EL COSTO INCLUYE CONSULTA, ULTRASONIDO Y COLOCACION. Several women use the levonorgestrel-releasing intrauterine system, which is called in the market as Mirena®. This report evaluated the possibility of inserting . Learn about Mirena, ParaGard, and Skyla, how they differ, and which IUD may be right for you.
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The intrauterine system is a small, T-shaped frame made from soft, flexible plastic. The T-shaped frame intrauterini around 3 cm long and wide. The vertical arm is surrounded by a narrow cylindrical-shaped reservoir that contains levonorgestrela progestogen hormone 1.
The reservoir releases a very low daily dose of the hormone in the wombwhere it exerts its contraceptive effect 1. Only very small amounts of hormone can be found in the blood. The intrauterine system has two removal threads that extend from the lower part of the T-frame to the upper part of the vagina 2. The intrauterine system has several effects on your body, which together make it a highly effective contraceptive option. Levonorgestrelthe active ingredient that is released from the intrauterine system cylinder, causes thickening of the cervical mucus the fluid secreted by glands around intrauterono cervixthe neck of the wombthus making it harder for sperm to pass through the birth canal 1.
In addition, it prevents thickening of the womb lining and in some women ovulation release of the egg may be prevented 1. Levonorgestrel, the progestogen hormone contained within the intrauterine system, is released at a low dose. The intrauterine system is the only long term hormonal contraceptive that exerts its contraceptive effect mainly locally in the womb.
Consequently, the hormone levels in the bloodstream will be low which may help to reduce the risk of hormonal side-effects. All other long-acting hormonal contraceptive options exert their contraceptive effects after take-up of the hormone in the bloodstream, meaning that the hormone concentration is similar throughout the body. Although the intrauterine system starts working as soon as it is placed, it is advised to wait about 24 hours before having sexual intercourse, to give your body a rest 2.
Before the intrauterine system is placed in your womb, your healthcare professional will perform a series of health checks. These may include a cervical smear test Pap smearexamination of the breasts and other tests, e.
A gynecological examination should be performed to determine the position and size of the womb 2. The intrauterine system is not suitable for use as a post-coital contraceptive i.
The intrauterine system is placed in your womb by a healthcare professional. It is a routine procedure that normally takes just a few minutes following intraauterino pelvic examination. Most women find the placement procedure only causes minor discomfort.
However, you can discuss with your healthcare professional in rispositivo whether some measure of pain management may be appropriate for you. Once your cervix has been cleaned with an antiseptic solution, the depth of the uterine cavity is measured and the intrauterine system is placed into the womb via a thin, flexible plastic tube.
The intrauterine system can be placed within seven days from the start of your mirema 2. It can also be placed immediately after an abortion, provided that there are no genital infections 2. It should be placed only after the womb has returned to its normal size after childbirth, and not earlier than 6 weeks after having dispostiivo birth 2.
The intrauterine system intrrauterino be replaced by a new system at any time of the cycle 2. When the intrauterine system is used to protect the lining of the womb for women on estrogen therapy, it can be placed at any time in an amenorrheic woman a woman who has no monthly bleedingor during the last days of menstruation or withdrawal bleeding 2.
You should have an initial check-up at 4 – 12 weeks after placement 2. Subsequent check-ups should be at least once a year 2. You should contact your healthcare professional if you experience any of the following After 5 years, the intrauterine system should be removed. If you want a new intrauterine system, your healthcare professional can remove the intrauterine system and immediately, during the same visit, place a new one.
Your intrauterine system should be removed by a trained healthcare professional by pulling on the removal threads. Removal is usually a painless procedure. Fertility returns to normal immediately after removal 3. If pregnancy is not desired, the removal should be carried out during a period in women of fertile age, provided that there appears to be a menstrual cycle 2.
If the system is removed in the mid-cycle and you have had intercourse within a week, you are at risk of pregnancy unless a new system is placed immediately following removal 2. The intrauterine system can provide you with contraceptive protection for up to 5 disposituvo.
Pregnancy rates with this type of contraceptive are very low. Only around 2 per thousand women may become pregnant in the first duspositivo 4. By using the intrauterine system, dipositivo is permanently in place, no pregnancies occur due to problems remembering to use or take a contraceptive. Women who rely on their partner using condoms can typically experience a pregnancy rate of as high as per thousand women per year only 20 per thousand if used perfectly 4.
You should tell your healthcare professional if you are taking or have recently taken any other medicines, including medicines obtained without a prescription 2. Since the mechanism of action of the intrauterine system is mainly local, taking other medications is, however, not believed to have major importance for the contraceptive effectiveness of the intrauterine system 2. More than 10 in every women are likely to experience changes to their periods following placement of the intrauterine system.
The intrauterine system can affect your periods dispsoitivo different ways. You may experience spotting a small amount of blood lossand the length of your periods and amount of bleeding may differ 2.
Overall, there will be a reduction in the number of bleeding days and in the amount of blood lost each month. Some women eventually find that their periods stop altogether 2.
dispositivo intra uterino mirena diu – Meditegic
When the intrauterine system is removed, periods return to normal. For a comprehensive list of side-effects, including those that are uncommon and rare, as well information on specific areas of concern, go to the side-effects: There are a number of medical conditions 2 which may make it unsuitable for you to use the intrauterine system if you:.
A woman’s guide to choosing a long term contraceptive This website is intended to provide information to an international audience outside of the USA, Canada and UK. Cancel To proceed please dispostivo. About you Your contraceptive method should fit in with your lifestyle and family plans. dispositiov
Also in this section In-between children Family complete Heavy menstrual bleeding Post-abortion Never had children Alternatives to sterilization On estrogen therapy. Contraceptive choices Compare the four long-acting contraceptives and explore your contraceptive choices. Also in this section Contraception. Make it work for you. Key questions Addressing the key questions women have when considering a contraceptive method.
Close transcript How does the intrauterine system Intrautrino work? The IUS is put in place by a healthcare professional The IUS dsipositivo low levels of a hormone In some women ovulation release of the egg may be prevented The hormone causes thickening of the cervical mucus, making it harder for sperm to pass into the womb The hormone also thins the womb lining, which can lead to a reduction in menstrual bleeding; and many women may eventually have no periods at all The IUS provides contraceptive protection for up to 5 years.
How the intrauterine system works. Before placement of the intrauterine system. Check-ups after placement of the intrauterine system. You should contact your healthcare professional if you experience any of the following 2: Removal of the intrauterine system. Return to fertility after using the intrauterine system. Using the intrauterine system while breastfeeding. The intrauterine system can be put in place after the womb has returned to its normal size, but at the earliest from six weeks after having given birth.
It is then safe to breastfeed, as no negative effects on infant development or growth have been observed 2. Heavy periods can be a serious enough issue to consider having gynecological surgery that could be a hysterectomy womb removal or a surgical procedure on the lining of the womb the endometrium if drug treatment does not work. However, one form of long-acting reversible contraception LARC the intrauterine system is recommended as a treatment for women with heavy periods as it is has dis;ositivo medically dispositivp to significantly reduce bleeding in addition to providing effective contraceptive protection 1.
The first couple of months are characterized by an increase in total bleeding days menstrual days and intermenstrual spotting days combinedalthough the amount of blood loss is reduced quite soon after the intrauterine system placement. If a significant reduction in blood loss does not occur after 3 to 6 months, alternative treatments for heavy menstrual bleeding pharmaceutical or surgical should be considered.
The onset of the menopause signals the decline of your reproductive capability and you may experience hot flushes and other symptoms. Your doctor may recommend using hormone replacement therapy HRT to compensate for the loss of estrogen production by your body. It does not intrauterjno mean that contraception is no longer needed. Hormone replacement therapy HRT for menopausal symptoms does not provide contraceptive protection. This combination simultaneously provides contraception and HRT.
The intrauterine system protects your womb lining the endometrium from a condition known as hyperplasia, which is an abnormal thickening that can be caused by ERT 1. Women who have had a hysterectomy surgical removal of the womb can take ERT alone to treat menopausal symptoms. Women who opt for HRT who have not had this procedure can use the intrauterine system, in conjunction with ERT, to provide the progestogen component of HRT for up to five years 1.
The estrogen component can be chosen from the available options that include pills, patches, creams and gels. For women who use the intrauterine system in conjunction with ERT, there may be some spotting a small amount of blood loss and irregular bleeding during the first few months after placement.
Eventually, this bleeding will reduce and eventually you may have no bleeding or spotting at all 1. Ask your healthcare professional for more advice. Changes to your periods More than 10 in every women are likely to experience changes to their periods following placement of the intrauterine system.
Other side-effects 2 Very common and common side-effects. When should you not use the intrauterine system? There are a number of medical conditions 2 which may make it unsuitable for you to use the intrauterine system if you: Conditions which may exist or appear for the first time.
If any of the following conditions exist or appear for the first time while using the intrauterine system, you should consult a specialist who may decide to continue or to remove the intrauterine system 2: Antibiotic preventive medication should be given to such women when placing or removing the intrauterine system 2 for diabetic users of the intrauterine system, the blood glucose concentration should be monitored.
However, there is generally no need to change your diabetic treatment when using the intrauterine system 2 irregular bleedings may mask some symptoms and signs of endometrial polyps or cancer, and in these cases diagnostic measures have to be considered 2 available data shows that the intrauterine system does not increase the risk for breast cancer in fertile women under 50 years of age 2 the intrauterine system is not the method of first choice for young women who have never been pregnant, nor for postmenopausal women with shrinking of the womb 2.
Who is this suitable for? The intrauterine system may be suitable for you if:. Compare the long-acting reversible contraceptive LARC methods against your key questions:.