An intrauterine device or IUD is an implantable material that has the function of a contraceptive. The action is based on the creation of a pseudo-inflammatory response of the uterine mucosa, which as such is not suitable for implantation of a fertilized egg. Non-medicated IUDs made of polyethylene and medicated containing copper or progestogen, a synthetic hormone, are in use. In this way, the medicated IUD also gained therapeutic function.
IUD placement is performed immediately after menstrual bleeding, immediately after miscarriage, or 6 weeks after birth.
Before placement of the IUD, it is necessary to perform a complete gynecological examination, ultrasound and to exclude the existence of infection.
IUD does not require anesthesia. After disinfection of the external genitals, vagina and cervix, the procedure involves accepting the anterior cervical lip with an adequate instrument, probing the uterus, and inserting the IUD using special applicators. After that, the applicator is removed and the tip shortens to an adequate length.
The durability of the IUD is specified by the manufacturer.
The most common side effects are pain, discomfort and bleeding that are not related to the menstrual cycle. Pain and discomfort generally last for the first few days, while it may take several months to regulate the cycle.