When can a coil be reinserted after a birth? | The Spiral

When can a coil be reinserted after a birth?

After birth the insertion of the coil is very easy due to the dilated cervix.Nevertheless, an interval of six weeks should be observed before insertion after birth to reduce the risk of infection. The effect of the hormone coil may be reduced during breastfeeding, as the hormone balance is altered. In women who have had several births, loss of the IUD is somewhat more common because the cervix is wider than in women who have never given birth.

The IUD, both hormonal and copper IUD, is a local contraceptive method, while the pill is systemically absorbed through the digestive system. This uptake of the pill is a disadvantage, as in cases of gastrointestinal infections the hormone uptake is reduced and therefore the effect may diminish. Taking antibiotics and some other medicines can also impair the effect of the pill, as the liver increasingly breaks down active substances.

Both of these disadvantages are not present with the coil. Another advantage of the coil is that, unlike the pill, there can be no intake error. The effect of the pill is significantly reduced if the woman does not take the pill regularly and at the same time of day, while the IUD is permanently in the uterus.

Furthermore, the hormones in the pill, which work throughout the body, can lead to a higher risk of thrombosis in the first year of use. A disadvantage of the IUD is that slippage and thus a loss of efficacy is not necessarily noticed, while a gastrointestinal infection or an intake error is known to the woman. A further risk of the IUD is the probability of an ectopic pregnancy in the case of an unplanned pregnancy.

The risk of infection of the uterus and the fallopian tubes is also greater with the IUD, while the pill has no influence on it. It is not possible to make a basic recommendation as to whether the pill or the coil is better, as each woman must consider for herself which contraceptive method is suitable for her.