What about IUCD (“The coil”)?

Someone who viewed the blog had some questions about the “coil”, so this will be the topic of this week’s discussion. The “coil” or intra uterine contraceptive device (IUCD) is a small device composed of plastic and copper which can be easily inserted into the womb by a doctor or nurse. While it is in the womb it is more than 99% effective in preventing pregnancy. It can remain in place for about 5 years and can then be easily removed and replaced. Most women can use an IUCD, even if you have never had a baby.

They are a number of advantages of using an IUCD compared to other forms of birth control. Once the coil is inserted you do not have to worry about remembering to use birth control. The pill for example only works if you remember to use it every day. Also the coil does not affect sex, your partner will not feel the coil during sex. It is not a hormone and therefore will have no effect on the rest of your body, your weight, mood and sex drive will not change. Use of the coil does not increase your risk of any type of cancer.

The majority of women will have no side effects with an IUCD, there are however certain risks that you should know about before you decide on using it. Some women who have a coil inserted may experience heavier, longer, more painful periods for a couple months after insertion. This means that an IUCD may not be suitable for patients who already have painful or heavy periods. There is also an increased risk of infection of the womb in the first 21 days after insertion. Patients who have an infection should therefore be treated prior to insertion of an IUCD. Sometimes you may pass out the coil without noticing, therefore increasing your chances of pregnancy. Very rarely the IUCD can damage the womb during its insertion.

If you have decided on an IUCD then you can visit your doctor or family planning clinics throughout the country. It is best inserted towards the end of your period or shortly afterwards. The procedure takes about 15 minutes and may be uncomfortable, but NOT painful. You may experience crampy abdominal pains after, which can be relieved with simple painkillers. You will be taught how to check to make sure the coil is in place and this should be done every month after your period.

Please let me know if you have any questions about the coil or any other forms of birth control.

Till next week, take care of yourself first, so that you can take care of those you love.

 Dr. Reiaz Mohammed
MB.BS (UWI), MRCOG (UK)
Specialist Obstetrician & Gynecologist
Gulf View Medical Centre.