{"id":1942,"date":"2026-09-11T22:49:42","date_gmt":"2026-09-11T20:49:42","guid":{"rendered":"https:\/\/aandelaak.nl\/?page_id=1942"},"modified":"2026-09-11T22:49:42","modified_gmt":"2026-09-11T20:49:42","slug":"spirals","status":"publish","type":"page","link":"https:\/\/aandelaak.nl\/en\/spiralen\/","title":{"rendered":"Spirals"},"content":{"rendered":"<section class=\"text-media\" data-block=\"text-media\" data-animation=\"block\">\n    <div class=\"container\">\n        <div class=\"row align-middle\">\n            <div class=\"col large-6 small-order-2\">\n                <div class=\"text\">\n\t\t\t\t\t<h2>Information about getting an IUD<\/h2><p>An IUD is a very reliable form of birth control. There are basically two types of IUDs: the hormone-free copper IUD (T-Safe and Multi-Safe) and the hormonal IUD (Mirena and Kyleena).<\/p>\n<p><u>Hormone-free IUD<\/u><\/p>\n<p>A copper IUD is a hormone-free form of birth control that gradually releases small amounts of copper. Copper paralyzes the sperm that enter the uterus and renders them inactive, making the chance of fertilization virtually nonexistent.<\/p>\n<p>The T-Safe copper IUD is highly reliable, hormone-free, and approved for use for 10 years. The Multi-Safe Short copper IUD is also very reliable, hormone-free, and approved for use for 5 years. This IUD is slightly smaller and is therefore a suitable alternative for women with a smaller uterus. Of course, you can also have either IUD inserted for a short period, such as between pregnancies.<\/p>\n<p>With a copper IUD, you maintain your natural menstrual cycle. Possible side effects you may experience during the first three months after insertion include: longer and\/or heavier periods, abdominal cramps, and spotting. After this period, your natural cycle will return to normal. Many women find that their bleeding increases slightly compared to their periods without contraception. An overview of side effects and symptoms associated with T-safe can be found at: <a href=\"https:\/\/t-safe.nl\/informatie-koperspiraal\/bijwerkingen-en-klachten\/\">https:\/\/t-safe.nl\/informatie-koperspiraal\/bijwerkingen-en-klachten\/<\/a><\/p>\n<p>And regarding the Multi-Safe Short: <a href=\"https:\/\/multi-safe.nl\/\">https:\/\/multi-safe.nl\/<\/a><\/p>\n<p><u>Hormone-releasing IUD<\/u><\/p>\n<p>The hormonal IUD gradually releases a small amount of hormones and causes the cervical mucus to become \u2018thicker,\u2019 making it harder for sperm to pass through. The release of the hormone levonorgestrel into the uterus reduces sperm motility and makes the egg less penetrable, which lowers the chance of fertilization. Due to the release of the hormone and because the IUD is a \u201cforeign object\u201d in the uterus, the uterine lining does not build up, or builds up only minimally. As a result, a fertilized egg cannot implant itself. Finally, in some women, ovulation is suppressed. If no egg is released, fertilization cannot occur.<\/p>\n<p>There are two different types of hormonal IUDs: the Mirena and the Kyleena. The difference lies in their size: the Kyleena is slightly smaller and therefore releases a little less hormone, and its effectiveness is approved for 5 years. For the Mirena, effectiveness is approved for 8 years. Both IUDs are equally reliable. You can also have these IUDs inserted for a short period, for example, between pregnancies. The most common side effects of the hormonal IUD include lighter menstrual bleeding, spotting, or the absence of menstruation.<\/p>\n<p>In addition, headaches, abdominal pain, and back pain may occur, as well as vaginal discharge, a vaginal yeast infection, and a decreased libido. In the\u00a0<a href=\"http:\/\/www.bayerhealthcarepharmaceuticals.nl\/nl\/geneesmiddelen\/mirena\/\">Mirena package insert<\/a> (<a href=\"https:\/\/www.geneesmiddeleninformatiebank.nl\/bijsluiters\/h121873.pdf\">https:\/\/www.geneesmiddeleninformatiebank.nl\/bijsluiters\/h121873.pdf<\/a>) or <a href=\"https:\/\/pharma.bayer.nl\/nl\/geneesmiddelen\/kyleena\/\">Kyleena<\/a> (<a href=\"https:\/\/db.cbg-meb.nl\/bijsluiters\/h118462.pdf\">https:\/\/db.cbg-meb.nl\/bijsluiters\/h118462.pdf<\/a>) for a list of side effects.<\/p>\n<p><strong>An IUD for Everyone?<\/strong><\/p>\n<p>Although the IUD is suitable for almost every woman and can also be used while breastfeeding, there are a number of exceptions\u2014also known as contraindications\u2014namely:<\/p>\n<ul>\n<li>When the uterus has an abnormal shape<\/li>\n<li>You have a sexually transmitted infection (STI)<\/li>\n<li>You're pregnant<\/li>\n<li>There is unexplained bleeding or abdominal discomfort<\/li>\n<li>After a recent childbirth (&lt;10 weeks)<\/li>\n<\/ul>\n<p>Furthermore:<\/p>\n<ul>\n<li>A copper-containing intrauterine device (IUD) is not suitable for women who naturally have heavy menstrual flow or who are allergic to copper<\/li>\n<li>A hormonal IUD may not be suitable for women who are sensitive to certain hormones or who have a medical condition, such as a predisposition to thrombosis or certain types of cancer<\/li>\n<\/ul>\n<p>If you have any questions or concerns about this, please feel free to contact us.<\/p>\n<p><strong>Advantages and disadvantages of this form of birth control<\/strong><\/p>\n<p><u>Benefits<\/u><\/p>\n<ul>\n<li>Both the copper IUD and the hormonal IUD are highly reliable, with an effectiveness rate of &gt;99%.<\/li>\n<li>You can't forget to use the IUD, unlike the pill, which is sometimes forgotten. That's one of the reasons this form of birth control is suitable for women with active and irregular lifestyles.<\/li>\n<li>Diarrhea or vomiting does not affect how it works, so you remain protected at all times. This means you can have sex without having to worry about birth control. But be aware: it does not protect against STDs.<\/li>\n<li>The copper IUD does not contain hormones, and the hormonal IUD contains a very low dose of hormones. As a result, both types of IUDs can be used while breastfeeding.<\/li>\n<li>The IUD is a very cost-effective form of birth control. After a one-time investment, you're protected for years.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><u>Disadvantages<\/u><\/p>\n<p>The disadvantages of an IUD are mainly practical in nature.<\/p>\n<ul>\n<li>An IUD is inserted and removed by a doctor or midwife, which can sometimes be a painful procedure.<\/li>\n<li>You can't plan your period with an IUD.<\/li>\n<li>The use of a menstrual cup is not recommended.<\/li>\n<li>Using a tampon is not recommended during the initial period of bleeding after IUD insertion. After that, tampons may be used.<\/li>\n<\/ul>\n<p><strong>Cost of an IUD and insertion<\/strong><\/p>\n<p>Check with your health insurance provider to find out in which cases you are eligible for reimbursement for an IUD. In most cases, you\u2019ll have to pay for a copper IUD out of pocket, and reimbursement for a hormonal IUD depends on whether you have supplemental insurance.<\/p>\n<p>The cost of an IUD<\/p>\n<ul>\n<li>Copper IUD; T-Safe costs \u20ac90.94, and a Multi-Safe Short costs \u20ac66.05<\/li>\n<li>Hormonal IUD; both Mirena and Kyleena: \u20ac150<\/li>\n<\/ul>\n<p>We can order the IUD for you. Once payment is received, the IUD will be sent to us and will be ready when you come in for insertion. You can submit the invoice for the IUD to your health insurance provider.<\/p>\n<p>The cost of having an IUD inserted will be billed to your health insurance provider. The health insurance provider may not cover all the costs, or the amount may be (partially) deducted from your deductible. This varies by insurance provider and policy. If they do not cover the costs (in full), we will send you an invoice.<\/p>\n<p><strong>IUD Insertion<\/strong><\/p>\n<p>Having an IUD inserted is simple and relatively quick. The appointment to have an IUD inserted takes about 30 minutes. If you\u2019ve never had a vaginal birth before, or if it was more than 8 years ago, we\u2019ll see if we can schedule the IUD insertion during your period. The procedure may be slightly easier that way. However, it\u2019s also perfectly possible to have the IUD inserted when you\u2019re not on your period.<\/p>\n<p>If you had a vaginal delivery, the IUD does not need to be inserted during your period. Your cervix has become slightly more flexible as a result of the vaginal delivery. If you have not yet had a period since giving birth, the possibility of pregnancy will be discussed first.<\/p>\n<p>After the <em>take a seat on the examination bench<\/em> Sometimes a vaginal ultrasound is used to determine the position of the uterus. Then <em>a speculum<\/em> (duckbill) inserted into the vagina to get a clear view of the cervix. We use a speculum with a light, which gives us a clear view and makes insertion easier.<\/p>\n<p><em>The cervix is hooked <\/em>using special forceps designed for this purpose. This can be painful, especially for women who have never given birth. The Carefix has recently become available; this device grips the cervix using gentle suction. This option is not yet covered by health insurance, so the cost (\u20ac50) is currently out of pocket. If you\u2019d like to use it, please let us know and we\u2019ll order it along with the IUD. You can find more information about it at https:\/\/spiraalplaatsen.nl\/carevix\/<\/p>\n<p>To determine whether the uterus is suitable for the IUD, a probe (thin rod) is used to measure the length of the uterus. The insertion tube containing the IUD is then inserted into the uterus. The applicator is then withdrawn, and the strings are trimmed to the correct length.<\/p>\n<p>Immediately after insertion, we use a vaginal ultrasound to check that the IUD is in the correct position in the uterus.<\/p>\n<p>Although the procedure itself takes about 5 minutes, it can cause an uncomfortable or sometimes painful sensation. It\u2019s best to take acetaminophen (2 x 500 mg) and\/or one ibuprofen (400 mg) an hour beforehand to reduce the pain. After the procedure, it\u2019s a good idea to rest for the rest of the day.<\/p>\n<p>It\u2019s normal to experience abdominal cramps or a nagging sensation in your lower abdomen after insertion. This usually goes away within about three days. Irregular bleeding can also occur because your body needs to adjust to the IUD. This can take 3 to 6 months; after that, your body will have adjusted to the IUD.<\/p>\n<p><u>Follow-up Inspection<\/u><\/p>\n<p>After insertion, an appointment will be scheduled for a follow-up visit, which will take place eight weeks later. During this follow-up visit, a vaginal ultrasound will be used to check whether the IUD is still properly in place and to assess whether you have any symptoms. Afterward, you can check occasionally to see if you can still feel the strings.<\/p>\n<p><u>Removing an IUD<\/u><\/p>\n<p>If you'd like to have your IUD removed, we can help you with that as well. Once the IUD is removed, you'll be fertile again right away.<\/p>\n<p><strong>\u00a0<\/strong><strong>Websites where you can find more information:<\/strong><\/p>\n<p>General Information on Coils<\/p>\n<p><a href=\"http:\/\/www.spiraalplaatsen.nl\">www.spiraalplaatsen.nl<\/a><\/p>\n<p>Dutch Contraception Foundation<\/p>\n<p><a href=\"https:\/\/www.anticonceptie-online.nl\/methoden.htm\">https:\/\/www.anticonceptie-online.nl\/methoden.htm<\/a><\/p>\n<p>Information about the different methods of birth control<\/p>\n<p><a href=\"https:\/\/deverloskundige.nl\/themas\/vruchtbaarheid-en-zwanger-worden\/anticonceptie-en-voorbehoedsmiddelen\">https:\/\/deverloskundige.nl\/themas\/vruchtbaarheid-en-zwanger-worden\/anticonceptie-en-voorbehoedsmiddelen<\/a><\/p>\n                <\/div>\n            <\/div>\n            <div class=\"col small-order-1 large-6 large-order-2\">\n                    <div class=\"img-box\">\n        <figure class=\"trsn-image-wrapper\" style=\"aspect-ratio:390\/285;\">\n            <img width=\"390\" height=\"285\" src=\"https:\/\/aandelaak.nl\/wp-content\/uploads\/2026\/05\/new04-e1525445526427-1.jpg\" class=\"trsn-image trsn-object-cover trsn-ifp-has-focus\" alt=\"Coil placement is possible with the Aandelaak\" decoding=\"async\" sizes=\"(max-width: 768px) 100vw, (max-width: 1200px) 80vw, 1200px\" fetchpriority=\"high\" loading=\"eager\" srcset=\"https:\/\/aandelaak.nl\/wp-content\/uploads\/2026\/05\/new04-e1525445526427-1.jpg 390w, https:\/\/aandelaak.nl\/wp-content\/uploads\/2026\/05\/new04-e1525445526427-1-300x219.jpg 300w\" style=\"object-position:50% 50%;\" \/>                    <\/figure>\n    <\/div>\n                <\/div>\n        <\/div>\n    <\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":484,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1942","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - 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