There was a pregnancy with a spiral. Intrauterine device and pregnancy: conception in extreme conditions. IUD after caesarean section

The intrauterine device is considered a fairly reliable means of protecting against unwanted pregnancy. Many women actively use this means of protection. But, is it true that you can get pregnant with a spiral? Let's find out if that's really the case.

In order to answer the question: "Is it possible to get pregnant with a spiral?" First you need to figure out what it is. Currently, two types of spirals are used: first are established for five years and provide a sufficiently high degree of protection against unwanted pregnancy due to the release of a special substance that has the same properties as hormonal preparations.

Second the type of spirals is established for a longer period - up to seven years. Such IUDs (intrauterine devices) are composed of copper and silver and give a 98 percent guarantee of protection against pregnancy.

The popularity of this contraceptive is explained by a rather high degree of protection, in addition, the IUD does not cause discomfort and does not interfere with the intimate life of a woman.

Is it possible to get pregnant with a spiral?

The risk of pregnancy when using a spiral depends on numerous factors. It should be noted right away that this type of contraception does not affect conception, the intrauterine device is responsible for the ability to attach a fertilized egg to the uterine wall, that is, in other words, the IUD terminates a pregnancy if it occurs, at an early stage. In addition, the intrauterine device does not protect a woman from an ectopic pregnancy.

There is also a certain risk of pregnancy with a spiral if this type of contraception is used without the supervision of a specialist, since the spiral can go beyond the uterus. That is why women who use a spiral as protection against unwanted pregnancy should regularly visit a gynecologist.

Also, do not forget that at the end of the service life the intrauterine device must be removed, as it loses its contraceptive properties, and, if necessary, a new one should be installed.

Note that for some diseases, women are not recommended to use a spiral, therefore, before installing an IUD, it is necessary to undergo a complete medical examination. The use of the spiral is also not recommended for women who have not given birth before, as this can cause certain complications when you decide to have a baby.

When can I get pregnant after removing the coil?

Another question that worries women who use intrauterine devices: "When can I get pregnant after the spiral?". In general, gynecologists say that conception is possible immediately after the extraction of this contraceptive.

But not always after using the spiral, conception occurs quickly. In fact, if you decide to remove the spiral in order to have a baby, then this should be done in advance, a few months before the intended conception.

After removal of the IUD, about 30% of women become pregnant in the first month, about 60% of women can become pregnant only three months after the coil is removed, and 10% try to conceive a child within 12 months.

Gynecologists advise wait about 4 months to conceive after removing the intrauterine device, so that the uterine mucosa can fully recover. The statement that childbirth after a spiral is not possible is a delusion. Women can become pregnant and give birth, but you should first undergo an examination and consult with a specialist.

What to do if a woman becomes pregnant with a spiral?

Despite the fact that the intrauterine device is considered a very effective means of protection against the onset of pregnancy, there are times when pregnancy does occur. That is why, if a woman does not have another menstruation, this is an occasion to take a pregnancy test and visit a gynecologist. Note that late diagnosis of pregnancy in women using IUDs can lead to miscarriage.

In the event that a woman decides to keep the child, she needs to contact a specialist as soon as possible to remove this contraceptive. If the procedure for removing the IUD was successful, then in the future this will not affect the course of the pregnancy, but if the doctor has difficulty removing it, the woman will be recommended to terminate the pregnancy.

The IUD is considered one of the most reliable methods of contraception, however, even with this method, incidents can occur. It is believed that 2% of patients conceive a child with a helix. In some situations, this can lead to a miscarriage, in others, safe delivery on time is possible. Intrauterine device and pregnancy: how does it happen and what should a woman do in such a situation?

How does pregnancy with a spiral occur?

There are several reasons for this phenomenon:

1. Non-compliance by a woman with medical recommendations: if the rules are not followed properly, the contraceptive may shift or fall out of the uterine cavity.
2. Incorrect fixing of the structure.
3. IUD expiration: After the specified time, the contraceptive effect stops and pregnancy occurs.
4. Uncontrolled use of the spiral: when a woman, without contacting a specialist, independently installs a contraceptive, it may be placed incorrectly, which means it will not fulfill its purpose.

The Pearl Index for the IUD is 0.9-3 (less than 0.5 for the Mirena intrauterine system). This means that out of 100 women who use the spiral, pregnancy for one reason or another occurs in 1-3 of them.

Signs of pregnancy on the background of the IUD

Ectopic pregnancy with IUD: causes, symptoms, what to do

According to statistics, women who have an intrauterine device are most likely to develop an ectopic pregnancy. Moreover, the longer the contraceptive lasts, the greater the risk of its occurrence. The fact is that after conception, the zygote cannot move into the uterine cavity, where it is implanted in the endometrium. Because of this, the embryo looks for a place in the tube, where it attaches itself. The IUD provokes atrophy of the cilia of the fallopian tubes, which are designed to transport the zygote to the uterus and prevent its reverse drift.

The spiral can provoke the spread of inflammation from the vagina to the uterus, and then to the fallopian tubes and ovaries. This leads to the occurrence of adhesions and synechia that disrupt the passage of the fetal egg with the appearance of an ectopic pregnancy.

The method of intrauterine contraception has been known for a long time, but it has its supporters and opponents. Women who have abandoned popular methods of blocking reproductive function are wondering if it is possible to get pregnant if there is a spiral. This is not the most popular method, since it is classified as an early abortifacient. Therefore, the Navy has many opponents, especially among devout people and anti-abortion fighters. A spiral in the uterus will not give 100% protection against unwanted pregnancy, and there may be problems with its extraction. Those who intend to use it always have a lot of questions, for example, after removing the spiral, when can you get pregnant.

Features of the use of the IUD

Young women are often interested in - "a spiral in order not to get pregnant, what is it, how to use it correctly?" An intrauterine device or IUD is one way to prevent pregnancy. But it is not in a hurry to use it for various reasons, including the likelihood of getting pregnant with a spiral. The contraceptive is placed in the gynecological office, they are observed by the doctor for the entire period while it is there. But many women are frightened by the very fact of finding a foreign body in the uterine cavity. This is what an intrauterine device looks like - photo:

This method, like any means of contraception, is not without its drawbacks and contraindications. IUD is a cheap way to prevent unwanted pregnancy, widely used in different countries in the twentieth century. The installed intrauterine device can be "intrauterine" from six months (as recommended) to several years, if the woman does not intend to remove it. Some write on the forums - "got pregnant with a spiral", and this is true.

Extraction of the T-shaped coil with copper wire should take place in the women's office. But many women do not like to climb on the “hated chair” and try to remove it themselves when they are planning a child. Their motivation is to see a doctor if they can't do it themselves. The specialist removes the T-shaped body with the help of a medical instrument so as not to expand the passage for the removal of the IUD.

It has been proven that if there is a spiral, you can get pregnant, it is able to stay close to the placenta. There is a possibility of harming the development of the fetus. Therefore, if the IUD was before the wedding, it is abandoned with a stable sex life. At home, women pull it out on the 2nd day of menstruation, when the cervix is ​​as open as possible. The spiral is pulled out by the antennae or fishing line that comes out of the cervix into the vagina in order to become pregnant after the spiral. But if something goes wrong, she gets stuck. There is a possibility of injuring internal organs, possible other complications.

The spiral sometimes falls out by itself, for example, during menstruation (if you push hard during defecation). It is difficult to say when this happened. Women may not know for some time that the spiral, which is not to get pregnant, has fallen out. They do not use other contraceptives, and then they cannot say for sure whether there is a spiral in the uterus or not. If there is no uterine tendril in the vagina, most likely it is not there. Theoretically, any fishing line can break off, then extraction will be more problematic.

Of course, there is no more reliable method of contraception than the absence of sexual life, which is decided by those who have had a difficult birth. But over time, you need to get involved in a normal married life and choose a way to protect yourself from unwanted pregnancy. Usually they consult with a gynecologist, specifying what percentage to get pregnant with a spiral, or choose more suitable means. Patients of maternity hospitals are also interested in whether a woman can get pregnant if there is a spiral? Most often they are used by women giving birth.

What is the principle of operation of the Navy?

Not everyone who uses the spiral understands its principle of operation. This device prevents the fertilized egg from attaching to the uterine cavity. A fertilized egg without a suitable place in the uterus dies and is excreted during the next menstruation. Spirals have some differences in form and metal content (copper, gilding, silver). It is difficult to answer how they affect reproductive functions.

Girls often ask why it is difficult to get pregnant after a spiral. Everyone's body features are individual. The shape and materials of the VSM should reduce the activity of spermatozoa, blocking the functionality. Therefore, the spiral can be attributed to a wide range of contraceptives, it works "before" and "after" conception. Strengthening the contraceptive effect gives her some advantages over other methods of preventing unwanted pregnancy:

• approximately 95% guarantee (this is the question "is it possible to get pregnant with a spiral");
• a means of prolonged action that does not require preparation for the next sexual intercourse;
• the use of the IUD does not affect the hormonal background and sexual activity;
• can be combined with other contraceptives (if a woman is not sure about any one remedy);
• there is no discomfort with intimacy (but the man does not feel whether the woman is protected from unwanted pregnancy);
• the possibility of use in the postpartum period and for lactating women (it is believed that during this period it is impossible to get pregnant, but practice shows how high the probability is).

The positive point is that the spiral does not affect the reproductive functions of the female body. Therefore, you can get pregnant immediately after removing the spiral. This is due to the fact that full-fledged eggs continue to mature even with prolonged use of an intrauterine device. At the same time, the growing layer of the epithelium continues to be periodically shed, the sign is a stable periodicity of menstruation.

Attention: Among the shortcomings, gynecologists indicate the very fact of finding a foreign body inside a woman's body. The IUD is located in close proximity to the tissues involved in fetal maturation.

How to get pregnant with a spiral and what to do if you get pregnant?

Questions like "how to get pregnant with a spiral" are meaningless, since the IUD is put up to prevent it. The embryo and the helix are, in fact, antagonists, forced to fight for being in the uterus. One of them must be rejected, that is, come out. Most often, "in the struggle for life" inanimate matter wins. It is this "drama of events" that makes many women refuse to use intrauterine contraception. But after the extraction of the IUD, there are no obstacles to conception.

In nulliparous women, the IUD can cause rejection and inflammation, which can cause infertility. Virgins do not put spirals at all. You can get pregnant with a spiral, symptoms of pregnancy should appear, including the absence of menstruation, pulling pain in the lower abdomen. In this case, be sure to contact the antenatal clinic. The sooner the coil is removed, the better for the health of the mother and the unborn baby. There are cases of removal of the IUD after childbirth.

Today we want to tell you about the possibility of becoming a mother after such a contraceptive as a spiral.

Today, in almost all countries, women can independently control and plan pregnancy. Many ways and methods of contraception have been developed. One of them is the IUD (intrauterine device). It has long been believed that the insertion of an IUD is the best protection against unwanted pregnancy. However, recently, through studies of the statistics of appeals of pregnant women who have a spiral installed, this statement has been shaken.

Chances of Pregnancy with an IUD

The intrauterine device acts as a means of protection against unwanted pregnancy by 98%, that is, there is still a 2% chance of becoming pregnant. also, the likelihood of becoming pregnant increases if a woman is negligent: she misses sessions of visiting a gynecologist, ignores and does not go to an appointment with a gynecologist unscheduled if any discomfort and discomfort occurs in the lower abdomen and during intercourse.

After all, there is a risk of incorrect installation of the spiral or its partial exit from the uterus.

And as a given, the IUD has an expiration date, after which it needs to be replaced.
Hence the conclusion: you need to follow and visit your gynecologist at regular intervals.

Briefly about the intrauterine device

An IUD is a device made of plastic, plastic mixed with metal, that can be supplied with hormones that are released evenly over a long period of time into the uterus and provide additional protection.

The spiral can be S-shaped (but these are no longer used, since they have not justified their purpose - reliable protection against pregnancy) and T-shaped (at the moment only this form of IUD is used).

How does the spiral work? The IUD is installed inside the woman's uterus and is not protected from fertilization of the egg, but is a stimulant that prevents the fertilized egg from gaining a foothold inside the uterus and starting to develop, that is, roughly speaking, the IUD contributes, one might say, to a miscarriage at the very beginning of creation.

Signs of pregnancy with IUD

And so, we found out - the probability of pregnancy with a spiral is somewhere around 2%.
But it can be extremely difficult for a woman herself in the early stages of pregnancy to determine that fertilization was successful, because sometimes it is asymptomatic. Therefore, it is necessary to monitor and control the onset of menstruation, and if it is delayed, contact your gynecologist urgently (as soon as possible), pain in the lower abdomen and swelling of the mammary glands, weight gain can also serve as a hint of pregnancy and a visit to the doctor.
If pregnancy is confirmed during examination, then two options are obvious:

• the desire to become a mother and bear a healthy child;
• desire to terminate the pregnancy.

If you decide to become a mother

With the first option, it is important to remove / remove the spiral from the body of the expectant mother as soon as possible. Otherwise, when the extraction is delayed, an unfavorable scenario is possible - a miscarriage (in 50% of cases, the coil is not removed in the early stages of pregnancy).
However, even if the coil was successfully removed, the risk of miscarriage is about 25%.

To avoid falling into this risk group, be sure to follow all the advice and recommendations of your doctor.

It is also possible that the intrauterine device was not removed by the woman and at the same time the pregnancy was not terminated, and on the fourth or fifth month of pregnancy the IUD was rejected by itself, or rather, the strengthened fetus contributed to this, so to speak, the future baby is fighting for survival, and came out after with amniotic fluid. But such favorable outcomes are quite rare.
But if the gynecologist has not voiced any obstacles to removing the spiral, then, of course, you need to remove it, since the threads of the IUD can become a source of penetration of infectious diseases or serve as their carriers, which can disrupt the natural development of the fetus and lead to serious consequences, both for future mother, and for the child.

Intrauterine pregnancy with IUD

The IUD can contribute to the occurrence of an ectopic pregnancy, regarding which there is currently a fierce debate - is it possible to bear a healthy fetus and not disturb your body?
Signs that the pregnancy is ectopic are: pulling pains in the lower abdomen, moreover, one-sided, and accompanied by bleeding.

Note: In an ectopic pregnancy with an IUD, the fetus most often attaches and develops on the cervix.

Despite the improvement of medicines, technologies, etc. and the fact that at the moment there are already quite a few women who carried and gave birth to a child whose development took place outside the uterus, yet it remains a rather risky step - not to have an operation to remove an ill-positioned fetus.
The consequences may be as follows: rupture of the fallopian tube and bleeding, also a poorly fixed embryo either on the cervix or in the fallopian tube can come off and enter the abdominal cavity, which will cause internal bleeding. All this is quite difficult and painful and may subsequently adversely affect subsequent attempts to become pregnant.

Health of children conceived when a woman has an IUD

In general, children who were conceived and born with an intrauterine device do not have any complications and disorders both at birth and during further growth and development.

IUD abortion

If you wish - to terminate the pregnancy, to have an abortion - you just need to make an appointment and perform an operation in which both the fetus itself and the intrauterine device are removed.

To summarize:

• It is necessary to plan (at least once every six months to visit a gynecologist), also do an ultrasound;
• For a more thorough control, you can check the length of the spiral threads yourself. Their absence or increase in length will be evidence that it is necessary to visit your doctor unscheduled;
• Remember that the intrauterine device has its own expiration date, after which you need to put a new IUD;
• In no case should you try to remove the intrauterine device yourself;
• Follow the advice of your gynecologist impeccably.

Such simple precautions will help to avoid an unplanned pregnancy, as well as not to harm your body and the baby's body, if you still happen to get pregnant.

The installation of an intrauterine device is considered a reliable and budgetary means of contraception. But such protection does not guarantee the absence of pregnancy. Therefore, it is important to know when it becomes possible to conceive a child, if there is a spiral, and what are the consequences of such a situation.

Intrauterine device: reliability, types

An intrauterine device is a contraceptive that is inserted into the internal cavity of the uterus and prevents the onset and development of pregnancy.
Intrauterine device - a reliable method of contraception

Such a contraceptive is distinguished by a high degree of reliability and safety for a woman's health. The installation of the spiral is carried out for a period of three to seven years, after which it is necessary to replace it without fail, since the device may grow into the walls of the uterus.

Types of Navy

There are the following types of intrauterine device (IUD):

• inert. One of the first contraceptives requiring introduction into the internal genital organs of a woman. Has an S-shape. Usually set for 2-3 years. It is not used today due to low efficiency;
• hormonal. It is made of plastic and has the shape of the letter T. It contains special hormones in the leg that prevent the fertilization of the egg - progesterone or levonorgestrel. They are released into the uterine cavity in small uniform doses throughout the entire period of the spiral inside the body (up to 5 years). The advantage of such an IUD is considered to be a small risk of inflammation after installation, although there are discharges between periods;
• copper-containing. There are models of both a semi-oval shape and those similar to the letter T. It is a rod on which copper wire is wound. When it enters the internal cavity of the uterus, such a spiral is oxidized, which adversely affects the viability of spermatozoa. Set for 5 years;
• with silver. They are a silver tip entwined with copper wire. Compared with the previous spermatotoxic effect of this model is doubled. In addition, silver ions create an antibacterial effect. This property ensures the duration of wearing the IUD (up to seven years);
• gold spiral. This type of IUD is very resistant to corrosive effects and has an anti-inflammatory effect. The duration of wearing such a spiral varies from five to ten years, while the woman's reproductive function is fully preserved.

As for the choice from the presented models, it is made by a personal gynecologist, taking into account the physiological characteristics of a woman. The installation is performed only after the delivery of blood and smear tests, as well as ultrasound of the internal genital organs.
The process of installing an intrauterine device is painless and fast.

Advantages of the method

The advantages of the intrauterine device over other methods of contraception are:

• the possibility of installation in order to prevent fertilization after sexual intercourse has occurred. In this case, the spiral is introduced within the first five days from the moment of sexual intercourse;
• low price of the drug, taking into account the fact that the installation is carried out for a long time - at least three years;
• the absence of a teratogenic effect on the embryo that disrupts its development during the entire period of gestation (if conception occurred with an existing IUD). In addition, the spiral does not affect subsequent pregnancies;
• no need to think about contraception every time before sex;
• the possibility of installing a spiral even during breastfeeding, if we are talking about non-hormonal models;
• lack of discomfort during intercourse;
• antibacterial effect of some models.

As statistics show, the most reliable among contraceptive methods (99.80%) are third-generation hormonal spirals (with a low content of the hormone progestin-levonorgestrel, they have a local effect without affecting weight and emotional state). Well-proven models such as:

Only hormonal implants (99.96%) and male vasectomy (99.86%) are more reliable than these models. As for other types of intrauterine devices, their reliability is less high - only 99.20%.

Contraindications

In certain cases, the installation of such an intrauterine contraceptive is prohibited:

• if the patient has a history of diseases of the genital organs: fibroids, bicornuate or saddle uterus, narrowing of the cervical canal;
• with an existing sexual infection;
• if a woman has more than two partners;
• if ectopic pregnancies have been previously diagnosed;
• when there are erosions or tumors on the internal genital organs;
• with anemia and poor blood clotting;
• if uterine bleeding is detected;
• with heart failure.

For all types of spirals, the main contraindication in a healthy state of the reproductive system is the absence of a history of pregnancies and the age of the woman (not earlier than 18 years).

Is it possible to get pregnant with a spiral, how to determine and what to do

The effect of the intrauterine device is to terminate the pregnancy. The tool refers to abortive methods of contraception, since it has a mechanical effect on the walls of the uterus and does not allow a fertilized egg to strengthen on them.

Preventive measures to avoid unplanned conception after the installation of the spiral:

• regular (at least twice a year) visits to the gynecologist and ultrasound examination of the uterus;
• self-checking the length of the spiral threads that go out. If they lengthen, then the IUD has shifted and does not perform protective functions. When the threads disappear, we can talk about its loss. If such violations are detected, it is important to immediately conduct an ultrasound examination, remove the incorrectly inserted spiral and take a pregnancy test;
• stopping the use of an intrauterine contraceptive after the expiration date, since in this case the contraceptive effect of the device also ends.

But there are situations when a fertilized egg is still fixed in the uterus, and then pregnancy begins to develop.
The probability of pregnancy with an IUD, although small, but everything is there

You can determine the presence of pregnancy by the following signs:

• delay of menstruation. This will be a clear sign of fertilization that has occurred, since the device does not affect the physiological processes of ovulation and the menstrual cycle;
• positive pregnancy test. To make sure the conclusions are correct, you can also take an analysis for the hCG hormone in the very first days of the delay;
• bloody or brown abundant discharge from the vagina, accompanied by pulling or sharp pains in the lower abdomen, which may be a sign of an ectopic pregnancy.

Other manifestations may also be observed:

• bouts of nausea and dizziness in the morning;
• an increase in body temperature for no apparent reason;
• swelling and soreness of the mammary glands;
• lack or excessive increase in appetite;
• increased drowsiness and fatigue.

It should be remembered that pregnancy with a spiral inside the uterus belongs to the category of pathological and may not manifest itself in any way. This is due to a slowdown in the formation of the placenta around the fetus and an increase in the level of pregnancy hormone (hCG).

When one or more suspicious signs (often mild) appear and pregnancy is confirmed, it is important to decide on further behavior. If the conception occurred directly inside the uterus and has no pathologies according to the results of the ultrasound scan, the doctor may suggest that the woman save the fetus with the removal of the spiral. If this is done in the early stages, then the probability of pregnancy fading will be no more than 25%, while leaving the device inside the uterus until childbirth is fraught with miscarriage in 50% of cases.

To have an abortion and remove the IUD is necessary:

• if the pregnancy is ectopic (the fetus is fixed in the fallopian tube or on the cervix);
• when the hormonal coil is installed.

In addition, a woman may refuse to bear a child on her own initiative, since the pregnancy has become unplanned, and various infections can enter the body of both the mother and the fetus through the threads of the IUD.

If a decision is made to save the life of a small person, careful monitoring of the patient's health begins to exclude complications and possible risks. A woman is shown to regularly do ultrasound, follow measures to prevent spontaneous miscarriage (after all, the spiral provokes contractile activity of the uterus), and constantly take blood and urine tests.

Pregnancy with an intrauterine device: complications and possible risks

The surest way to avoid unwanted pregnancy at all times has been total abstinence. Any method of contraception, even a very reliable one, can misfire. Including the intrauterine device.

So, pregnancy has come, despite the contraceptive installed inside the uterus. If a woman, after consulting a doctor and undergoing an ultrasound scan, decided to leave the child, it is necessary to register with the antenatal clinic.
In case of pregnancy with an IUD, you need to regularly do ultrasound and take tests

The highest risk when carrying a child with an IUD is the likelihood of spontaneous miscarriage. This situation is especially high in the early stages of pregnancy.

In addition, a contraceptive placed too close to the embryo can injure or infect the fetus. Therefore, the early removal of the spiral (with the condition that the control threads are outside) will ensure the normal development of the child during the entire period of gestation with proper control by the doctor leading the pregnancy.

If the IUD cannot be removed in the early stages (when the antennae are not visible), then during the normal course of pregnancy, the embryo and amniotic membranes force the device out of the uterus so that it can fall out even before birth. Or the spiral is expelled along with the placenta during labor.

The most dangerous consequence of fertilization against the background of the spiral in the uterus remains the occurrence of an ectopic pregnancy. And although, according to doctors, the risk is only 5% of cases, it is best to calculate the moment of conception in time and undergo an ultrasound examination of the pelvic organs. If the diagnosis is confirmed, surgery is performed, during which both the embryo and the helix are removed.

The onset of pregnancy is a mandatory indication for the removal of the intrauterine device as soon as possible. Since the removal of the IUD belongs to the category of minor medical operations, in no case should it be carried out on your own. All manipulations should be carried out by the doctor of the antenatal clinic or the day hospital of the hospital.
Removal of the spiral is carried out only in the conditions of a antenatal clinic or a hospital

IMPORTANT! To remove the coil without causing harm to the embryo, the visible presence of control threads in the vagina is necessary. Otherwise, the IUD is not removed or is removed during a medical abortion.

The procedure for removing the intrauterine device is as follows:

1. Preliminary tests of urine and blood are given, a smear is made on the microflora. Additionally, ultrasound and colposcopy are prescribed.
2. Next, an examination is carried out on a gynecological chair, during which the cervix is ​​carefully exposed using special mirrors.
3. Direct removal of the device occurs by grasping the threads with tweezers or forceps and slowly pulling the spiral out of the uterine cavity. The whole process takes a minimum of time and is painless.
4. In the event of a rupture of the antennae, the removal continues with the use of special hooks and with simultaneous ultrasound.
5. If the spiral has grown into the walls of the uterus, the removal is carried out with the simultaneous removal of the fetus by scraping the internal cavity of the womb. The operation is performed in a hospital under intravenous anesthesia.
6. When the IUD is overgrown so that it is not possible to remove the device with curettage, laparoscopy is performed in the abdominal cavity using general anesthesia. Pregnancy in this case is also interrupted.

If the spiral was correctly located in the womb cavity and there were no complications, the removal of the contraceptive will take no more than 10 minutes in a gynecological office.

As for the effect of the intrauterine device and the procedure for its removal on subsequent pregnancies, this is not observed in the absence of pathologies. If the drug is removed during a medical abortion, the next pregnancy may occur as soon as possible after the operation. Therefore, it is important for the purposes of healing and restoring the body to take care of protection at least in the first two or three months after the removal of the spiral. After all, the uterus needs to build up a new, healthy layer of the mucous membrane so that in the future a woman can endure and give birth to a healthy child. And this will be permissible only if it is possible to fix the fertilized egg on the inner walls of the womb.

Video: removal of the intrauterine device schematically