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 and Kyleena IUD, and the copper IUD: The T-Safe and Ballerine. The hormonal IUD encourages tougher uterine membranes which prevents fertilised eggs from attaching to the uterine wall. In some women, ovulation is suppressed.
Inserting an IUD device is often a bit uncomfortable and takes a few minutes. We can give you a prescription for the hormonal and copper IUD. The copper IUD is the only device that you can buy online without prescription: http://www.t-safe.nl/ You can also purchase the T-safe or Ballerina from our practice.
The placement of an IUD by a midwife will in most cases be reimbursed by the Dutch health insurance company.
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.
Placement
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 during your period as your cervix will be open. This makes the procedure much easier and ensures you are not pregnant.
We can insert an IUD as from 8 weeks after delivery. 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 will get a telephone follow up.
Removing an IUD Device
If you wish to become pregnant again you can make an appointment to have your IUD 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 removed immediately after consultation.
