Popularly known as IUD, the Intrauterine Device is a contraceptive method that works by placing a “T”-shaped device in the uterus, preventing contact between sperm and eggs.
Classified as hormonal, such as the Mirena or Kyleena IUD, and non-hormonal (copper or silver), they can have additional functions such as menstruation control and even hormone replacement.
In both cases, the effectiveness to prevent pregnancy is high, being over 99% and making it one of the best and safest contraceptives.
Despite being a little more invasive than other contraceptive methods, the IUD is not an irreversible method and can be removed when a woman decides to become pregnant.
If you are thinking about getting an IUD in 2022, this article is for you!
Which professional can insert the IUD?
Some general practitioners can insert the IUD, but the professional indicated for the procedure is the gynecologist.
In very small cities and with little hospital structure, it is common for women to have to travel to nearby cities to perform the procedure.
Although it is possible to travel on the same day as the device is inserted, many women choose to stay in one of the hotels closest to the office or clinic. This is essential to ensure that they will be calmer on the day of the procedure and that they can rest properly afterward.
Do I need to take exams?
Yup. There are three important exams for those who want to have the IUD inserted: the Pope Nicholas (also called Preventive), the transvaginal ultrasound and the physical exam, which mainly evaluates if the patient has discharge, pain, menstrual changes, or other problems in the vaginal region.
Is it necessary to have permission from the husband?
note In the house. Only parental or guardian authorization is required in the case of underage patients.
For older patients, the woman authorizes the procedure.
How is the IUD inserted?
The IUD is usually placed in the gynecologist’s office and takes a maximum of 15 minutes.
The patient needs to lie down, with legs apart and flexed, for asepsis to be performed and for the doctor to measure the depth and direction of the uterus with a device called a hysterometer (a kind of ruler).
The next step is the insertion of the IUD, which is usually not painful, but more sensitive patients may request the application of anesthesia.
How does anesthesia work to place IUDs?
IUD placement is almost always done without anesthesia or with local anesthesia, however, patients who are afraid of insertion, cervical stenosis, or a history of vagal reflex may require IUD insertion under intravenous sedation in a hospital setting.
In this case, it is necessary to organize and book a few hours of hospital stay and recovery from anesthesia, but despite this, the discharge takes place on the same day as the procedure.
How much does it cost to have an IUD inserted?
For those looking for the SUS, it is possible to insert the copper IUD for free, however, those who want to have a personalized service or with anesthesia can find quite different prices, reaching up to R$5,000.
In addition, the price of the IUD can vary between R$150 and 1000, with the copper model being the cheapest and the hormonal ones having the prices.
When to go back to the gynecologist after IUD placement?
To know if the IUD has been inserted correctly, it is natural for the doctor to request an ultrasound, which can be performed on the same day and within 30 days. After that, follow-up can be done every six months or annually, depending on the gynecologist’s request and the patient’s adaptation.
Does the IUD protect against STDs?
note Therefore, it is important that the patient continues to use condoms in her sexual relations and that she does not fail to undergo periodic examinations. It is also important to mention that the IUD can take up to 15 days to start protecting the woman from an unwanted pregnancy.
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