Postpartum contraception

The preferred methods of women who have already had children are the intrauterine systems (IUS).

Already after a few weeks after giving birth and even if she is breastfeeding, the woman gradually returns to being fertile.

At this stage, to avoid further involuntary and decidedly premature conceptions, it is important to identify with the trusted gynecologist a contraceptive method appropriate to the needs of the couple, which can then be maintained in the long term.

One method used in these cases is the pill that contains only progestin. But if we exclude wanting to undertake a new pregnancy within the following 3-5 years, the reliable contraceptive systems, “respectful” of the woman’s physiology and without unfavorable implications on couple dynamics are represented by the spiral, also known by the acronym IUD, and by the intrauterine hormonal systems (IUDs).

They are applied by the gynecologist in a few minutes, who checks their correct positioning with a simple ultrasound. The procedure can cause, in some women, a slight pain that should not worry and that can be alleviated, if necessary, by taking an antispasmodic and / or a common nonsteroidal anti-inflammatory drug (NSAIDs) for 1-2 days.

The IUS can remain in place for up to five years, offering an almost absolute contraceptive guarantee. After this period (or even earlier if you want to become pregnant), it can be removed and eventually replaced with a new intrauterine hormonal system.

Progestogen-release IUS

Until a few years ago, the IUDs on the market exerted exclusively a mechanical contraceptive action, closing access to the fallopian tubes and thus preventing sperm from reaching the eggs ready to be fertilized.

Although generally harmless to women’s health, however, this type of device, still in use, can give some side effects. The most frequent concern the increase in pain associated with menstruation and an increase (even considerable) in menstrual flow that can promote anemia conditions. In addition, intermenstrual leakage and cramping may occur.

The intrauterine hormonal system (IUS), on the other hand, in addition to ensuring high adherence to treatment, compared to “classic” devices reduces menstrual flow and pain associated with the cycle. Moreover, thanks to the presence of progestin, it has a protective effect for women, for example against pelvic infections.

In fact, the IUS constantly releases very small amounts of a progestogen hormone (levonorgestrel), which helps to optimize the contraceptive action. The local release of the progestogen favors the normalization of menstrual flow and attenuates uterine contractions, without inducing discomfort on other fronts.

A valid alternative to the pill

The IUS is an ideal contraceptive solution for all women who want long-term contraception and who, at the same time, do not intend to give up a serene and “natural” couple life. With the advantage of an immediate restoration of fertility once the intrauterine hormonal system has been removed.

In new mothers, IUS can be applied from 4-6 weeks after the birth of the baby or according to the judgment of the gynecologist, depending on the manner in which the birth took place.

Ideally, the IUS should be inserted during the days of menstrual flow or immediately after.

Joycelyn Elders is the author and creator of EmpowerEssence, a health and wellness blog. Elders is a respected public health advocate and pediatrician dedicated to promoting general health and well-being.

The blog covers a wide range of topics related to health and wellness, with articles organized into several categories.

Leave a Reply

Your email address will not be published. Required fields are marked *