At King’s, our Gynaecology physicians have vast experience in IUD insertions and are highly skilled in performing these procedures.
T-Nova is an IUD (intrauterine device) that can provide long-term contraception. It is also referred to as a non-hormonal IUD or copper IUD.
Copper IUDs have a copper wire coiled around the device that produces an inflammatory reaction toxic to the sperms and eggs thus preventing pregnancy.
Most copper IUDs can prevent conception for a period of 5 to 10 years after insertion.
Why is it done?
T- Nova offers long-term contraception and is suitable even for teenagers and premenopausal women who wish to avoid pregnancy for a period of 3 to 10 years.
What are the risks in IUD insertions?
- Changes in the menstrual bleeding pattern, such as heavier periods, bleeding between periods, and missed periods
- Tenderness in the breasts
- Increased cramps and pain during periods
- Inflammation of the vagina
- Enlargement of the ovaries
How to prepare?
Your physician will assess your overall health and perform a pelvic examination before inserting T-Nova. You may also be screened for sexually transmitted infections.
You may take a dose of nonsteroidal anti-inflammatory medications, about 1 or 2 hours prior to the procedure to reduce pain and cramping.
T-Nova can be inserted:
- If you are not pregnant
- Anytime during your menstrual cycles
- Immediately after the termination of pregnancy
- After 8 weeks of delivery
What you can expect
T-Nova is usually inserted in a physician’s clinic on an out-patient basis.
During the procedure
- Your physician will insert a speculum into the vagina and clean the vagina and cervix using an antiseptic solution.
- Special instruments may be used to align the uterine cavity and cervical canal and measure the depth of the uterine cavity.
- Your physician will fold the horizontal arms of T-Nova and place them inside the applicator tube.
- The tube will be inserted into the cervical canal, such that the ‘T’ of the IUD is carefully placed in the uterus.
- The applicator tube is removed.
- Your physician might trim the strings T-Nova so that they do not protrude into the vagina and cause irritation.
After the procedure
Check whether the strings of T-Nova are protruding from the cervix at least once a month.
After about a month of the insertion of T-Nova, your doctor may re-examine you to ensure the IUD is in place and check for the signs of infection.
Contact your doctors immediately if you:
- Have severe abdominal pain
- Think you are pregnant
- Have unusually heavy and persistent vaginal bleeding
- Have unexplained fever
- Have foul-smelling discharge or sores on the vagina
- No longer feel the strings of the IUD
Copper IUDs usually remain in place for 5 to 10 years. The IUD has to be removed after 5 years and be replaced with another if you wish to avoid pregnancy.
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