Manasi Clinic

Gynaecology

Copper T / Mirena IUD

What is the copper IUD?
A copper IUD is a small device with a fine copper wire wrapped around a plastic frame. It’s placed inside the uterus to prevent pregnancy. A fine nylon thread is attached to the IUD – the thread comes out through the cervix into the top end of the vagina.

How does the copper IUD work?
The copper IUD :
1. Is toxic to the egg and sperm which stops sperm from fertilising the egg
2. Slows the transport of the sperm to delay chance of sperm and egg meeting
3. Changes the lining of the uterus to make it unable to support a fertilised egg

How well does the copper IUD work?
The copper IUD is 99.5% effective.

It is important to talk to your doctor before deciding to use the copper IUD if :
1. You have painful or heavy long-lasting periods
2. You have anaemia (not enough iron in your blood)
3. You have had a recent sexually transmissible infection (STI)
4. You have fibroids or other conditions that change the shape of your uterus
5. You have had problems in the past with an IUD (for instance it has come out by itself)
6. You are unable to have a follow-up check-up after the IUD is put in

Advantages :
1. It’s very effective.
2. It can stay in place for 5 or 10 years depending on which one you choose.
3. The initial cost of a copper IUD is more than for other methods, but it lasts for 5 or 10 years so it works out to be a reasonable price.
4. It does not contain hormones so it has no hormonal side-effects.
5. Your fertility goes back to normal straight away when you take it out.
6. It can be used as emergency contraception if it is put in up to 5 days after unprotected sex.

Disadvantages :
1. It doesn’t protect against sexually transmissible infections (STIs)
2. It requires a procedure to be put in and removed from the uterus; putting it in can be uncomfortable
3. When the IUD is put in there is a small chance of:
a. Difficulty in inserting the IUD
b. Damage to the wall of the uterus (perforation)
c. Infection
4. It can sometimes come out by itself
5. Your periods can be heavier and last longer
6. You can have some irregular spot bleeding in the first few months

How do I get a copper IUD?
1. Putting the IUD in takes about 10 minutes – you will be at the clinic for about 1 hour
2. You may find it uncomfortable or painful and some women feel faint

After your copper IUD is put in :
1. You may have cramps and bleeding or spotting in the first few days – you can take paracetamol or ibuprofen or use a heat pack. If cramps, spotting or pain last more than a few days, see your doctor.
2. Avoid sex, tampons, swimming for 2 days to reduce the risk of infection.
3. Go back for a check-up 4 to 6 weeks after the IUD is put in.
4. Check the IUD threads each month after your period to make sure the IUD is still in the right place.

At Manasi Clinic we provide excellent Copper T insertion services to our patients. We also have the hormonal Levonorgestrel containing IUCD which can be used as a treatment for adenomyosis, Abnormal uterine Bleeding and also treatment for endometrial hyperplasia without atypia.

Emergency

For Emergency Consultation contact this No. +91 9845 005 031 / 080 2668 3069