IUD can be removed at any time, contact your gynecologist. Seven days before the direct extraction of the helix is ​​recommended to use additional means of contraception to prevent unintended pregnancy. Immediately after removing the IUD woman can become pregnant again as a means of contraception does not affect a woman's ability to conceive Conception, ovarian cycle, fertilization and genetics of a child .

Immediate recovery procedure IUD usually is much faster and easier than the installation procedure spiral, and is accompanied by pain or discomfort at. It is important to remember that the self-extracting IUD is strictly prohibited - an attempt to extract the spiral of self can lead to microtraumas uterus.

Removing the IUD may be required in the following cases:

• When a woman is planning to become pregnant
• When the IUD causes serious side effects (eg, constant pain spasmodic, heavy and prolonged menstrual period)
• If you install an intrauterine device led to the emergence of infection
• At the end of the shelf life of a spiral (for hormone IUDs shelf life of five years for the traditional copper - ten years)

The procedure

Remove the IUD at any time during the menstrual cycle, but a lot easier to do it during menstruation, as during the menstrual period, the cervix becomes softer and pliable. Removing the IUD involves the same techniques as its setting: to start the gynecologist determine the position of the uterus and thread attached to the rod spiral.

Using tweezers or forceps thread end is captured, and the cord slowly at a certain angle, extends itself helix. Flexible "antennae" are formed by drawing a spiral coil through the cervical canal Cervical canal - the path traversed by every person .

Possible complications

Removing the IUD - a routine procedure, causes no complications. In some cases, however, the direct examination of the vagina gynecologist can not detect the thread helix - often this is due to the fact that the thread is drawn into the cervical canal, being too short. To determine the presence of the threads of IUD in the cervix may be a gynecologist with a small forceps / tweezers or a special cotton swab, which usually take a swab from the cervix. Once the location of the thread is determined IUD removal procedure is performed in the usual way.

In this situation, to confirm the presence of a spiral in the uterus used ultrasound or sonogram. If validated by the presence of helix, but the thread end is not detected, the intrauterine device from the uterus is extracted directly using special tools - in this case the uterus, usually not damaged.

In very rare cases there is such a dense consolidation of all IUD in the uterine wall, which is very difficult to remove it. For confirmation of such cases may require special studies - ultrasound, or hysteroscopy hysterography Hysteroscopy - examination of the uterus inside   (direct examination of the uterus using a special optical instruments). To remove the IUD wall cervical apart with a special device and the spiral is removed by surgical forceps. In most cases, this extraction helix performed under local anesthesia.

Replacing IUD

Put a new IUD can be immediately after removing the old spiral - no complications of this procedure to replace the spiral causes. The conventional wisdom that after the change of sexual partner should be changed IUD is wrong - the effectiveness of contraception does not depend on the number of sexual partners a woman.

When planning a visit to the gynecologist to extract intrauterine device, remember that the removal of the spiral before ovulation Ovulation - How to determine as accurately as possible?   It increases the chances of getting pregnant if you had unprotected sex before removing spiral. Activity sperm caught in a woman's body, preserved for five to seven days, so seven days prior to the extraction of IUD is better to use additional means of contraception.

Male sterilization - one of the most modern and effective methods of preventing unwanted pregnancy. It must be carried out only in men who already have children, as to renew fertility after a vasectomy in most cases impossible.

What is a vasectomy and to whom it is performed

Vasectomy (vasoresection) - excision is semevyvodyaschego flow, which leads to an irreversible cessation of male fertility. As a result of this operation a man retains all sexual functions (libido, erection Erection - what hinders and what helps a man to be a man , Selection of sperm), except fertility since the sperm can no longer enter the ejaculate (semen), due to blockage of the ejaculatory duct. This vasectomy differs from castration that removes the testicles that produce male sex hormones, which means that all sexual functions are interrupted.

The first three months after surgery, there is no guarantee that unwanted pregnancy does not occur, therefore, additional methods of contraception Methods of contraception: strengths and weaknesses . The best proof of the sterility of men is repeated laboratory examination of ejaculate, which confirms the absence of sperm in it. The effectiveness of vasectomy as a contraceptive method Contraceptive Methods: Ten myths about contraception in the mirror of facts   It is about 99%. Failures attributed to the fact that the intersection of the vas deferens grow to bypass the intersection.

Currently used mainly vasectomy for contraception for men who already have children. Some time ago, this operation is often used for the prevention of infection of the prostate gland in the testicles for tuberculosis genitals and in those cases where a long-term catheterization (excretion of urine through a tube - a catheter) of the bladder.

Indications and contraindications

Vasectomy is carried out strictly voluntary, it is shown:

• men older than 35 years (or having two or more children) who want to have constant reliable method of contraception;
• Men who have wives who are pregnant contraindicated for health reasons;
• men who sterilization Sterilization - may be temporarily   It shows the state of health (eg tuberculosis genitals, in the presence of severe hereditary diseases, etc.).

Vasectomy is contraindicated:

• if a man does not give her consent;
• if a man is not sure that he no longer wants to have children.

Preparing for a vasectomy, its implementation and possible complications

In preparation for a vasectomy performed a survey in order to avoid the hidden sexual infections and inflammatory processes in the genital area.

Vasectomy is held on both sides under local anesthesia in many ways.

The classic technique involves skin incision, separation of the vas deferens, dressing it in two places (ligation) and excision of the duct between the ligature over 1 cm.

In some instances, the ligature not overlap, and the ends are intersected vas deferens sealed in different ways (e.g., using electrocautery).

In recent years, often carried out the least traumatic method of vasectomy, the essence of which is that the release of the vas deferens resorted to puncture (puncture), and not to cut.

Vasectomy may be complicated by wound infection (with fever usually appear inflammation and swelling of the tissues) and hematoma - bleeding in the scrotum (it becomes edematous and painful). In such cases, you need to see a doctor - if you do not start the process, it is easy to treat.

The recovery period

Since vasectomy process used absorbable suture, sutures are not removed and the patient can be discharged home from the hospital the day of surgery .  The bandage is removed on the third day in a doctor's office, then you can take a shower .  For some time (until you come postoperative edema) need to wear special fixing bandage - jockstrap, which prevents additional trauma to the scrotum .  Nor can lift weights - this may compromise the integrity of welds .  In the normal state of health sex life, you can start three days after surgery, but the first three months need an additional method of contraception .  After three months, it is necessary to analyze the semen on the presence of a sperm .  Repeatedly, such an analysis is necessary to carry out a year later, as the growth of scar tissue at the surgical site (it is formed during the year) may help to restore patency of the vas deferens .

Vasectomy - a great way to contraception, but it requires a conscious balanced approach, as the return to the function of childbirth usually does not happen.

Galina Romanenko