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Insertion or removal of an intrauterine device

Price:
145.00 €

An intrauterine device is placed in the uterus to prevent pregnancy. The ESV is usually T-shaped and contains medically pure copper, a silver compound, or corpus luteum hormone.


ESV containing copper or silver compounds affects sperm and egg motility, reduces the ability of sperm to fertilize an egg.

Hormonal ESV makes the lining of the uterus too thin for pregnancy; seals the secretion of the cervical canal in such a way that it is difficult for the spermatozoa that fertilize the egg to enter the uterus; reduces sperm motility in the uterus and fallopian tubes; rarely, ovulation may also be missed.


ESV is suitable for women

  •  who want long-term pregnancy prevention
  •  who for some reason cannot or does not want to use birth control pills
  •  who are breastfeeding
  •  hormonal ESV is suitable for women with heavy periods


ESV is not the first choice of contraceptive for nulliparous women


The contraceptive effect of ESV is manifested immediately after installation. Prior to ESV installation, tests for sexually transmitted diseases and a PAP test are necessary. ESV installation is slightly painful. Local pain relievers are used during the installation to relieve pain. The best time to insert an ESV is during menstruation, but this does not have to be the rule. Postpartum, it is recommended to install ESV from 6-8 weeks after delivery. Lower abdominal pain may occur for a short time after ESV installation. To relieve pain, it is recommended to use over-the-counter pain relievers. It is not recommended to have intercourse for a few days after ESV placement if there is bleeding. In the first months after ESV insertion, periods may be heavier than usual and last longer.


ESV must not be installed

in case of acute inflammation of the genitals, vague vaginal bleeding, blood clotting disorders and copper-containing ESV in case of copper allergy. It is necessary to consult a doctor before installing an ESV.


Possible dangers:

  •  Very rarely, inflammation of the pelvic organs can occur after the installation of the ESV device, which appears within 10 days after the installation of the ESV. If you should develop a fever with lower abdominal pain during this period, contact the Fetal Ultrasound Center at 6566162 or 5210046.
  •  Uterine puncture during ESV placement, resulting in the ESV penetrating the uterine wall or passing through the uterine wall. Since the procedure is performed under ultrasound control, this complication occurs very rarely and is revealed immediately during the procedure.
  •  ESV exit. Uterine muscle contractions during menstruation can push the ESV out of place. Therefore, after the installation of the ESV, it is necessary to check the presence of the ESV in the uterus after the next menstruation and thereafter once a year.
  •  Pregnancy. Occurs very rarely. If you are pregnant and want to keep the pregnancy, it is recommended to remove the ESV. At the same time, the risk of spontaneous abortion and premature birth increases. It is also possible to get an ectopic pregnancy while wearing ESV.


In the case of ESV, it is necessary to adhere to the period of use

After the expiration date, the ESV must be removed and, if necessary, replaced with a new one. It is recommended to remove ESV during menstruation. Removal is easy and painless. Fertility is restored after ESV removal. Pregnancy is possible during the next menstrual cycle.


The price of the procedure includes the doctor's consultation fee

 

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