Yunona Bio-T Ag Type-1 ring coil, intrauterine contraceptive

Pharmacological action

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 the 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 “Yunona Bio-T” type No. 1 (copper purity is not less than 99.98%, silver content is not less than 9.3%) and a monofilament thread is fixed to control the location and extraction 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 method is the “withdrawal” method, the diameter of the graduated tube-conductor is 3.9 mm. Duration of contraception-no more than 5 years for the ring-shaped IUD “Yunona Bio-T Ag” type No. 1. Sterilization – radiation.

Indications

A woman’s desire to protect herself from pregnancy.

Treatment and prevention of Asherman syndrome. As a post-coital treatment, the IUD can be administered within 3-4 days after unprotected sexual intercourse.

Contraindications

Intrauterine contraception is absolutely contraindicated in pregnancy (suspected or confirmed), malignant diseases of the female genital organs, pelvic inflammatory processes, bleeding from the genitals of unknown etiology, uterine abnormalities, fibroids of more than 8 weeks, endometriosis of any localization, allergies to copper, Wilson’s disease.

With caution (after evaluating the risks / benefits), it is necessary to use the IUD at a high risk of developing sexually transmitted diseases (having multiple sexual partners), anemia (hemoglobin less than 90 g / l), in women who have not given birth, with blood diseases, in patients with a history of ectopic pregnancy.

Side effects

Increased menstrual blood loss. Pre-and intermenstrual spotting.

Interaction

Drug interactions have not been detected, and if diagnostic and therapeutic radiation is necessary, medical personnel should be informed about the presence of an IUD. In some cases, it may be necessary to remove the contraceptive.

How to take, course of use and dosage

The recommended duration of IUD

• any day of the menstrual cycle (prefer-positive from 4 to 19 days);

• directly after regular medical abortion manufactured by vacuum aspiration or curettage;

• at the end of the involution of the uterus (5-6 weeks after uncomplicated childbirth) including on the background of the lactational amenorrhea;

• immediately after removing the IUD period of use has expired, if you want women to continue intrauterine contraception;

• for emergency contraception 3-4 days after unprotected intercourse.

Adapting 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 can 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 shorten the adaptation period, it is recommended that:

• conduct a thorough examination of women to identify contraindications to the use of the Navy;

• a differentiated approach to the choice of model, the Navy, the based on the individual characteristics of the woman’s body, and plans for childbearing, the time of IUD insertion;

• the use of techniques recommended the introduction of intrauterine devices and the optimal timing for its installation;

• prophylactic antibiotics;

• appointment of inhibitors prostaglandines in the first days after IUD insertion and during the first three menstrual bleeding. Examination of the patient

before IUD insertion

The patient should be familiar with the advantages, disadvantages, and possible complications of intrauterine contraception. Pre-IUD examination of the patient (The scope of pre-IUD examination is regulated by national medical protocols and may vary from country to country):

•clinical examination • * bacterioscopic analysis of vaginal smears;

• Pap smear (smear for oncocytological examination).

IUD insertion procedure

The procedure of IUD insertion is performed by an obstetrician-gynecologist in compliance with the generally accepted rules of asepsis.

After a gynecological examination and exclusion of contraindications to the use of intrauterine contraception in aseptic conditions, mirrors are introduced and the cervix and vagina are treated three times with an antiseptic solution. Then the cervix is fixed with bullet forceps and slightly lowered, the direction of the axis of the cervical canal and the length of the uterine cavity are determined with a sterile probe. In some cases, instrumental dilation of the cervical canal with Gegar dilators up to No. 4 – 4,5 may be required

Procedure for preparing the IUD for use

1 Open the package on the side of the trans-cervical filaments.

2 Install the movable limiter at a distance corresponding to the length of the uterine cavity along the probe. Insert the plunger into the tube until it comes into contact with the contraceptive.

To control the plane of the IUD anchor, turn the limiter on the insertion tube until the flat surfaces of the limiter align with the assumed plane of the IUD anchor.

IUD insertion procedure (“withdrawal” method)

1 While maintaining traction on the bullet forceps, as when probing the uterine cavity, without exerting excessive force, insert the IUD through the cervical canal to the limiter. Move the insertion tube and piston simultaneously. The release of the IUD anchor from the tube occurs when the insertion tube is displaced until it stops on the piston ring. Caution: The plunger must remain stationary, supporting the contraceptive.

2 Remove the plunger.

3 Remove the insertion tube.

4 Cut the transcervical filaments so that they protrude from the cervix by 1.5-2.5 cm. The recommended time from the moment of opening the package to the introduction of the IUD is no more than 7 minutes.

Indications for IUD removal

• The IUD can be removed on any day of the menstrual cycle at the woman’s request.

* It is mandatory to remove the IUD after the end of the period of use.

• If there is no confidence in the correct location of the IUD immediately after insertion, it is advisable to remove the contraceptive and introduce a new contraceptive.

• Contraceptive should be removed in the development of inflammatory diseases of the organs of the pelvic cavity (endometritis, salpingoophoritis, etc. ); persistent menstrual irregularities; development of anemia; partial expulsion of the Navy; severe pain that is associated with the presence of the IUD in the uterine cavity; during pregnancy on the background of the Navy (the question of prolongation of pregnancy after removing the IUD is solved individually, the patient should be informed that the risk of spontaneous abortion in the presence of the IUD in the uterus increases to 50%).

Reminder to women using the intrauterine method of contraception The effect of the intrauterine contraception method is provided by the presence of a small product in the uterine cavity – an intrauterine contraceptive (IUD). The period of adaptation of the body to the IUD lasts about 3 months. Immediately after installing an intrauterine contraceptive, you may be concerned about minor spotting from the genital tract, unspoken pain in the lower abdomen, which should pass in 2-3 days. Within 8-10 days after the introduction of the IUD, it is necessary to refrain from sexual activity, increased physical activity, sports, visits to the bath, sauna. Even if you feel well, you should see the doctor who administered the IUD after 10 days. Within 2-3 months after the introduction of the IUD into the uterus, menstruation may be more abundant and prolonged, sometimes there is a slight spotting from the genital tract between menstrual bleeding. During menstruation, it is advisable to pay attention to sanitary pads in order to notice the loss of a spiral with menstrual discharge in time. You should have repeated examinations with a gynecologist 1,3,6 months after the introduction of an intrauterine contraceptive, then 1-2 times a year during the entire period of using the IUD. When using intrauterine contraception, you must follow the usual hygiene regime. However, as with any modern method of pregnancy prevention, complications may occur:

* delayed menstruation (very rarely pregnancy can occur)

* pain in the lower abdomen, pain during sexual intercourse, fever, unusual discharge from the genital tract (signs of the development of inflammatory diseases of the genitals)

* after three months, menstruation remains long, plentiful, there is weakness, a feeling of malaise (signs of impaired adaptation to the IUD).

If these signs appear, you should see a doctor immediately. After 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 extraction of 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 pregnancy prevention does not affect the childbearing function (pregnancy can occur immediately after the IUD is removed, regardless of the duration of its use). The IUD is easily and painlessly removed from the uterus, but you should not do it yourself.

Active ingredient

Silver proteinate

Conditions of release from pharmacies

Prescription