The hormone spiral, also called the intrauterine system (IUS) is a about three inches tall, usually t-shaped plastic body that is used as the conventional spiral in the uterus. While prevention is ensured in the case of the latter, among other things, by the cast copper ions, the hormonal coil is a small amount of the synthetic hormone Levonorgestrel to the body. The hormone spiral is one of the safest methods of contraception. The risk of an unwanted pregnancy in spite of a hormonal spiral corresponds approximately to the sterilization.
Hormone Spiral: Effect
The prevention is given from the first application day and over a period of up to five years. Unlike the pill, the hormone is spiral the hormone locally, i.e., only very small amounts in the circulation. The hormonal coil works on several types of contraceptive:
- The yellow body hormone Levonorgestrel makes the mucus in the cervix thick. The permeability for sperm is, therefore, difficult.
- The nevertheless, by next the sperm are inhibited by the hormone in their activity.
- It comes to the influence to suppression of ovulation and egg maturation.
- The endometrium is altered, leading to a fertilised Egg can be difficult to settle.
Hormone spiral insert
The Insertion of the hormonal coil is similar to the copper spiral. First of all, a pelvic examination will be excluded from the possible diseases and risks discussed. The size of the uterus is measured to facilitate the determination of the optimal location of the hormone spiral. With a special applicator, the hormone spiral is introduced into the uterus, after the genital area of the Bud is been made.
The hormone spiral is attached to the threads of self-control and will later be used to Remove. The doctor cuts the threads at a practical length. Since the Insertion of the hormonal coil has a slight Pull to the stronger pain can cause patients to discuss in advance with the doctor, if a stun is useful or desirable.
Hormone spiral: side effects are not negligible
Since 1996 in Germany approved hormone spiral can cause a number of side effects. Therefore, Physicians should inform in detail about the hormone spiral. Since 2007, Doctors are required in addition to interested patients use information about the hormonal coil as well as their side effects. A woman for the hormone decides a spiral, it must provide, prior to the Use of a written consent form and a confirmation of the awareness of the possible risks. Among the side effects (frequency, especially in the first six months, the adaptation phase is marked):
- Menstrual problems: Irregular or no menstruation (or: between bleeding)
- Pain: headache, migraine, abdominal pain, feelings of tension or pain in the chest, back pain
- Skin rash, itching, eczema, acne (in some cases a negative impact on the hair, increased body hair can occur)
- Nervousness, mood swings and depressive moods, loss of libido
- Weight gain, water retention in the tissue
- Ovarian cysts (usually benign)
- Possible increased risk of breast cancer and thrombosis (the equivalent of the combined oral contraceptives)
- Inflammation (pelvic, uterine, cervical mucus, vaginal mucosa and outer labia)
A study of the Graz women’s health centre from the year 2006 showed that many women were not informed sufficiently in advance about the side effects of the hormone spiral and this results in a General dissatisfaction resulted. For young, childless women, the hormone spiral is rather unsuitable. Also, breast-feeding mothers is not recommended by the hormone spiral, since the emitted hormone is excreted in breast milk. In addition, the risk of excretion of the hormone spiral in the first six months it is increased after childbirth.
Hormone spiral: cost and price
The cost for the hormonal coil will only be ended for women up to 20. Years of age and for social welfare-eligible women. Who would like to have the hormonal coil, you should be sure that the prevention is desired over a longer period of time. The relatively high cost of the hormone spiral of a price to 350 Euro expect, however, after the allotted span of five years.
The semi-annual ultrasonic inspections to Check the correct position of the hormone will not be paid to spiral up to the first four to six weeks – from the health insurance Fund. Since the hormone spiral is also used for the treatment of menstrual cramps and for the treatment of very heavy menstrual period, the costs also in this case, health insurance – provided that the hormone spiral is only prescribed for this reason.
Hormonal coil removed
After five years, the effectiveness of the hormones and the prevention is uncertain. Women who want a child, can already be in the next cycle after the Removal of the hormone spiral is pregnant again. Who would like to remain in the prevention of hormone spiral, can be directly after the Remove of the old, a new hormone coil.
The exchange should take place during the month of bleeding; in women who no longer menstruate, you can change the hormone spiral at any time. About half of all women, the hormone spiral for the second Time, have no monthly bleeding. In the case of a direct exchange of the hormonal coil, the side effects of the adaptation phase.