family planning
Family planning allows couples to spacing pregnancies, delaying pregnancy in wives at risk of health problems and the risk of dying from early pregnancy, and also reduces the need for unsafe abortion by avoiding unwanted pregnancies.
Contraception can be prevented in several ways, including isolation, avoidance of sexual intercourse in fertility, birth control pills, contraceptive injections, mechanical contraceptives that include condoms and female condoms, connecting the fallopian tube, cutting the sperm carrier vesicles, and the uterus.
IUD
Intrauterine device is a contraceptive device, a T-shaped plastic device that is inserted into the uterus so that the thread in the coil hangs down to pass through the cervix towards the vagina. There are two types of hysterectomy:
- Copper coil : The most common coil, consists of a piece of plastic in the form of the letter (T) covered with copper, and the effectiveness of up to 10 years. The copper coil stimulates the uterus and fallopian tubes to secrete toxins that reduce sperm activity.
- Hormonal spiral : Produces the hormone hormone progesterine hormone, and works to increase the secretion of mucus in the cervix, which weakens sperm and prevents the fertilization of the egg, and limits the thickness of the lining of the uterus. Its effectiveness lasts for five years.
When the coil is suitable
The coil shall be suitable for women in the following cases:
- Absence of pelvic infection when the coil is installed.
- There is no possibility of transmission of sexual diseases, or pelvic inflammatory disease between spouses.
- The desire of the couple in a long-term contraceptive method, does not require much effort, and can be easily disposed of.
- Lack of ability or desire to use birth control pills or other hormonal contraception.
- In the case of breastfeeding.
- A history of ectopic pregnancy.
- The hormonal spiral is suitable for women with hemorrhagic disorders or who are receiving anticoagulant treatment.
- The IUD is suitable for women with diabetes, migraine and endometriosis.
Installation of the coil
The coil is installed by a specialist doctor after ensuring that it is the appropriate method for the wife and to ensure that there is no pregnancy. The IUD is inserted into the uterus through the cervix. This procedure usually takes less than 15 minutes and may occur with or without local anesthesia. The coil can move from its place during the first three months of installation, and the wife can make sure that he is in the right place by following these steps:
- Wash your hands with soap and water.
- Feel the end of the IUD in the cervix region.
- Ensure that the length of the chain is normal; if the length is less or more than normal, this indicates that the coil is moving from its place, and consult your doctor.
- The woman’s feeling of friction between the end of the coil and the cervix, indicating the movement of the coil.
Remove the coil
The lady should not try to remove the coil itself, as this could lead to serious damage. The doctor can remove the coil simply by pulling the end of the chain at a certain angle, resulting in the pull of the chain folding the ends or the arms of the coil and slide through the cervix. The coil can be replaced with a new one directly. Sinus removal is rarely needed to enlarge the cervix. If this occurs, a local anesthetic is used.
Features of the coil
The advantages of using the IUD to prevent pregnancy include the following:
- The effectiveness of the IUD is between 98% and 99%.
- Easily removable if the couple decides to have a baby.
- The impact of the coil is immediate; pregnancy is prevented immediately after its installation.
- The coil is safer than the pill; especially for smokers, or who have a history of blood clots.
- The hormonal coil reduces the bleeding and convulsions associated with the circulatory system.
Damage and disadvantages of the coil
The IUD is a successful contraception, but it has some disadvantages Damage , Such as:
Contraindications of the hormonal spiral
The hormone should be avoided in the following cases:
- Severe pelvic inflammatory disease occurred during the previous three months or at the time of the IUD.
- Infection with immunodeficiency disorders, use of drugs that inhibit the immune system, such as cortisone, chemotherapy of tumors, and intravenous use of intravenous drugs.
- Cervical cancer, and uterine cancer.
- Vaginal bleeding without known cause.
- Infections or tumors of the liver.
- Current or former breast cancer.
- There are problems in the uterus, such as fibers, deformities, or adhesions.
- Excessive sensitivity to the hormone or plastic used in the coil.
- Heart disease.
- Hypertension.
- Acute migraines.
Pregnancy on the coil
An IUD is an effective contraception, but there is a 1% chance of pregnancy. When a pregnancy is suspected, the woman should do a home pregnancy test or a blood test to check for pregnancy.
After confirming the pregnancy, the doctor resort to some tests to confirm that the pregnancy in the uterus and not in the fallopian tube, and these tests blood tests, vaginal examination, and ultrasound examination. In the case of intrauterine pregnancy, the doctor will remove the coil if possible, because the continued pregnancy with the coil exposes the mother’s life to danger, and the attempt to remove the coil has caused miscarriage. If the pregnancy continues with the IUD, the mother should be given special care and attention because she will be more likely to have premature labor.