Spiral for women names. IUD for pregnancy: when to install, principle of action, types. Review of various modern intrauterine devices: Juno, Mirena, Goldlily, Multiload, Vector extra, spirals with gold and silver

Over the past 40 years intrauterine device (IUD) has become the most popular method of long-term contraception in the world. About 160 million women use it. But there is very little knowledge about this method of preventing unwanted pregnancy. Therefore, one part of the patients believes that choosing and installing a “spiral” could not be easier, and even almost on their own, while the other is mortally afraid, backing up their fears with many nightmarish myths. We suggest you figure it out.

What is an intrauterine device

This is a system installed in the uterine cavity that protects against accidental conception or makes pregnancy impossible. It affects the endothelium lining the uterine cavity from the inside, interfering with its preparation for implantation of a fertilized egg. Or a special hormone is added to the system, which prevents sperm from meeting the egg and fertilizing it.

Hence, myth No. 1, that all IUDs cause early abortion, is incorrect. Opponents of abortion can safely use hormonal intrauterine systems, thanks to which conception does not occur at all.

As can be seen in the photo, the appearance of modern models is far from the name corresponding to the first spiral, invented in 1909 by Polish doctor Richard Richter. It took 4 decades for his truly revolutionary invention to be appreciated and used by the medical community. True, it was no longer a ring made of flexible soft suture material, but a large and rather traumatic “fish”. It was called the Dalkon system and did not take root due to frequent complications such as inflammation or even perforation of the uterine wall.

This is where the second myth about the dangers of spirals comes from. Compared to older models, new ones are made from non-traumatic soft material and are several times smaller. Therefore, fears are in vain. To minimize the risk of purulent inflammation, intrauterine systems are impregnated with copper, and less often with gold or silver. And before installation in the uterine cavity, the woman must be examined and a smear taken from the vagina. And if it is inflammatory, you must first be treated (sanitized) with medications prescribed by the doctor.

Important: the insertion of an IUD is contraindicated for at least 3 months after recovery in case of purulent discharge, cervicitis, gonorrhea or exacerbation of chlamydial infection.

What types of intrauterine devices are there?

The first generation of intrauterine contraceptives (IUDs) are neutral IUDs. They do not allow the fertilized egg to implant into the uterus due to its irritating effect on the endometrium. From here it is not difficult to guess that they are the largest in size and the most traumatic. Therefore, you should almost always expect painful menstruation, nagging abdominal pain in the first weeks after installation and an increased risk of ectopic pregnancy. The only plus is the cheapness. But for such a dubious advantage, 3 out of 100 women pay with the occurrence of an unwanted pregnancy during the first year after the introduction of the IUD. Today, such VMCs are used less and less.

The second generation is medicated IUDs. That is, the spiral is impregnated with copper, less often with silver or gold. These metals have a toxic effect on sperm, reducing their motility, and accelerate wave-like contractions of the fallopian tubes, which prevent the egg from moving through them. As a result, the likelihood of conception, compared to first-generation contraceptives, is reduced by 10 times. In addition, metal ions have a detrimental effect on pathogenic microbes, minimizing the risk of purulent-inflammatory complications. Today this is the most common group of ICHs. Its representatives: Nova T, Multiload, Sorr-T 200, Si-380-Slimilin and T Si-380Ag.

The third, newest generation of IUDs is represented by hormonal intrauterine systems. That is, in the body of the spiral there is a long groove filled with a special hormone that is gradually released into the cavity of the cervix and uterine body. Thanks to it, cervical mucus becomes very thick and does not allow sperm to pass through. They die without ever meeting the egg. These are the most reliable contraceptives: only one woman in a thousand becomes pregnant. The advantage of such systems is their therapeutic effect on the endometrium with its hyperplasia, endometriosis, with the initial stage of adenomyoma and with severe premenstrual syndrome.

Important: One word “hormonal” should set you up for a mandatory consultation with a doctor to clarify the possibility of installing such a device.

Myth No. 3: spirals can be chosen for any woman.

There is a list of diseases for which IUDs are temporarily or lifelong contraindicated:

1. The patient had sepsis after childbirth or after an abortion. There is a very high risk of perforation of the thinned uterine wall with the development of peritonitis.

2. Regular uterine bleeding, the cause of which has not yet been clarified.

3. Malignant tumors of the female genital area.

4. Purulent-inflammatory or infectious disease in the pelvis, including tuberculosis.

5. Anatomical anomaly of the cervix or body of the uterus, deforming fibroid nodes, due to which it is technically impossible to insert a spiral into the uterine cavity, or there is a risk of perforation of the wall.

6. Allergy to any component of the IUD, and for copper-containing ones - Wilson-Konovalov disease.

7. Pregnancy.

Myth No. 4: IUDs cause many complications.

What women mistake for complications is actually just a manifestation of the uterus’ reaction to a foreign body. The gynecologist should warn:

• the first 3 months of menstruation may be longer, heavier and more painful;
• spotting is possible on any day of the cycle;
• from hormonal IUDs, acne may appear and breasts may swell up to 3 months from the date of insertion. Nausea, weight gain, irritability and depressed mood are common.

Very few complications are recorded:

• perforation of the uterine wall due to traumatic insertion of an IUD;
• loss of the spiral (expulsion);
• ectopic pregnancy.

Important: purulent inflammation can be easily avoided if you have condom-protected sex with one partner and undergo regular preventive examinations with a gynecologist.

Myth No. 5: The coil must be changed every 5 years.

There are proven recommendations based on the mechanism of action of the contraceptive. They indicate that it is really better to replace neutral IUDs after 5-7 years, while copper-containing ones protect for 10 years. And the service life of hormonal IUDs directly depends on their ability to release the drug. If the package says LNG 20 mcg24 hours, then the contraceptive effect lasts 5 years, if it says 14 mcg24 hours, then 3 years. But whether the product is imported or domestic - there is no difference.

Myth No. 6: Women over 40 years old and nulliparous women cannot have the IUD.

It is better to refuse neutral IUDs. Non-traumatic 2nd generation models are not contraindicated, as they do not increase the risk of ectopic pregnancy, purulent-inflammatory diseases and infertility. Hormonal IUDs are also allowed, but with a caveat: you need to plan to conceive one year after removing such an IUD.

When can I install and remove a spiral?

If pregnancy has not occurred - on any day of the cycle. But on days 4-8 this is easier and less painful, since the cervical canal is slightly open.

After childbirth, there are two options:

1. In the first hour after birth. It is possible later, but due to strong contractions of the uterus there is a high risk of expulsion.
2. After 2-6 months, when the gynecologist confirms that the uterus has contracted sufficiently and there are no postpartum complications.

After an artificial abortion or spontaneous miscarriage, an IUD is installed immediately if the gestational age does not exceed 12 weeks. If the uterus is large, especially if infection is suspected, it is better to delay this procedure until the end of treatment.

Removal - any day: both for medical reasons and simply at the request of the woman.

MYTH No. 7: To install a spiral, you need to undergo a long examination.

If a woman is healthy, not pregnant, has an orderly sex life and is regularly examined prophylactically by a gynecologist, the procedure can be performed on the day of treatment or the next day, when the result of a bacteriological smear is ready. You don’t even need to do a blood test, since modern contraceptives do not aggravate anemia.

If the previous visit to the doctor was several years ago, then you really need to be prepared for the fact that the doctor will want to examine the mammary glands, do a colposcopy, take cytology, send for fluorography, a general blood test and for sexually transmitted infections. If a woman frequently changes sexual partners, it is in her best interests to get tested for HIV, since a positive result is a contraindication for inserting an IUD.

Myth No. 8: after inserting the IUD, you need to take antibiotics to prevent inflammation from developing.

If the likelihood of inflammation is high, it is better not to risk it at all and be treated in advance as prescribed by a doctor. And if the smear is clean, the antibiotic can cause thrush. Candida colpitis will bring a lot of unpleasant sensations and will take a lot of money and time.

What to do if conception occurs due to an IUD

Remove the IUD at any stage of pregnancy. This is especially important when a woman decides to give birth. The faster the contraceptive is removed from the uterine cavity, the lower the risk of miscarriage or premature birth.

There is still an opinion that hormonal drugs increase the risk of developing certain defects in the fetus. In such a situation, it is better to discuss the issue of continuing the pregnancy with a geneticist after a thorough ultrasound and, if offered, amniocentesis.

Refrain from lifting loads heavier than 5 kg, from sports activities with jumping and vibration, for example, riding a horse.

Sexual contact is allowed after 7-10 days.

Control the presence and height of the spiral by feeling its antennae. If they are not felt, or the body of the IUD is felt, contact a gynecologist to rule out expulsion.

Urgent inspection required:

• if there is pain during sexual intercourse;
• if purulent discharge occurs, accompanied by an increase in temperature and poor health;
• if bleeding occurs or intensifies;
• if severe, unexplained pain suddenly appears in the lower abdomen.

For the first few days, if you have nagging abdominal pain, you can put a suppository with indomethacin or take a no-shpa tablet.

If a woman feels well, a doctor’s examination is required only after the end of the next menstruation, that is, 3-5 weeks after insertion of the IUD.

If the effectiveness of a contraceptive method is 98%, then this is a fairly high indicator, indicating its maximum reliability and minimal risk of exceptional cases.

This is exactly the performance indicator that was noted by experts when testing the best intrauterine devices. This method of protection against unplanned pregnancy is not the most popular, but is used by many women around the world.

An intrauterine device (IUD) is a special device that helps prevent fertilization of an egg.

The IUD is installed by a doctor in the woman’s uterine cavity for a long period of time, after which it must be replaced with a new one if the patient plans to continue using contraception.

What is the secret of the IUD? The materials from which the best IUDs are made should cause an inflammatory reaction, due to which a special fluid with a spermicidal effect is produced.

Other properties of a modern IUD:

• mechanical obstacle by preventing the possibility of uterine closure;
• changes in hormonal levels ;
• reduction in the amount of endometrium in the uterus ;
• formation of thick mucus in the cervix of the organ .

The diagram shows how a specialist installs an intrauterine device.

What IUD options are there?

Today, the best intrauterine devices are available in several versions, each of which has its own advantages and features. Here we will look at just a few of the most popular:

In addition, intrauterine devices may differ in shape. Most often, manufacturers offer ring-shaped , "T"-shaped And semi-oval. Pay attention to the examples:

Intrauterine device: which one is best for you?

Answering the question for yourself, which intrauterine device is better to install, Be sure to consult a gynecologist before purchasing this contraceptive , because if you have no experience in using it, you will not be able to immediately determine on your own what is right for you.

You may be offered the following known contraceptives:

Among modern women, many people use an intrauterine device to prevent unwanted pregnancy in their body. But not everyone fully understands principle of operation of the intrauterine device.

The principle of operation of the intrauterine device

An intrauterine device is a gynecological device that mechanically prevents unwanted fertilization of a woman:

The spiral accelerates the movement of the fertilized egg through the fallopian tubes. In such a short period of time, a fertilized egg does not have time to be enriched with all the necessary qualities. These qualities, in turn, during natural conception contribute to the further consolidation of the embryo inside the uterine cavity.

In addition, the intrauterine device mechanically prevents the penetration of the egg into the uterine cavity. The fertilized egg, not finding a cozy place for itself, dies over time and is removed from the female body during menstruation.

The components that make up the intrauterine device reduce the ability of the sperm to perform its functional duties. This significantly enhances the contraceptive effect of this type of female contraception.

Benefits of the intrauterine device

What are the advantages of the IUD:

The first positive point when using an intrauterine device is the high effectiveness of this method of contraception. About 97% guaranteed.

Spirals are very easy to use and do not require preliminary preparations before sexual intercourse.

The presence of a spiral in the uterine cavity does not in any way affect the normal course of a woman’s life.

At the same time, there is a complete absence of discomfort during intimacy and the prevention of unwanted pregnancy.

The intrauterine device does not affect the lactation period in any way and is perfect for women who have recently given birth and who are breastfeeding.

The principle of operation of the intrauterine device does not in any way affect the natural process of reproductive function of the female body. Namely: during ovulation, the egg continues to mature, and the grown layer of the intrauterine epithelium is periodically rejected. The latter is indicated by monthly menstrual bleeding.

After removal of the intrauterine device, a woman can easily become pregnant in the near future.

Disadvantages of the intrauterine device

But this method of contraception has disadvantages:

The spiral is one way or another a foreign body inside the female body. That is, the intrauterine device can be rejected by the tissues adjacent to it. This is evidenced by the occurrence of inflammatory processes in the uterine cavity after the installation of this contraceptive device.

The intrauterine device should not be used by nulliparous women. Due to a possible inflammatory process in the area of ​​the internal genital organs, a woman may remain infertile forever.

May cause more painful menstruation with heavy bleeding.

Does not guarantee 100% absence of unwanted conception and can lead to ectopic pregnancy.

It should be noted that the installation of an intrauterine device should be carried out only by a gynecologist and after a complete medical examination of the woman. Come to our medical center in Moscow, and we are guaranteed to select the optimal method of contraception for you, taking into account all the characteristics of your body. Modern medical equipment and the experience of our clinic’s medical specialists will help identify the presence of diseases of your genital organs even at the earliest stage. This will help preserve your women's health as much as possible and prevent unwanted consequences after installing an intrauterine device.

Nowadays, it is not difficult to find an effective means of contraception. A married couple has the right to choose a method independently, taking into account all the pros and cons. It is very important to visit a doctor and consult on this issue. After all, the health of a woman who wants to become a mother or already has children primarily depends on this. One of the most popular methods is the intrauterine device. Let's look further at the pros and cons of the intrauterine device.

How does the IUD work?

The purpose of the IUD is to protect against unplanned pregnancy. The name suggests that it is inserted into the uterine cavity, and it was obtained due to the previous appearance of the product, as it looked like a spiral. Currently, the IUD is a T-shaped stick made of flexible inert plastic. This material is completely safe for women's health.

There are two types of spirals:

1. The upper part of the spiral is in the form of a thin copper wire.
2. The spiral contains a container with hormones that enter the uterus throughout its entire lifespan.

It has both the first and second types of pros and cons. The photo above shows what this type of contraception currently looks like.

The principle of operation of the spiral:

Who can install a spiral:

• A woman who has given birth and is over 35 years old.
• Women who have children after an abortion without complications.
• Without cervical pathologies.
• If you protect yourself with oral contraceptives, it is not recommended.
• Women who have a low rate of sexually transmitted infections.

Contraindications to the IUD

Before using this method of contraception, it is necessary to consider all the pros and cons of the intrauterine device.

And also make sure that there are no following contraindications:

• There was no birth yet.
• Constant change of sexual partner.
• Cancers of the pelvic organs.
• The presence of injuries and stitches on the cervix.
• Ectopic pregnancy.
• Blood diseases. Anemia.
• Infertility.
• Vaginal infections.
• The presence of inflammatory processes in the reproductive system.

How to prepare for installing a spiral

First of all, you need to select a suitable spiral and undergo an examination, which includes:

Next, the doctor must probe the uterine cavity and determine the distance between the uterine angles. And only after a thorough examination and the absence of contraindications is an intrauterine device installed. The pros and cons of BMC should already be considered by you.

Features of the first days with a spiral

It is worth noting that only a doctor can install and remove an intrauterine device. The following side effects may appear within a few days after installation of the IUD:

• Lower abdominal pain.
• Bloody discharge.

You should also avoid increased physical activity. It is necessary to adhere to proper nutrition, rest more, and lie down.

The manifestation of side effects can be observed for six months and will disappear completely over time.

It is necessary to undergo regular medical examinations after having an IUD inserted. After installation, a month later, then after 3 months, then once every six months.

What are the advantages of the IUD?

If you have chosen a contraceptive method such as an intrauterine device, you need to know all the pros and cons.

Let's look at the positive aspects:

• It does not require special care. After installation, after a period of rehabilitation, it is practically not felt.
• Efficiency is 95-98%.
• Can be installed for several years.
• For many women, the menstrual cycle becomes shorter, and the periods themselves become almost painless.
• It has a positive therapeutic effect for uterine fibroids and other gynecological pathologies.
• Can be used during breastfeeding.
• Does not affect reproductive function in the body.
• The effectiveness remains regardless of taking any medications.
• Economical and convenient. There is no need to follow a dosage schedule or spend money on regularly purchasing contraceptives.

What are the disadvantages of the IUD?

There are also negative aspects of using an IUD:

• There is a high risk of ectopic pregnancy.
• There is no protection against sexually transmitted diseases.
• The risk of inflammatory diseases increases.
• Cannot be used by nulliparous women.
• Painful periods for the first six months.
• Large blood losses are possible.

We looked at the pros and cons of a contraceptive such as an intrauterine device. We will consider the consequences of BMC further.

What complications can there be when using an IUD?

The qualifications and experience of the doctor are of great importance, since correct installation or removal by an inexperienced specialist can lead to removal of the uterus. Knowing the pros and cons of the intrauterine device, you need to know what complications are possible when using it.

Possible complications when using an IUD:

• Perforation of the uterine walls.
• Cervical rupture.
• Bleeding after installation.
• The IUD can grow into the uterus.
• The antennae can irritate the walls of the cervix.
• The spiral may move or fall out if incorrectly selected and installed.
• Pain in the lower abdomen.

You need to urgently visit a specialist if:

• Severe pain appeared in the lower abdomen.
• There is a suspicion of pregnancy.
• Bleeding continues for a long period of time.
• There are signs of infection: increased body temperature, unusual vaginal discharge.
• Pain or bleeding occurs during sexual intercourse.
• The IUD strings have become longer or shorter.

We looked at what an intrauterine device is, the pros and cons of this method of contraception, as well as possible complications. Next, consider patient reviews.

Often, from the conversations of friends or in queues at the antenatal clinic, you can hear stories about intrauterine devices, various reviews of them and impressions about this contraceptive. But what is it and what does it do? Will this affect a woman’s hormonal background, her ability to someday become a mother and, of course, will she be able to protect her from certain diseases? Is this method reliable for preventing unwanted pregnancy and are there any differences between them?

Let's try to understand these issues, look at 6 popular intrauterine devices and find out what the differences between them are. Which spiral to choose?

What is an IUD (intrauterine device)?

- This is one of the effective means of contraception, which is often used by women who have given birth, most often having a permanent partner and are currently not ready for motherhood again.

Like any other type of contraception, spirals vary in their composition, type, period of use and other parameters.

Classification

There are 2 groups of spirals:

• hormonal;
• non-hormonal.

Both perform the same task - protection from unwanted pregnancy. But some of them have additional properties. For example, they are often used in gynecological practice as a way to treat certain diseases, and non-hormonal IUDs with the addition of silver or gold have a bactericidal effect and protect the female reproductive system from unwanted infections.

There are 3 generations of spirals:

1st generation

• An IUD without any metal or hormone, consisting only of medical grade plastic.
• Their contraceptive effect is achieved only through the mechanical impossibility of attaching the fertilized egg to the endometrium.
• Often cause complications (infectious diseases, ectopic pregnancy and prolapse of the IUD - expulsion).

1st generation IUDs are no longer used because more reliable and effective IUDs exist.

2nd generation

• IUDs containing metal. That is, these are spirals that also consist of medical plastic, but have a contraceptive effect due to additional components - copper, silver, gold.
• Metals act not only on the female body, but also on the male factor - sperm, and thereby reduce the risk of unplanned pregnancy.

3rd generation

• Hormonal IUDs, which at this stage are used as therapeutic and contraceptive agents.

Intrauterine devices have different shapes:

• T-shaped;
• round or semicircular;
• in the form of an umbrella;
• horseshoe-shaped (semi-oval).

Each spiral has its own advantages and disadvantages and is selected individually depending on the characteristics of a particular woman’s body.

All IUDs have the same operating principle – protection against unwanted pregnancy.

So, how does the IUD help prevent conception?

All spirals consist of medical plastic, which rarely causes an allergic reaction in women. But such cases do occur. For this reason, you need to carefully monitor your sensations and monitor the body’s reaction after installing the spiral.

In addition to medical plastic, modern spirals include:

• metals (silver, copper, gold);
• hormones.

Hormonal IUD

This type of IUD releases a certain amount of a hormone that affects not only the female body, but also reduces the activity of sperm. The spiral does not affect male potency or men's health! Only on sperm that have already entered the woman’s reproductive tract. The only noticeable disadvantage that intrauterine devices can bring to a man is the feeling of the antennae of the device during sexual intercourse. This issue can be easily resolved: you need to come to see a doctor, and the gynecologist will simply shorten the interfering tendrils of the spiral.

The hormone in the spiral affects the maturation and release of eggs by a woman’s ovaries and does not have a destructive effect on the hormonal balance as a whole.

The very presence of the IUD in the uterus prevents the attachment of the fertilized egg and, accordingly, pregnancy does not occur. This is a mechanical factor in preventing pregnancy. The coil also causes a local reaction, which has a detrimental effect on sperm, inhibiting and destroying them.

Hormonal IUDs affect many female diseases (, etc.) and are recommended for use by gynecologists to treat the latter.

Non-hormonal IUD

As for IUDs containing metals, such designs, in addition to the mechanical factor of pregnancy protection inherent in all spirals, have a detrimental effect on the male factor. For example:

• Copper, oxidizing the environment, inhibits the movement of sperm that enter the uterine cavity and damages them.
• Silver and gold increase the shelf life of spirals and have a beneficial effect on local immunity, protecting a woman from inflammatory diseases of the pelvic organs.

All types of spirals have a stimulating effect on the fallopian tubes and enhance their peristalsis. While the fertilized egg is rapidly moving into the uterine cavity, the endometrium does not have time to prepare to accept a new life, and as a result, the embryo ends up in an unfavorable environment that is not suitable for further development.

To summarize, we can identify the links of fertilization that are influenced by any spiral:

• On the male factor (inhibitory and spermicidal effect).
• For the maturation and release of the egg from the ovaries.
• For the delivery of the egg and fertilized egg through the fallopian tubes.
• Attaching the fertilized egg to the endometrium.
• A local reaction that causes the release of enzymes that are harmful to sperm.

Who can get an intrauterine device?

• The desire of the woman herself at this stage of life not to become a mother (provided that there is already a history of childbirth).
• Frequent pregnancies with other types of contraception (if they are used incorrectly or are not taken carefully).
• Protection against unwanted pregnancy during lactation (breastfeeding).
• In order to save money. IUDs are installed for several years, which allows a woman not to worry about other types of contraception (oral contraceptives, condoms).

Important! IUDs do not protect against STIs (sexually transmitted infections)! It is recommended to use a contraceptive if you have a regular sexual partner (low risk of transmitting sexually transmitted diseases). It should also be mentioned that IUDs are used in women who have given birth and are not recommended for contraception in young nulliparous girls.

Method of setting up a spiral

The spiral is installed both during menstruation and immediately in the first days after it, since at this time it is more likely. In addition, the cervix is ​​slightly open during this period, which makes it easier for the device to enter the uterine cavity and cause minimal discomfort to the woman.

Before installing the spiral, the doctor conducts tests for the presence of inflammatory diseases and, if necessary, prescribes anti-inflammatory therapy. This reduces the risk of complications and the IUD falling out in the future. The process itself takes place only in a gynecologist’s office, under aseptic conditions.

If a woman decides, she should wait some time (about 6 weeks) for the uterus to return to its previous state. The fact is that during pregnancy the uterus overstretches, and after childbirth it gradually returns to its previous size. This process is called uterine involution. In order to avoid complications after installing the IUD, gynecologists recommend waiting until the end of involution.

It is not recommended to place an intrauterine device immediately after an abortion. The patient should be monitored for complications and various inflammatory diseases that could provoke an abortion. As soon as the obstetrician-gynecologist is convinced that the woman is completely healthy, the IUD can be placed in the uterine cavity.

The instructions for some IUDs contain instructions about inserting a contraceptive immediately after an abortion. This issue should be resolved individually with an experienced doctor and follow his advice in this matter.

Review of intrauterine devices: the most popular means

There are a huge number of intrauterine contraceptive devices on the market, which have different shapes, compositions, terms of use and, of course, price ranges. They all have their advantages and disadvantages.

So, let's look at the most commonly used and popular spirals:

Spiral Multiload (Multiload CU-375)

This is a copper wire spiral that has a T-shape. It is not hormonal. The metal affects spermatozoa, causing their death and the impossibility of further fertilization.

The shelf life of the spiral is 4 years. After this period, the spiral must not be used under any circumstances!

Rod length – 35 mm. This is a standard length; the spiral has no other variations in size. It is suitable for women whose uterine cavity, after measuring the size of the uterus with a probe, is between 6 and 9 cm long.

Among the features of the spiral, it should be noted that its use is prohibited in the following situations:

• if you have an existing allergy to copper;
• in the first 3 months after an abortion;
• during the period of breastfeeding.

If a woman has been taking immunosuppressants for a long time to treat another pathology, the IUD is not suitable, and another method of contraception should be selected.

It should be noted that the presence of copper in the contraceptive will not affect the total amount of copper in the body.

The price range is around 2.5-3 thousand rubles.

Spiral Copper (Copper TCu 380A)

Just like the previous spiral, it contains copper. Spiral dimensions – vertical – 36 mm, horizontal – 32 mm. A feature of this spiral is a greater release of copper into the uterine cavity, which causes a stronger local reaction.

Duration of use – 5-6 years.

Another tip: After installation, you should lie on the couch in the doctor's office. In rare cases, after insertion of the IUD, a slowing of the pulse and clouding of consciousness are observed.

All other properties are the same as those of the Multiload spiral.

The price fluctuates around 2 thousand rubles

Spiral Goldlily

It contains both copper and one of the noble metals - gold. Gold covers the copper surface, protecting it from early oxidation and corrosion. By creating a potential difference, additional protection against unwanted pregnancy is created. Gold has a powerful bactericidal effect and prevents the occurrence of inflammatory diseases of the pelvic organs.

Another advantage of the contraceptive is the availability of several sizes. Every woman will be able to choose exactly the option that she needs.

The period of use is 7 years.

A significant disadvantage is the price. Due to the presence of gold, the cost of an intrauterine contraceptive is about 4-5 thousand rubles.

Spiral Juno Bio-T with Silver (Ag)

Another spiral in the line of modern contraceptives. The instructions offer the following indications for the use of the spiral (except for the woman’s desire):

• Treatment and prevention of Asherman's syndrome (formation of adhesions in the uterine cavity).
• For post-coital protection (can be administered within 3-4 days after unprotected intercourse).

It contains copper and silver, which increases the service life up to 7 years. Silver prevents early and rapid oxidation of copper, which gives the spiral a longer-term effect.

Another useful quality of silver is its bactericidal effect. Juno protects the woman’s body from inflammatory diseases and other infectious complications associated with the presence of the spiral in the uterine cavity.

Juno works on the same principle as other spirals, influencing all links in the chain to prevent unwanted pregnancy. The price of this product is also attractive - about 400-500 rubles.

Spiral Nova T

T-shaped coil containing copper and silver (copper wire with silver in the core). As in Juno, in the Nova T spiral, silver prevents early fragmentation of copper. But the difference is the period of use - Nova T should be changed every 5 years. No specific features were identified for other mechanisms of action.

The price is about 1500-2000 rubles.

Mirena spiral

One of the most common means of intrauterine contraception is the hormonal system. This product contains a synthetic gestagen - levonorgestrel. It is released per day in a certain required quantity, which is sufficient to perform two functions - contraceptive and therapeutic. That is why this spiral is often recommended for women with gynecological diseases (fibroids, endometriosis, etc.).

Mirena inhibits ovulation and prevents the formation of a fertilized egg, which increases its contraceptive effect. The Pearl index of the hormonal intrauterine system is 0.1-0.5, while for conventional IUDs it reaches 3.

Important aspects:

• The IUD does not affect hormonal levels.
• Not contraindicated in women with metal allergies.
• Approved for use during breastfeeding.
• It is a 3rd generation spiral.

The shelf life of Mirena is 5 years. Further use is not recommended due to the depletion of the hormone reserves in the IUD and the increased possibility of developing infectious diseases of the pelvic organs.

This contraceptive has a high cost - about 10-12 thousand rubles.

Dear girls and women! Remember that for an accurate and correct selection of the spiral, you must consult a doctor, because every female body is unique and inimitable!

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