Intrauterine spiral Junona BIO-t AG type 2 ring, 1 piece

Description

Intrauterine spiral Junona BIO-t AG type 2 ring, 1 piece

Appointment

•  The woman’s desire to protect herself from pregnancy.
•  Treatment and prevention of Asherman’s syndrome.
• As a postcoital means of IUD (can be inserted within 3-4 days after unprotected intercourse).

Functional features

A distinctive feature of this contraceptive is the provision of constant, optimal, regardless of the size of the uterus, efforts at the points of contact between the IUD and the uterine mucosa, which provides versatility – the possibility of using this contraceptive for any woman.

Description

In the model Junona BIO-t AG type 2 ring, the silver core increases the duration of contraceptive use. The anchor of the intrauterine contraceptive is made of plastic in the form of a closed ring with a diameter of 18 mm, inside which a rod is placed. A bimetallic copper-silver wire with a nominal active surface area of ​​254 mm2 is wound on the rod in a ring-shaped IUD of the Junona BIO-t AG type 2 ring (the copper purity is not less than 99.98%, the silver content is not less than 9.3%) and a monofilament thread is attached to control the position and removal of the contraceptive. X-ray and ultrasound – contrast is provided by the presence of a bimetallic copper-silver wire on the rod. The IUD insertion technique is the “withdrawal” method, the diameter of the graduated guide tube is 3.9 mm.
Duration of contraception – no more than 7 years for the IUD of the ring-shaped form Junona BIO-t AG type 2 ring Sterilization – radiation.

Indications

Contraception.

Instructions for use

Recommended timing of contraceptive administration:

•  any day of the menstrual cycle (preferably from 4 to 19 days)
  immediately after a medical abortion performed by vacuum aspiration or curettage
•  at the end of the involution of the uterus (5-6 weeks after uncomplicated labor) incl. against the background of lactational amenorrhea
•  immediately after removing the IUD, the period of use of which has expired, if the woman wishes to continue intrauterine contraception
•  for the purpose of postcoital contraception – 3-4 days after unprotected intercourse.

Adaptation to the IUD

During the period of adaptation of the patient’s body to the IUD (3-4 months), changes in the menstrual cycle are possible. Menstrual bleeding may be accompanied by a pulling pain in the lower abdomen or sacral region, which usually subsides quickly. In order to increase the acceptability of the IUD and reduce the period of adaptation to the contraceptive, it is recommended:

• conducting a thorough examination of women for the presence of contraindications to the use of the IUD
  a differentiated approach to the choice of the IUD model, based on the individual characteristics of the woman’s body, plans for childbirth, the time of the introduction of the contraceptive
•  using the correct technique for the introduction of an intrauterine contraceptive and the optimal timing for its installation
•  according to indications, prophylactic administration of antibiotics and inhibitors of prostaglandinogenesis in the first days after administration and during the first three menstrual bleeding.

Introduction technique

Preliminary activities

Compulsory analysis of smears from “U” and “C” to “gN”, the production of other analyzes according to indications.
Before inserting the IUD, make a thorough gynecological examination, determine the size and position of the uterus. Eliminate the presence of contraindications.
In aseptic conditions, insert the speculum, treat the cervix and vagina three times with an antiseptic solution. Fix the cervix by the front lip with bullet forceps and lower it slightly, use a sterile probe to determine the direction of the cervical canal axis and the length of the uterine cavity.

Preparing a contraceptive for administration

1. Open the IUD packaging from the side of the transcervical sutures. Take the tube by the limiter with your right hand, and with your left hand pull the horizontal branches of the intrauterine contraceptive into the tube until the olive. If in the process of pulling the contraceptive by the threads, there are difficulties, with your right hand through the packaging, tuck the IUD shoulders into the tube. Do not try to retract (tuck the anchor into the tube completely).
2. Insert the plunger into the tube until it touches the contraceptive. In this case, the left hand holds the threads and the tube.
3. Set the movable stopper at a distance corresponding to the length of the uterus along the probe.
4. Align the horizontal plane of the restraint with the intended plane of deployment of the IUD shoulders.
The recommended time from the moment the package is opened to the insertion of the IUD is no more than 7 minutes.

Introduction technique

1. Slowly, without using force, insert the prepared contraceptive through the cervical canal up to the stopper. The movement is in progress. an introductory tube and a piston at the same time.
2. With the piston stationary, pull the tube back up to the ring. Attention, the piston should remain stationary, supporting the contraceptive, and the horizontal plane of the stopper should be aligned with the horizontal plane of the uterine cavity. When the tube is displaced by 2 cm, the horizontal shoulders of the contraceptive open. After that, it is possible to additionally apply the contraceptive towards the bottom of the uterus.
3. Remove the piston, then the inlet tube. Cut the transcervical sutures so that they protrude 2 cm from the cervix.
Removal of the IUD “Junona Bio-T”
To remove the contraceptive, fix the transcervical sutures with a clamp and slowly remove the contraceptive. In this case, the shoulders of the T-shaped IUD are bent upward. In rare, isolated cases (“thread loss”), instrumental removal of the contraceptive may be required.

Special instructions

Intrauterine contraception Junona BIO-t AG type 2 ringis the introduction of small means (IUD) into the uterine cavity. The period of adaptation of the body to the IUD lasts about 3 months. Immediately after the installation of an intrauterine contraceptive, you may be disturbed by minor bleeding from the genital tract, minor pains in the lower abdomen, which should go away in 2-3 days. To relieve pain, you can take 1-2 tablets of analgin or aspirin. Within 8-10 days it is necessary to refrain from sexual activity, increased physical activity, sports, baths, saunas. Even if you feel well, after 10 days you should see the doctor who inserted the IUD.
Within 2-3 months after the introduction of the IUD into the uterus, menstruation can be more abundant and prolonged, sometimes there are minor bleeding from the genital tract between menstrual bleeding. During menstruation, it is advisable to pay attention to sanitary napkins in order to notice the loss of the spiral with menstrual flow in time. You should undergo repeated examinations by a gynecologist 1, 3, 6 months after the introduction of an intrauterine contraceptive, then 1-2 times a year during the entire period of use of the IUD.

Precautionary measures

When using intrauterine contraception Junona BIO-t AG type 2 ring, you must follow the usual hygiene regime. However, as with any modern method of contraception, complications may arise:

• delayed menstruation (pregnancy can very rarely occur);
• lower abdominal pain, pain during intercourse, fever, unusual discharge from the genital tract (signs of the development of inflammatory diseases of the genital organs);
• three months later, menstruation remains long, abundant, weakness, a feeling of malaise appeared (signs of a violation of adaptation to the IUD).

If these signs appear, you should immediately consult a doctor. After the expiration of the period of use of the IUD, which the doctor indicated to you, the contraceptive must be removed. If you like this method of contraception and would like to continue it, after a preliminary examination on the day of removing the “old” IUD, you can install a new one.
Remember that you can remove the intrauterine device at any time you want. This method of preventing pregnancy does not affect fertility (pregnancy can occur immediately after removing the IUD, regardless of the duration of its use). The IUD is removed from the uterus easily, painlessly, but you should not do it yourself.

Contraindications:

• Inflammatory diseases in the genital area.
• Malignant neoplasms.
• Myoma and fibroids, deforming the uterine cavity.
• Developmental anomalies.

Side effects:

• Increased menstrual pain and discharge.
• Development of inflammatory processes in the endometrium.
• Perforation of the uterine wall is the rarest complication (1: 4500-1: 5500).
• If the intrauterine device is partially located in the myometrium (first degree), it is removed by vaginal route. With full immersion in the myometrium or exit into the abdominal cavity (second and third degree), use the abdominal path.