THE MIRENA coil is a popular choice of contraception for women.
The IUD, also known as the intrauterine system (IUS), is a small T-shaped plastic device that is inserted into your uterus by a nurse or doctor.
This can be scary and painful for some when it’s appropriate, and one expert revealed what it’s really like when the device is put in place.
dr Night Arif said pain relief and comfort must be a priority when inserting an IUD.
Posting on TikTok, she dueted with another user and featured a training dummy performing the procedure.
The clip shows the opening of the vaginaalso called vaginal vestibule or introitus.
A spiral insert is then shown going inward to open the walls of the vagina before the T-shaped coil device is then inserted.
She explained: “I advise all my patients to take one gram of paracetamol or 400g of paracetamol one hour before the procedure if tolerated.
“Before inserting the tenaculum, I apply and leave a 10% xylocaine spray on to numb the area first, and sometimes I also use Instillagel when inserting the speculum.
“After that I tell the woman that she should continue to take painkillers at regular intervals.”
When inserted correctly, the Mirena coil can be 99 percent effective against pregnancy.
Most medications we take every day have listed side effects, and the IUD is no different.
One of the main side effects, says the NHS, is that your periods could become irregular or stop altogether.
Mood swings may occur in some people headacheAcne and breast tenderness – but the NHS says this usually goes away after a while.
An uncommon side effect is that some people develop small fluid-filled cysts on the ovaries – these usually go away without treatment.
She said: “We all know that IUDs are safe and effective and many women don’t have a problem with them.
Who can use the Mirena coil?
Most people with a uterus can have the Mirena coil – but your GP will always go through your medical history to make sure it’s right for you.
You may not be able to have the procedure if:
- You have breast cancer or have had it in the last five years
- had or have cervical cancer or womb cancer
- liver disease
- unexplained bleeding between periods or after sex
- Artery disease or a history of heart disease or stroke
- untreated STI
- Problems with your uterus or cervix
“A couple of years ago I had an IUD put in and it was one of the most traumatic physical experiences I’ve ever had.”
She said she felt ready for what she considered a “routine procedure” and that her husband was waiting for her at the GP’s office to drive her home.
“My screams were so loud my husband was trying to figure out which room it was in so it would stop. He said that people in the waiting room who heard my screams looked horrified.”
dr Sarah Welsh, Founder of Hanx As with all contraceptives, there are pros and cons to the Mirena coil. One of them is pain.
She explained: “The fitting itself can be painful for some women and you may experience painful cramping and vaginal bleeding for the next few hours after the fitting.
“I would recommend taking painkillers before the procedure and also resting and using painkillers after the procedure.
“If you have the IUD put in, there is a very small risk (about two in 1,000 people) that the IUD could perforate your uterus or cervix.”
dr Sarah explained that this is most likely to occur in women who have recently given birth or are breastfeeding, and often heals on its own, with some people needing surgery to repair the perforation.
She added that some women also faint during or shortly after the procedure.
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https://www.thesun.ie/health/8718218/eye-watering-video-mirena-coil-fitted/ A stunning video shows exactly what it’s like when a Mirena coil is inserted