The birth control ring believes that everyone knows that as a contraceptive method, its use rate in our mother's generation has reached a peak.
These years have passed, I don't know if the birth control ring in the mother's body has been removed? Are you still waiting for menopause to take it? Did you forget it completely?
The other day, I saw a news item like this on the Internet:
In an article in the journal Women's Health, it is told that a birth control ring was placed in the body for 10 years, and because it was not removed in time, it finally penetrated the uterus, ectopic to the bladder and combined with kidney stones.
Image source: Women's Health
X-rays indicate that the IUD penetrates the bladder
CT suggests that one end of the birth control ring penetrates the bladder and the other end of the birth control ring has stones attached
Birth control cyclic ectopic is a rare but serious complication.
A large part of the reason for this phenomenon is that the birth control ring is not removed on time.
Lots of rings
All remained in the womb
According to the "China Health Statistics Yearbook 2019", in 2018, a total of 18424886 were released, and only 3474457 of the birth control ring was removed.
Source: China Health Statistics Yearbook 2019
This is not only a year's data, according to the data statistics of recent years, the number of people who take the ring each year is much lower than the number of people with the ring.
So where are the remaining birth control rings?
A large part remains in the womb.
And such a phenomenon of overtime use is very common, especially on our mothers.
Some people are hesitant to go because they are afraid of pain:
Someone completely forgot to take it out:
And more people because, completely unaware that it has a "shelf life"!
In fact, no matter what kind of birth control ring, there is a certain period of use, such as:
■ Copper-containing birth control rings
The U.S. FDA approves this type of birth control ring to be placed for 10 years.
The duration of use may vary from region to region, so be sure to check with your doctor about the duration of use before placement.
■ LNg extended-release birth control ring
The FDA approves this type of birth control ring for up to 5 years.
At present, the expected use of data is limited, and it is generally recommended that women take it out or replace it according to the instructions, that is, no more than 5 years.
If removed or replaced according to the service life, the difficulty of operation when removing is relatively low, and the discomfort will be lighter.
If not removed on time, the risk of developing AD circadianosis will increase, it will be difficult to remove, and the pain will be stronger.
Before that, there was a message from Bao Mom saying that the pain was abnormal when taking her mother to get it.
But what is better is that there is now no pain to choose, which can relatively reduce the pain a little.
But in general, be sure not to take it after menopause, the later you drag it, the more difficult it is to take it out!
After menopause, the secretion of estrogen in the body decreases, the uterus atrophises, and the cervical orifice shrinks.
The original right size of the birth control ring, at this time will scratch with the uterine lining, and even embedded in the uterine wall.
Image source: Network
Postmenopausal atrophy within the uterine cavity, state of the IUD
This can make it very difficult to take the ring and can also increase the pain and bleeding when taking the ring.
Statistics have found that 13.12% of postmenopausal women have difficulty in taking rings, and the failure rate of ring extraction is 4.46%.
Not only that, if there is a birth control ring in the body, imaging tests such as MRI will also be limited.
It also means that there may be one less option for impact screening in the future, and even if the time comes to choose to take the ring, it may have missed the best time.
In fact, most of the overdue rings exist in the mother's generation, and the number of young people is relatively reduced.
First, young people have more contraceptive options, and birth control rings are not an absolute choice.
Second, young people have more knowledge reserves in this area, and most of them can be taken out on time.
So after reading this article, everyone remembers to communicate with the mothers, take it out in time, and avoid more serious consequences.
Ring removal surgery
It's not that scary
In many media reports, the pain of the release ring has been over-exaggerated, making people feel that the release ring is bloody and painful.
In fact, the release ring is a minor gynecological procedure, and the operation is not complicated.
■ Sheung Wan
First of all, the doctor needs to carry out the relevant gynecological examination, if there is no contraindication, you can go to the ring.
After disinfection, clamp the anterior lip of the cervix with cervical forceps, probe the depth of the uterine cavity with a probe, and then use a placer to push the birth control ring into the uterine cavity, the upper edge of the birth control ring needs to reach the bottom of the uterine cavity, and the birth control ring with the tail wire cuts the tail wire 2 cm from the uterine opening.
Source: Network Upper Ring Schematic
It is usually done in the outpatient clinic and can be completed in a short time.
■ take the ring
Ring extraction is generally recommended to be performed 3-7 days after menstruation is clean.
Different types of ring removal methods are not the same, and those with tail wires only need to use vascular forceps to clamp the tail wire and gently pull it out.
If there is no tail wire, it is necessary to follow the uterine cavity operation procedure and remove the birth control ring with a ring hook.
Source: Network birth control ring tail wire
Although the operation is in the cervix and uterus, the actual time of release is not long, and there is no strong feeling of pain and discomfort.
If menopause is relatively long, the uterus and cervix may have shrunk, and it will be relatively difficult to expand the cervix when taking the ring.
However, the doctor will first use some drugs to soften the cervix to reduce the difficulty of taking the ring and reduce the pain of the operation. Sometimes ultrasound-guided, or hysteroscopic rings may be taken.
Abdominal pain and a small amount of bleeding may occur during and after surgery, usually not more than a week.
You need to rest for 3 days after surgery, but you don't have to lie in bed all the time, and you can avoid excessive physical labor for 1 week.
However, there are also some special circumstances, such as the displacement of the birth control ring into the uterine muscle layer, abdominal cavity, bladder, etc., then the ring extraction surgery will be more complicated.
But this is a small probability group, even if the family is unfortunate to encounter this situation, it is recommended to remove the birth control ring as soon as possible to avoid more serious consequences
As a contraceptive method, the birth control ring is actually relatively high in terms of "cost performance".
However, because contraceptive methods are more diverse now, not many people choose to place birth control rings.
But as long as you put it, you must remember to take it out!