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16 Eylül 2016 Cuma

SPIRAL (intrauterine device) (IUD)


T-shaped spiral placed in the intra-uterine pregnancy in order to be protected from a device. IUDs containing copper the most widely used today. In addition progesterone (levonorgestrel) which it is also intrauterine devices.
If it is not stopped immediately after menstruation or pregnancy it can be applied on any given day. Active vaginal infection, which must be installed to excessive discharge.

Ideally, the retention time of copper in 10 years, in which the hormones for 5 years. year doctors intrauterine device which must be examined.

excessive menstrual bleeding in women due to intrauterine device, breakthrough bleeding, pelvic pain may occur.
Progesterone (levonorgestrel) at önenl according to the standard of IUDs containing hormones advantage should not lead to bleeding problems. In fact, that is very useful for the treatment of bleeding problems.

Spiral (IUD) is how to prevent pregnancy?
- Spermicidal effective.
- Prevents implantation.
- Fagositikk endometrial cells and fibrin accumulates in the cavity
- Increases the release of prostaglandins in the uterus
- The copper IUD inhibits sperm motility and acrosome reaction
- It prevents ovulation IUD containing progesterone (only in 15% of cycles)
- IUD containing progesterone thickens the cervical mucus making it difficult to switch sperm

Important information regarding the use of spiral:
- Or caesarean section before the fibroid and so on. surgery who can use an IUD.
- Smokers can use both copper spirals containing the hormone progesterone.
- Do not apply to spiral with congenital uterine anomalies.
- Which is risky in terms of cardiovascular disease can use both hormonal copper spirals.
- Hypertension (high blood pressure), which can use the copper and hormonal spirals.
- Copper who have had vascular congestion and hormone use spirals.
- Heart attack and cerebral infarction (stroke) story that can make use of copper and hormonal spirals.
- Cholesterol, lipid elevation, which can use the copper and hormonal spirals.
- Migraines, which can use the copper and hormonal spirals.
- With dysmenorrhea (painful menstruation) can be applied to patients spiral. Copper spirals sometimes may increase the dysmenorrhea. The spirals of hormones often reduce dysmenorrhea.
- So benign breast cysts. diseases bulunms of copper and does not constitute an obstacle to growth hormones spirals.
- Myo my patients with fibroids does not disrupt the uterine lining (or cavity distortion), spirally applied.
- Acute PID (pelvic inflammatory disease) should not be applied in a spiral of acute cervicitis and vaginitis.
- Previously pelvic inflammatory disease (PID, pelvic infection) should not be applied in a spiral pass.
- In the last 3 months postpartum endometritis or septic abortion should not be administered in patients with IUD.
- Sexually transmitted to people in risk groups in terms of disease (such as those with multiple partners) spiral is not recommended.
- It does not apply to IUDs in the presence of genital actinomycosis.
- Diabetes (diabetes) does not constitute a barrier to copper or hormone spirals.
- Thyroid (goiter) or gallbladder disease who may use copper or hormone spirals.
- Viral hepatitis and carriers which may use spiral. However, in case of active viral hepatitis should use the spiral contains the hormone progesterone.
- Acute liver disease, cirrhosis and liver cancer (hepatocellular adenomas, hepatoma), which can use copper spiral. Hormonal IUD used in these patients.
- Anemia (anemia), which can use an IUD.
- Copper spirals received along with no interaction with other drugs. Hormone (progestin) spirals containing drug may rarely interaction (especially hormonal drugs).
- He or partner polygamous spiral because the use is not recommended in patients with sexually transmitted diseases couples (and PID) it is under against risks.
- Copper allergy and Wilson's disease in the presence of IUDs used.
- Progesterone in the presence of known or suspected breast cancer (levonorgestrel) which used an IUD.

How then can the IUD inserted?
spiral can be installed immediately after birth. Installing the first 48 hours or after 4 weeks after birth is recommended. 4 weeks with 48 hours between the time remaining in the uterine perforation (perforation of the uterus) are recommended for insertion of the high risk.

How then can be attached to spiral lower or curettage?
It can be installed immediately after the spiral of low or curettage.

Does he care about weight spiral?
No copper spirals with normal weight does not include the acquisition or issuance of any hormones or other drugs have nothing to do. Hormones (progesterone) spirals would not lead to weight gain.

How successful is to prevent the spiral?
Spiral birth control pills also has a 3-month high conservation achievements such as needles and subcutaneous implants. 1 The risk of becoming pregnant is less than 1% per year.

If pregnancy occurs while using spiral?
No method of contraception does not provide one hundred percent protection. While maintaining the spiral may occur very rarely, though pregnancy. An important part of the vehicle fall in the use of pregnancy and IUD stems from realizing that dream. If a pregnancy occurs with spirals in the uterus and pregnancy is considered a continuation of the spiral must be removed because of severe infection and septic shock risks. However, this removal process after the 30% risk of spontaneous abortion vardır.gebelig continuation is not required curettage pregnancy is terminated. However spirals into the uterus in pregnancy occurs in people who have never even a low risk of intervention yapılmasaydı 50%. The risk of premature birth increased almost four-fold.
If the pregnancy progressed it becomes spiral can not be removed and, if there remain anomalies on the baby (disability) will not pose a risk.

Spiral - ectopic pregnancy relationship
Why is that a false belief among the population in the spiral of ectopic pregnancy. Spiral use reduces the possibility of pregnancy because it is highly effective birth control method, so spiral risk of ectopic pregnancy than those who used protection has also decreased. However, in the rest of the pregnancy is not pregnant spiral using normal pregnancy are more likely to have an ectopic pregnancy.

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