13
12. WHEN IS IT RECOMMENDED TO SEE A GYNAECOLOGIST FOR
ROUTINE CHECK-UPS?
Following the insertion of the MelbeaGold device, regular routine check-ups
are recommended even if the patient does not experience any symptoms
to ensure that the position of the product within the uterus can be verified
and the possibility of an infection, rejection, fracturing, or perforation can
be excluded.
You have to undergo a routine check-up following the first menstruation
after the insertion, that is in the 1
st
month of wearing the device, then in the
6
th
and the 12
th
months and at least once every year afterwards unless more
frequent examinations are required due to medical reasons.
If more frequent (
e.g. after every 6-8 weeks or in the 3
rd
month
) examinations
are required in your case, (
e.g. the MelbeaGold device is inserted in spite of
relative contraindications
), you will be informed of this by your gynaecologist
or healthcare service provider.
13. WHAT SIGNS AND SYMPTOMS INDICATE THAT YOU SHOULD
UNDERGO A GYNAECOLOGICAL EXAMINATION?
Always contact your gynaecologist or healthcare service provider if
• you believe that you are pregnant,
• you are experiencing pelvic pain or you experience pain during intercourse,
• you are noticing unusual vaginal discharge or genital sores,
• you are experiencing unexplained fever, flu-like symptoms, or body chills,
• you might be exposed to sexually transmitted infections,
• you are concerned that the MelbeaGold was rejected (
“came out
”), or
became broken (part of it was expelled),
• you cannot feel the indicator strings of the MelbeaGold device or you
feel them to be significantly longer than usual,
• you can feel any part of the MelbeaGold device in the vagina beside
the indicator string,
• you or your partner are found to be HIV positive,
• you are experiencing prolonged or heavy bleeding or any kind of bleeding
that worries you,
• you missed a menstrual cycle.
With respect to the background of the clinical symptoms and disorders
listed here, further clarification is provided in other chapters and sections
of the information leaflet.
– If you notice a change in the position or length of the indicator string
while performing a self-check:
Immediately report to your gynaecologist or healthcare service provider
if you notice a change in the length of the two threads, if you cannot find
the threads, or if you can feel any part of the MelbeaGold device in the
vagina other than the threads.
In such cases, the product might not be in a suitable position to prevent
unwanted pregnancies.
Use other contraceptive methods (
such as condoms or spermicide
preparations
) and ask your gynaecologist or healthcare service provider
to check whether the MelbeaGold device is in the correct position and
whether it is still in your uterine cavity.
– If the MelbeaGold product is accidentally removed:
If the product is accidentally removed, you are at risk of pregnancy; use
other contraceptive methods (
such as condoms or spermicide products
)