THE MIRENA coil is a popular choice of contraception for women.
Also know as a intrauterine system (IUS), the coil is a small T shaped plastic device that is inserted into your womb by a nurse or doctor.
This can be scary, and one expert has revealed what it’s really like to have the device inserted.
Dr Nighat Arif said that pain relief and comfort has to be a priority when inserting a coil.
Posting to TikTok, she duetted with another user, showing a training dummy having the procedure.
The clip shows the opening of the vagina, also known as the vaginal vestibule or introitus.
It shows a spiral insert going inside to open the walls of the vagina, before the T-shaped device is then inserted.
She explained: “I advise all my patients an hour before the procedure to have one gram of paracetamol or 400g of paracetamol if it’s tolerated.
“Before I insert the tenaculum, I put a 10 per cent Xylocaine spray on and allow that to work to numb the area first and sometimes I also use instillagel when I insert the speculum.
“Afterwards I say to the woman to continue taking pain relief at regular intervals.”
If the Mirena coil is inserted correctly, it can be 99 per cent effective against pregnancy.
Most medications we take on a daily basis have listed side effects and the coil is no different.
One of the main side effects, the NHS says, is that your periods could become irregular or they could stop completely.
An uncommon side effect is that some people develop small fluid-filled cysts on the ovaries – these usually disappear without treatment.
She said: “We all know that coils are safe and effective and lots of women have no problem with them.
Who can use the mirena coil?
Most people with a womb can have the Mirena coil – but your GP will always go through your medical history to make sure it’s right for you.
You might 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
- arterial diease or a history of heart disease or stroke
- untreated STI
- problems with your womb or cervix
“I had a coil fitted a few years ago, and it was one of the most traumatic physical experiences I have had.”
She said she felt she was ready for what she thought would be a “routine procedure” and her husband was waiting for her in the GP surgery to drive her home.
“My screams were so loud that my husband tried to find out what room it was in to make it stop. He said people in the waiting room hearing my screams looked horrified.”
Dr Sarah Welsh, founder of Hanx said like all contraceptive choices, there are pros and cons to the Mirena coil. One of these is pain.
She explained: “The procedure of fitting itself can be painful for some women and you may have painful cramps and vaginal bleeding for the next few hours after it’s been fitted.
“I would advise taking painkillers before the procedure and resting and using painkillers after the procedure too.
“When you get the coil fitted there is a very small risk (roughly 2 in every 1000 people) that the coil might perforate your womb 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 faint during or just after the procedure too
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