An intrauterine device is used to prevent an unwanted pregnancy. High level of protection against unwanted pregnancy for 5 years. The installation of an IUD can only be carried out by medical personnel, or under the supervision of medical personnel. Responsibility for proper installation rests with medical personnel.
Intrauterine T-shaped contraceptive
The woman’s desire to protect herself from pregnancy.
Treatment and prevention of Asherman’s syndrome.
As a postcoital means of IUD (can be inserted within 3-4 days after unprotected intercourse).
A distinctive feature of this contraceptive is the provision of constant, optimal, regardless of the size of the uterus, efforts at the points of contact between the IUD and the uterine mucosa, which provides versatility – the possibility of using this contraceptive for any woman.
The “Junona Bio-T” contraceptive is a classic model of a T-shaped medical IUD.
The anchor is made of high pressure polyethylene and has a shape with specified mechanical characteristics. The horizontal shoulders of the Navy are finished with olives. Copper wire is placed around the vertical rod. At the end of the rod there is a loop for attaching two transcervical sutures.
Anchor length 36 mm, width 32 mm. Copper braid area 380 mm. In the “Junona Bio-T Ag” model, a silver core with a diameter of 0.1 mm is inserted into the copper wire, which increases the life of the contraceptive.
The degree of purification of the copper coating is 99.998%, the diffusion rate of the release of Cu2 + ions is 10-15 μg / day.
The IUD is supplied in a blister pack complete with a 4.5 mm polymer lead-in tube and piston. The inlet tube has a movable plastic stop to indicate the depth of insertion of the means and the direction of the plane of the armature shoulder opening.
Sterilization – gamma irradiation.
Maximum duration of use: 7-8 years.
The recommended injection technique is the “withdrawal” method.
A distinctive feature of the IUD of the Junona Bio-T series is the preservation of a constant and independent of uterine contractions, efforts at the contact points of the contraceptive shoulders and the endometrium, this ensures the optimal spatial arrangement of the agent in the uterine cavity (high standing of the contraceptive and its pressing to the bottom of the uterus during physiological contractions ).
Instructions for use
Recommended timing of contraceptive administration:
- any day of the menstrual cycle (preferably from 4 to 19 days);
- immediately after a medical abortion performed by vacuum aspiration or curettage
at the end of the involution of the uterus (5-6 weeks after uncomplicated labor) incl. against the background of lactational amenorrhea;
- immediately after removing the IUD, the period of use of which has expired, if the woman wishes to continue intrauterine contraception;
- for the purpose of postcoital contraception – 3-4 days after unprotected intercourse.
Adaptation to the IUD
During the period of adaptation of the patient’s body to the IUD (3-4 months), changes in the menstrual cycle are possible. Menstrual bleeding may be accompanied by a pulling pain in the lower abdomen or sacral region, which usually subsides quickly. In order to increase the acceptability of the IUD and reduce the period of adaptation to the contraceptive, it is recommended:
- conducting a thorough examination of women for contraindications to the use of the IUD;
- a differentiated approach to the choice of the model of the IUD, based on the individual characteristics of the woman’s body, plans for childbirth, the time of the introduction of the contraceptive;
- using the correct technique for the introduction of an intrauterine contraceptive and the optimal timing for its installation;
- according to indications, prophylactic administration of antibiotics and inhibitors of prostaglandinogenesis in the first days after administration and during the first three menstrual bleeding.
Compulsory analysis of smears from “U” and “C” to “gN”, the production of other analyzes according to indications.
Before inserting the IUD, make a thorough gynecological examination, determine the size and position of the uterus. Eliminate the presence of contraindications.
In aseptic conditions, enter the mirrors, treat the cervix and vagina three times with an antiseptic solution. Fix the cervix by the front lip with bullet forceps and lower it slightly, use a sterile probe to determine the direction of the cervical canal axis and the length of the uterine cavity.
Preparing a contraceptive for administration
Open the IUD package from the side of the transcervical sutures. Take the tube by the limiter with your right hand, and with your left hand pull the horizontal branches of the intrauterine contraceptive into the tube until the olive. If in the process of pulling the contraceptive by the threads, there are difficulties, with your right hand through the packaging, tuck the IUD shoulders into the tube. Do not try to retract (tuck the anchor into the tube completely).
Insert the piston into the tube until it touches the contraceptive. In this case, the left hand holds the threads and the tube.
Set the movable stopper at a distance corresponding to the length of the uterus along the probe.
Align the horizontal plane of the restraint with the intended plane of deployment of the IUD shoulders.
The recommended time from the moment the package is opened to the insertion of the IUD is no more than 7 minutes.
Slowly, without using force, insert the prepared contraceptive through the cervical canal up to the stopper. The movement is in progress. an introductory tube and a piston at the same time.
With the piston stationary, pull the tube back up to the ring. Attention, the piston should remain stationary, supporting the contraceptive, and the horizontal plane of the stopper should be aligned with the horizontal plane of the uterine cavity. When the tube is displaced by 2 cm, the horizontal shoulders of the contraceptive open. After that, it is possible to additionally apply the contraceptive towards the bottom of the uterus.
Remove the piston, then the inlet tube. Cut the transcervical sutures so that they protrude 2 cm from the cervix.
Removal of the IUD “Junona Bio-T”
To remove the contraceptive, fix the transcervical sutures with a clamp and slowly remove the contraceptive. In this case, the shoulders of the T-shaped IUD are bent upward. In rare, isolated cases (“thread loss”), instrumental removal of the contraceptive may be required.
Intrauterine contraception is the introduction of small means (IUD) into the uterine cavity. The period of adaptation of the body to the IUD lasts about 3 months. Immediately after the installation of an intrauterine contraceptive, you may be disturbed by minor bleeding from the genital tract, minor pains in the lower abdomen, which should go away in 2-3 days. To relieve pain, you can take 1-2 tablets of analgin or aspirin. Within 8-10 days it is necessary to refrain from sexual activity, increased physical activity, sports, baths, saunas. Even if you feel well, after 10 days you should see the doctor who inserted the IUD.
Within 2-3 months after the introduction of the IUD into the uterus, menstruation can be more abundant and prolonged, sometimes there are minor bleeding from the genital tract between menstrual bleeding. During menstruation, it is advisable to pay attention to sanitary napkins in order to notice the loss of the spiral with menstrual flow in time. You should undergo repeated examinations by a gynecologist 1, 3, 6 months after the introduction of an intrauterine contraceptive, then 1-2 times a year during the entire period of use of the IUD.
When using intrauterine contraception, you must follow the usual hygiene regime. However, as with any modern method of contraception, complications may arise:
- delayed menstruation (pregnancy can very rarely occur);
- lower abdominal pain, pain during intercourse, fever, unusual discharge from the genital tract (signs of the development of inflammatory diseases of the genital organs);
- three months later, menstruation remains long, abundant, weakness, a feeling of malaise appeared (signs of a violation of adaptation to the IUD).
If these signs appear, you should immediately consult a doctor. After the expiration of the period of use of the IUD, which the doctor indicated to you, the contraceptive must be removed. If you like this method of contraception and would like to continue it, after a preliminary examination on the day of removing the “old” IUD, you can install a new one.
Remember that you can remove the intrauterine device at any time you want. This method of preventing pregnancy does not affect fertility (pregnancy can occur immediately after removing the IUD, regardless of the duration of its use). The IUD is removed from the uterus easily, painlessly, but you should not do it yourself.
Store in a dry, dark place.