skyla are some of the brands which belong to this category of IUD. In these, progestogen, a birth control hormone, releases from these coils. It prevents fertilization. Also, the appropriate placing of the IUD blocks the cervix. The hormones thicken the mucous lining at the entrance.
The effectiveness of these coil ranges from 3 to 7 years for different models. The hormonal type IUD is suitable for women with painful dysmenorrhea (heavy and painful bleeding). It lightens the bleeding because of progestogen. Typically, the safe period begins approximately seven days after the fitment of the IUD.
- The Copper Types.: There is a stimulation of the immune system to prevent conception. Also, the physical path of the sperm blocks.
The Copper ions released from the ‘Copper T’ do not go well with the sperms. Firstly, they avoid being in the vicinity of Copper T. Secondly, the physical access to the egg also jams. The Copper T has a higher usage and an adequate period of about ten years.
The medical professional (a doctor or a nurse) needs to insert the coil. It fits snug inside the uterus. Positioned in such a way that the sperms cannot pass it. Since the sperms cannot pass through the IUD, it never reaches the egg. Thus, ruling out the zygote formation or the fertilization. In brief, the Copper T is useful immediately on its placement in the uterus.
Intrauterine Device Effectiveness In Birth Control
The IUD effectiveness as a birth control measure is probably much better than any other option (the temporary ones).
Medically, a medical professional must fit IUD with care and accuracy. Since it boosts 99% effectiveness, it beats all other options hands down.
Since it involves an invasive procedure, albeit a small one, some people look at it differently. They find it not appropriate to have an implant in the body when other options exist. They want to avoid complications involved in using an IUD. Particularly the stories that grannies tell about IUD are horrifying. Even though the IUDs have technically evolved supremely in the last few decades, the stories are still in the air.
Meanwhile, the flip side of IUD is that it does not offer any protection against any STD (Sexually Transmitted Disease). IUDs are ideal for dedicated couples. In other cases, fear of STD is real. Many couples use a condom along with IUD. That is in no way doubting the effectiveness of the IUD. It is just to keep the STDs at bay.
That apart, IUDs are excellent as birth control measures. It offers the possibility of reversing the contraception. It also has long-lasting durability. Therefore, it is gaining popularity all over the world.
The act of sex, if not executed with care and precaution, may lead to pregnancy. Thus, in cases of irresponsible intercourse, emergency contraception is the way out.
Standard contraceptive measures are mostly proactive in nature and execution. Meaning that a thoughtful preventive measure undertaken before the act. Whereas emergency contraception is a kind of reactive action to prevent pregnancy after intercourse. Also, medically known as Postcoital contraception. The need for emergency contraception also arises when the standard method fails, for, e.g., rupture of condom in between the action.
One must take emergency contraception not later than five days of intercourse. However, the sooner, the more effective it would be.
There are broadly two ways of emergency contraception
The Emergency Contraceptive Pill
Very popularly known as the ‘morning after’ pill. One has to take soon after the unprotected sex. It is ineffective after five days. And the effectiveness is higher, the sooner you go for one.
These pills are available in different brands. But almost all of them have side effects. Headache, nausea, and vomiting are the most common reactions to the medicine. If one vomits within 2 hours of taking the pill, advise is to repeat the dose.
Moreover, there is a mixed response as to how the medicine affects future menstrual cycles. Some believe it does not disturb the cycle. Others are sure it disrupts the normalcy of the period. Usually, feeding mothers do not have to worry about the effects of the pill on lactations and impact on the child. It is what the manufactures of the pills claim.
Insertion of Copper IUDs within five days of unprotected sex (sooner the better) is best. It claims to have 99% effectiveness in blocking the pregnancy. Besides, once inserted, and kept there, it can continue to inhibit fertility until not removed.
However, some side effects and risks are associated with Copper IUD.
In the last few decades, medical sciences and technology have made progress by leaps and bounds. Also, the IUD has become more user friendly with lesser complications and rejections. Thus, parenthood planning becomes simple and effective with IUD. One can plan without sacrificing marital pleasures.