Long-term contraception describes contraceptive methods that have a preventive effect over a more extended period of time after they have been used once, without being forgotten or “woman” having to think about the use regularly.
Long-term contraceptive methods include the contraceptive screen/hormonal coil, the copper-containing contraceptive methods, and the hormone implant.
Contraceptive spiral/hormonal coil
The contraceptive spiral or spiral, also called uşaqlıq daxili vasitələr(Spirallar) which translates to intrauterine devices (IUDs), is a small “T” made of flexible material. The contraceptive effect for 3, 5, or 6 years is based on the uniform release of small amounts of progestin (levonorgestrel) directly into the uterus. Only small amounts of the released hormone are transferred into the blood, less than with all other hormonal contraceptive methods.
The natural, hormonal cycle is maintained
In contrast to other contraceptive methods that consist of only one progestin – such as the three-month injection, hormone implant, and most progestin pills (except mini-pill) – ovulation is generally not suppressed with a spiral. Women therefore usually retain their natural hormonal cycle.
Description, mode of action & bleeding pattern
The spiral is inserted directly into the uterus by the gynecologist. The material used is also used for other products in medicine, such as surgical suture material or artificial vascular splints.
The contraceptive screen continuously releases minute amounts of progestin levonorgestrel into the uterus and therefore has a protective effect in the uterus. Only small amounts of the hormone levonorgestrel pass into the blood, less than with all other hormonal contraceptive methods, and therefore do not cause the contraceptive effect.
As the mucus plug thickens in the cervix, the sperm can no longer penetrate into the uterus. In addition, sperm are inhibited in their activity and fertilizing ability. In addition, the build-up of the uterine lining is reduced, so that the monthly bleeding under a spiral can become weaker, shorter, rarer, and also less painful, to the point that no menstrual bleeding occurs at all.
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Depending on the preparation, the spiral protects very safely against pregnancy for up to 3, 5, or up to 6 years and belongs with a Pearl Index of 0-0.51with both perfect and typical application to the most reliable contraceptive methods in the world.
This means that only up to five women out of 1,000 become pregnant within a year despite spiral – For comparison: With the pill in typical use, ie with application errors, such as forgetting, the use of other medications or gastrointestinal problems, up to 90 out of 1,000 women can1get pregnant within a year despite taking the pill.
The spiral is suitable for women who do not want to regularly think about the use of a contraceptive and for women who cannot or do not want to use estrogen-containing contraceptives for health reasons.
After the removal of the spiral, women can immediately become pregnant again according to their natural level.
How to insert the spiral
The spiral is inserted into the uterus with a thin, flexible tube. Other concomitant medications can also be used to make the insole as comfortable as possible.
In the uterus, the elastic “arms” of the spiral unfold and ensure the correct position in the uterus.
A pulling/pressing sensation may occur in the lower abdomen when inserted, similar to a menstrual period.
A few weeks after insertion, the position and location of the spiral should be checked. The doctor then decides how often and in what type of check-ups are necessary.