The hormonal coil (IUS) is one of the most reliable long-acting contraceptives. Once fitted, it can remain in place for up to 3 to 5 years. That means no more having to remember to take a daily pill, change a patch every week, or make a monthly appointment for a contraceptive injection. Despite its ease of use, many women have concerns about getting an IUS fitted, and what they can expect afterwards.
Most women tolerate IUS insertion very well. Your doctor or nurse may advise you to take simple painkillers, and in some cases they will numb the neck of the womb with an anesthetic injection to minimize discomfort.
After insertion, some women may experience some pain and dizziness. These are usually comparable to menstrual cramps, and will ease if you take normal painkillers. If pain persists, consult your doctor. The IUS may also lead to a reduction in bleeding and period pain over time, and may stop your periods entirely.
Your doctor or nurse will follow the correct procedure to ensure your hormonal coil is inserted properly and stays in place for the 3 to 5 years you use it for. It is possible for muscle contractions to push the IUS out of place, so if you experience any persisting discomfort after it is inserted, consult your doctor or nurse immediately.
If you decide that the hormonal coil isn’t for you, it might be worth considering these alternatives:
A small, flexible T-shaped plastic frame that releases low levels of hormones. It is placed in your womb by a doctor.
A small, T-shaped plastic frame with a copper wire that is placed in your womb by a doctor.
A small, flexible silicone rod that releases hormones. It is placed under the skin of your upper arm by a doctor.
A shot containing progestin that is effective for up to three months. It is administered by a doctor.
Seek out an appointment with your doctor or nurse for further support that is specific to you and your lifestyle.
It’s a common fear women have when contemplating an IUS. However, your doctor or nurse will give you more information on placement pain and measures to minimize it.
The pill should be taken every day at the same time, as a missed pill can compromise efficacy. If taking the pill every day doesn’t suit your lifestyle, it might be worth exploring other contraceptive methods.
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