After an intensive training, we started placing intrauterine devices in 2015 during specially organized birth control appointments. During this birth control appointment, intrauterine devices are also placed. A nice supplement to our craft. We have a large practice and excellent echo equipment at our disposal. We notice that women find it pleasant coming to us. We’re familiar with the giving of information and take our time to do so.
Every woman is different. That’s why it’s good to discuss which forms of birth control are available and which type suits you best. During the birth control consultation, we go through several birth control methods, together with your wishes, expectations and eventual medical indications, so that you can make a well-weighed decision. This conversation takes about 20 minutes. You don’t have to be known by us to come for a birth control consultation. Also, young women or students with a doctor in a different living residence are very much welcome. For healthy women with an uncomplicated medical history, we can make a prescription for the hormone-free intrauterine device (T-safe), the hormone-containing intrauterine device (Mirena) and ‘the pill’. If desired we also place the intrauterine device.
An intrauterine device is a highly reliable form of birth control that is well combinable with breastfeeding. There are two types of intrauterine devices: the hormone free and the hormone containing intrauterine device.
A copper intrauterine device is hormone free birth control and gradually gives off a bit of copper. Copper paralyzes the semen cells that enter the womb and makes them inactive so that no insemination can take place. A copper intrauterine device also works as a morning-after pill if it is placed within five days after unsafe sex. The copper intrauterine device renders the endometrium unsuitable for the lodging of an eventually fertilized egg cell.
The copper intrauterine device is highly reliable and is registered for a ten year period. Of course, you can also place the T-Safe for a short period of time, for example in between two pregnancies. You can order the T-Safe intrauterine device online via. The intrauterine device is delivered to your home free of charge. In case you are additionally insured and are eligible for compensation by your assurance then you should pick up the T-Safe intrauterine device with a prescription at a pharmacy. The T-Safe intrauterine device costs 69 euros.
Link to the package leaflet https://www.t-safe.nl/mogelijke-bijwerkingen-en-of-klachten/
The Hormone intrauterine device makes sure that the endometrium in the cervix ‘hardens’, causing the sperm cells to have more difficulty coming through. Besides that, the = is sometimes suppressed and the endometrium becomes unsuitable for the lodging of an eventually fertilized egg cell.
The intrauterine device is highly reliable and is registered for a usage of five years. Of course, you can also have the Mirena placed for short periods of time, for example in between two pregnancies. The Mirena intrauterine device should be picked up with a prescription from the pharmacy. The Mirena intrauterine device costs about 140 euros.Mirena
Link to the package leaflet: https://db.cbg-meb.nl/Bijsluiters/h16681.pdf
So the costs for an intrauterine device, if you are not additionally insured, will have to be paid by you. Check with your insurance in which cases you receive compensation for an intrauterine device.
When you call for an appointment, you will receive an email from anticonceptieportaal.nl. When you click on the link, you can pay the birth control method. It wil be send to our practice. In case you are not insured for the intrauterine device, the copper intrauterine device is also available on our practice. One always needs a prescription for the hormone intrauterine device.
For the intrauterine device placement at the Obstetric Centre Bergweg you will have to bring the intrauterine device with you and you will have to know that you are not pregnant and do not have an STD or fall into STD risk group. If this is not the case contact us first.
——-Std test It is important for the placement of an intrauterine device to be sure that you don’t have an STD (venereal disease). This can be tested with a vaginal cultivation. You can order a self-test for Chlamydia; Gonorrhoea and Trichomoniasis via SOACARE.nl and perform the test at home (Costs € 45, sent in a white box)—–
The appointment lasts for about 20 minutes. We start with an internal echo to determine the size and the positioning of the womb. Then we place the intrauterine device, which takes just a few minutes. The placement can be sensitive, so we advise you to take two paracetamol or one ibuprofen roughly one hour in advance.
An intrauterine device can be placed from 10 to 12 weeks after the childbirth. In case you have never given birth, we prefer to place the intrauterine device during your menstruation, because that’s when the cervix is open. This makes the placement easier. Besides, that way we know that there’s no pregnancy at that moment. The spiral can also be placed outside of the menstruation.
It’s normal that you can get stomach cramps or a sore feeling in the abdomen after an intrauterine device placement. You might also experience some irregular blood loss, more stomach cramps and/or extra blood loss during the first three months.
The costs for the placement of an intrauterine device and the intrauterine device itself can be far apart. Having an intrauterine device placed by a general practitioner or an obstetrician is often cheaper than a gynecologist in a hospital. It is therefore wise to go through your options, what your insurance does and does not compensate, but most of all your own wishes.
After having placed the intrauterine device an echo is immediately made to check whether the intrauterine device is properly placed inside the womb. For this echo, no extra costs are charged. In case you don’t have extreme blood loss or cramps after the placement, an echo afterwards isn’t necessary.
Complaints after placement:
You can contact us in case you have or keep a lot of blood loss or stomach pain. Also when you develop a fever within 7 days after placement. We will then check the intrauterine device again with the echo.
Intrauterine device removal In case you want to have the intrauterine device removed, you can also come to us. After the removal of the intrauterine device, you’re immediately fertile again.
There are many different kinds of birth control pills. You can choose between two kinds of birth control pills:
The pill has to be taken every day at around the same time, in the order that is indicated on the strip.
The estrogen hormone makes for a predictable menstruation. The progestogen makes sure you don’t get pregnant. The combination pill cannot be used when you are breastfeeding. However, you can do so when taking the pill without estrogen. This pill is often used by women that have just given birth and are breastfeeding. Most pills have 21 pills per strip. These are taken in periods of 3 weeks and after that, there is a stop week. In the stop week, you have your period. You are still protected against pregnancy in the stop week.
With the combination pill, you can skip your stop week and thus your period by continuing to the next strip right after the previous strip. Also the shifting of the stop week, for example, because you’re going on vacation, is possible with the birth control pill.
The pill without estrogen contains 28 pills per strip, after which you begin a new strip straight away. This pill, however, contains 28 active tablets, you can’t shift or skip your period.