The IUD (intra-uterine device) is a very reliable form of contraception, which combines well with breastfeeding. There are two types of IUD (also known as coils): the hormone-containing IUD, the Mirena IUD, and the T-safe copper IUD. The Mirena encourages tougher uterine membranes which prevents fertilised eggs from attaching to the uterine wall. We place both the Mirena IUD and the copper IUD at our practice. Inserting an IUD device is often a bit uncomfortable and takes a few minutes.
We can write you a prescription for the Mirena IUD. The T-safe is the only device that you can buy online without prescription: http://www.t-safe.nl/koperIUD device-order /. You can also purchase the T-safe from us for the same price of € 69.00.
You will usually have to pay for your IUD device yourself. Check with your health insurance company, as in some cases you may be reimbursed.
Before placement of an IUD an internal exam is carried out to check the location of your uterus. The IUD will then be placed. This is often uncomfortable and takes a few minutes. We therefore advise you to take two paracetamol about an hour before the procedure; if you are not breastfeeding take one ibuprofen. After the coil has been placed we will check its position using ultrasound.
If you have never given birth we prefer to place the IUD within 7 days of your last period as your cervix will be open. This makes the procedure much easier and we will also make sure you are not already pregnant before placing it.
We can insert an IUD as from 10 weeks from the birth. At this point the cervix and uterus are back to their original shape. You should wait 12 weeks after a Caesarean.
After placement you will probably have an uncomfortable feeling in the lower abdomen which doesn’t usually last for long. Your periods may be irregular during the first few months.
6 week check up
Six weeks after the IUD has been placed you should return for evaluation.
REMOVING AN IUD DEVICE
If you wish to become pregnant again you can make an appointment to have your IUD device removed. You will be able to become pregnant very soon after its removal. If you come for a ‘becoming a parent’ consultation you can have your IUD device removed immediately afterwards.