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An IUD is a flexible, plastic device (2 to 3,5 cm long) that is placed inside of your uterus by a midwife or doctor to prevent pregnancy.

There are two strings attached to the IUD that will hang through your cervix. These strings are necessary in order to later remove the IUD. There are two types of IUDs: the hormone-free copper IUD, in which copper is wrapped around the plastic device, and the hormonal IUD, in which hormones (levonogestrel) is added into the device.

When can an IUD be inserted?

An IUD can be inserted 10 to 12 weeks after giving birth. After a c-section an IUD can be inserted after 12 weeks. If you have never given birth, the IUD is ideally inserted within 7 days of the first day of your menstrual period. It is then immediately effective at preventing pregnancy. If the IUD is inserted at another point during your menstrual cycle, then you must use an additional method of contraception (condoms) for the first 7 days after insertion.

What is the insertion procedure like?

The insertion of an IUD takes place in our main location in Reigersbos. We start the consultation by explaining the insertion procedure (for more information you can visit https://spiraalplaatsen.nl). The insertion can be a sensitive procedure. We therefore advise that you take 2 paracetamol (1000mg) or 1 ibuprofen (400mg) 1 hour prior to your appointment. If you are breastfeeding, please take paracetamol (1000mg). For the insertion procedure it is best if your bladder is not completely empty. Prior to the appointment you must pick up the IUD yourself at the pharmacy and bring it with you to the appointment. You may feel some aching in your lower abdomen after the insertion. This is usually for a short period. You may also experience irregular blood loss for the first few months.

Hormonal IUD: Mirena or Kyleena

Both IUDs contain one hormone: levonogestrel, a type of progestin. Small amounts of this hormone are continuously released in the uterus. The lining of the uterus does not sufficiently build up and becomes unsuitable for pregnancy, and the cervical mucus becomes tougher making the passage of sperm difficult. Sperm cells that are able to enter the cervix and uterus become inactive and have very little mobility. This decreases the chances of fertilization. For some women ovulation is suppressed. If no egg is released, fertilization cannot take place. If fertilization does occur, the fertilized egg is unable to implant due to the unsuitable uterine lining.

Advantages

  • Very effective contraception 99%;
  • 5 years of protection against pregnancy;
  • Gradual and continuous release of hormones, without daily peaks or dips;
  • Can be used while breastfeeding;
  • Fertility returns quickly after removal;
  • Majority of women (75%) maintain their natural cycle;

Disadvantages

  • There may be changes to menstruation;
  • You are unable to regulate your menstrual period;
  • There is a chance of intermittent blood loss;
Copper IUD: T-safe, Ballerine or Etherena

 

T safe

The T-safe is a T-shaped copper intrauterine device (IUD). This is a hormone-free contraception method. The T-safe works in the same way as other copper IUDs. The copper ions demobilize the sperm, preventing fertilization of the egg.

The lining of the uterus also changes when using the T-safe IUD so that any potentially fertilized egg can not implant in the uterine wall.

Duration: The T-safe can be used for up to 10 years. The T-safe is immediately effective after insertion.

Costs: The T-safe costs € 69, this is 6,90 per year and € 0,57 per month.

There are both advantages and disadvantages, Just as with any other copper IUD.

The T-safe offers immediate protection after insertion. In this way it can also be used as a “morning after” IUD (emergency contraception) if it is inserted within 5 days after unprotected sex.

After removing the T-safe you are immediately fertile again.

Ballerine

The Ballerine is another type of copper IUD and hormone-free contraception method. This IUD consists of a number of small copper balls that are strung on a flexible frame with a “memory shape.” As soon as the IUD is released from the insertion tube, it curls up in the uterus into a round ball-like shape with a diameter of 15mm. This 3D ball is smaller than the other copper IUDs, making the insertion process easier, and is a suitable option especially for women who have never given birth before.

It is relatively new on the market so there is limited experience and insight into the reliability of this IUD when it comes to women who have given birth before and are breastfeeding. It seems that women are less aware of when the IUD is expelled from the uterus or is in the wrong place. A follow-up visit is advised 6 months after the insertion of the Ballerine. This is unfortunately not covered by insurance and costs €40.

Duration: The Ballerine works for up to 5 years.

Costs: The Ballerine is more expensive than other copper IUDs and costs €119. This is €24 per year, €2,00 per month.

Insertion process: The insertion is easier because, relative to other IUDs, the Ballerine is smaller and is only 15mm.

The Ballerine provides immediate protection after being inserted, as is the case for the other types of copper IUDs. It can also be used as a “morning after” IUD (emergency contraception) if it is inserted within 5 days after unprotected sex.

After removing the Ballerine you are immediately fertile again.

Etherena

Etherena TCu380 A Be Free is a T-shaped copper IUD. This IUD is also free of hormones. The Etherena works like the other copper IUDs and has the same advantages and disadvantages.

Duration: The copper IUD can be used for up to 10 years.

Insertion process: The only difference between the Etherena and other IUDs is the simple insertion mechanism. There are fewer steps required in the insertion process, meaning that you are able to insert the IUD more quickly.

Costs: Etherena is the most affordable IUD option we offer. It costs €59 for up to 10 years, this is €5,90 per year or €0,50 per month.

The reliability is the same as the T-safe.

Just as with the other copper IUDs, the Etherena provides immediate protection against pregnancy after being inserted. It can also work as the “morning after” pill (emergency contraception) if it is inserted within 5 days after unprotected sex.

After removing the Etherena you are immediately fertile again.

The Etherena meets all of the legal requirements and has been approved by the NHG Standaard for Contraception.

If you’d like to learn more please visit the website: https://www.etherena.nl

If you would like this type of copper IUD, please let the practice know when you are making your appointment. We have a supply of these on-hand so you do not need to buy this IUD yourself at the pharmacy. You can pay for the IUD with a card or cash prior to or after your appointment at our practice.

With a copper IUD the copper ions paralyze the sperm cells, thereby preventing fertilization. The lining of the uterus also changes through which any potentially fertilized egg cannot implant into the uterine wall. A copper IUD can also be used as a ‘morning after’ method if inserted within five days of unprotected sex.

Advantages

  • Very effective contraception 99%;
  • 5 years of protection against pregnancy, T-safe is effective for up to 10 years
  • Does not contain hormones;
  • Can be used while breastfeeding;
  • Fertility returns quickly after removal;
  • Majority of women (75%) maintain their natural cycle;

Disadvantages

  • There may be increased and/or irregular blood loss and abdominal cramps during the first 3 months after insertion;
  • There is a chance of longer-lasting increased blood loss during menstruation. Around 15% of women experience more blood loss than prior;
  • You cannot schedule or skip your menstruation;

More information?

If you would like more information about the different types of contraception you can refer to the links below or contact one of the midwives.

 

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