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9.3. Description of the removal technique
– The most suitable time for the removal of a MelbeaGold product is
during menstruation.
– The MelbeaGold product is removed by gently pulling on the body of the
device while holding both threads of the indicator string.
The indicator string has to be held with a suitable tool (
e.g. sponge
forceps
) and carefully pulled out in the direction of the longitudinal axis
of the uterus.
As soon as the IUD appears in the cervix, grip the device with the sponge
forceps and continue pulling it until the entirety of the MelbeaGold product
has been removed.
Do not continue pulling the device by the indicator string until it is
completely removed since the string can snap and the end of the device
body may cause injury to the walls of the reproductive organs if it is
being pulled at an angle.
– If the strings are not visible but the MelbeaGold device is still in the
uterus, the removal must be postponed until the next menstruation.
When bleeding has ceased, the double threads of the indicator string
generally become visible again.
If the indicator string is still not visible and the MelbeaGold device is still
in the uterus, the device can be removed using a pair of thin forceps.
– Following the inspection of the removed MelbeaGold device by the
gynaecologist and if required, the taking of photographs or the recording
of video footage, the gynaecologist must ensure that the device, which
is considered infectious hazardous waste after removal, is placed in a
marked container, and disposed of as required.
10. WHAT EFFECTS CAN THE USE OF MELBEAGOLD HAVE ON THE
MENSTRUATION CYCLE?
The first menstrual cycles following insertion generally differ from previous
cycles.
The menses might be more abundant, heavier and might last longer; you
might also experience intermenstrual bleeding or abdominal cramps.
These are temporary phenomena; such symptoms are generally not a
cause for concern.
These symptoms may occur during menstruation or in the intermenstrual
period.
11. HOW TO VERIFY THAT THE MELBEAGOLD PRODUCT IS IN AN
APPROPRIATE POSITION DURING ITS USE?
You have to regularly verify whether the MelbeaGold device is still in your
uterus and whether it is in the correct position. You have to be taught the
correct method for finding the indicator string with your fingers by your
gynaecologist or healthcare service provider.
Clean and disinfect your hands before performing the self-check.
Assume a comfortable body posture (crouching, sitting, or similar).
With your clean and disinfected fingers, reach up to the upper part of the
vagina until you can feel the two threads.
Make sure that you can feel them but do not pull on them, since this could
cause the MelbeaGold device to become dislodged.
It is recommended that you check the position and length of the indicator
string at least once every month.
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