Examinations Before Installing an Intrauterine Device (IUD)

Hello! Today, we will discuss what examinations you need to undergo if you're considering an intrauterine device (IUD) for contraception. We've previously talked about different types of IUDs, including hormonal and non-hormonal options, and their effectiveness. If you've decided on an IUD, we'll explain the necessary steps before its placement.

Why is an Examination Necessary?

The recommended examinations aim not only to diagnose but also to rule out any contraindications for using an IUD. This is important to avoid complications after its placement.

  • Contraindications for IUD Placement:
    • Pregnancy
    • Cancer of the cervix, uterus, or breasts
    • Active inflammatory processes in the pelvic organs
    • Sexually transmitted infections
    • Developmental abnormalities of the pelvic organs
    • Unexplained vaginal bleeding

It's essential to note that if you have unexplained bleeding, using a hormonal IUD immediately might not be safe as it could affect your health.

What Examinations Should Be Done?

  • Complete Gynecological Examination: This includes an examination in the stirrups, collection of smears for cytology, microflora, and sexually transmitted infections.
  • Pelvic Ultrasound: This helps exclude conditions like fibroids, polyps, or endometrial hyperplasia, as well as pregnancy.
  • Breast Ultrasound: Particularly recommended for women opting for a hormonal IUD.
  • Blood Tests: Tests for syphilis, hepatitis, HIV, and a general blood test.

When Can the IUD Be Placed?

If no contraindications are found during the examinations, the IUD can be placed in the next menstrual cycle, usually on the 3rd-4th day, when the cervix is slightly open, making the procedure less painful.

Post-Placement Check-Up

After the IUD is placed, a follow-up ultrasound is necessary to ensure the device is correctly positioned and there are no complications.

Now you know what examinations are needed before IUD placement. If you follow all recommendations, the procedure will be safe and effective.

We hope this information was helpful. Thank you for your attention!

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