What if you don't want children?

If you don't want a child, you must use contraception. Otherwise, you may get pregnant unexpectedly during sexual intercourse. If you have an abortion at this time, it will be very bad for your body. You can try to get an intrauterine device, which will make contraception more successful. It is best not to take any contraceptives, especially emergency contraceptives, which can cause great harm to your body.

Tubal ligation

The inner side of the fallopian tube is connected to the uterus, while the outer end is free and close to the ovary. The egg runs from the fallopian tube to the uterine cavity. Tubal ligation is a surgery to tie the fallopian tubes, blocking the passage of the egg to the uterus, in order to achieve the purpose of permanent sterilization of women. This procedure is suitable for adult women who desire permanent sterilization and have no contraindications to the procedure. Women who only want temporary or reversible contraception are not candidates for this procedure.

In recent years, minimally invasive techniques have become widely used, and laparoscopic tubal ligation has become increasingly popular because it is less damaging, safer, and has a faster recovery than traditional surgery. The difference between the two is:

1. Laparoscopic surgery involves expanding the abdominal cavity with instruments, and the integrity of the abdominal wall is basically preserved. The surgery is performed by incision, which will damage the abdominal wall muscles and corresponding blood vessels and nerves. The skin around the incision will become numb after the operation, and the abdominal wall muscles will become scarred and weak, which may cause abdominal wall incisional hernia.

2. The laparoscopic abdominal wall punctures are small (ranging from 3 to 10 mm), dispersed and hidden, and do not affect the appearance after healing. We often see that surgical incisions form centipede-like hypertrophic scars.

3. In traditional surgery, incision infection, fat liquefaction, and incision dehiscence have always been unavoidable problems. Laparoscopic surgery is the best way to solve this problem.

Intrauterine device

definition

Intrauterine contraceptive devices are generally made of antiseptic plastic or metal, and some are added with some drugs (such as those that can release female hormones or indomethacin, etc.). There are many shapes of uterine rings, such as round, uterine cavity-shaped, T-shaped, etc. Doctors can choose the appropriate uterine ring according to the condition of each person's uterus.

principle

After the uterine ring is placed into the uterine cavity, it changes the environment inside the uterine cavity, causing inflammation of the uterus, which is not conducive to embryo implantation, thereby causing early miscarriage to achieve the purpose of contraception. The effectiveness of contraception using an IUD is approximately 94-99%, second only to oral contraceptives, sterilization, implants, condoms and contraceptive injections.

advantage

The use of intrauterine devices (IUDs) as a non-permanent contraceptive method dates back to ancient times, but it was only in this century that it developed into an effective contraceptive tool and was widely used around the world. Since Scott reported in 1968 that critical illness and death were associated with intrauterine devices, a large number of studies have reported the risks of this contraceptive method to users in the past decade, among which pelvic inflammatory disease (PID), uterine perforation, ectopic pregnancy (commonly known as ectopic pregnancy), spontaneous abortion or infectious abortion are particularly important complications. The IUD is a long-acting method of contraception that is effective for one to several years. You can get pregnant again after the doctor removes the IUD. After inserting the ring, there is no need to do any preparation before sexual intercourse. Women who wear the ring will not feel the presence of the ring, so it is suitable for women who need regular contraception.

Not suitable for people

Women with genital malformations or tumors, dysmenorrhea or heavy menstrual flow, pelvic inflammatory disease, gonorrhea, multiple sexual partners, severe anemia, heart disease, or a history of ectopic pregnancy should not wear an intrauterine contraceptive device. The doctor should generally decide whether it is appropriate.

Date of Use

Basically, the doctor can insert an IUD as long as it is confirmed that there is no possibility of pregnancy. It is usually best to wear the ring within two or three days after your period ends. During the postpartum check-up six to eight weeks after delivery, if the doctor thinks it is appropriate, you can wear the ring.

Placement and removal

Insertion and removal of the IUD is simple. First, the doctor will disinfect the device, then use the "ring delivery device" to send the IUD into the uterus, remove the "ring delivery device" and shorten the nylon thread tied to the IUD to complete the placement. When removing the ring, just gently pull the nylon string at the tail of the ring or use a "ring remover" to pull the ring out of the uterus. Insertion and removal of the IUD usually cause only mild lower abdominal pain.