Flexi T Plus 300 (Intrauterine Device)

Indications

Flexi T Plus 300 is an intrauterine device (IUD) made of polypropylene mixed with barium sulfate and wrapped with 300mm of copper wire to prevent pregnancy. It provides women with long-term birth control. It works by preventing fertilization and implantation of the egg in the uterus.

The copper in the IUD creates an environment that is toxic to sperm, preventing them from reaching and fertilizing the egg. Additionally, the IUD can cause changes in the lining of the uterus that make it difficult for a fertilized egg to implant, further preventing pregnancy.

Use and Dosage

The Flexi-T Plus 300 is an intrauterine device (IUD) made of polypropylene mixed with barium sulfate and wrapped with 300mm of copper wire to prevent pregnancy. It has a maximum in situ time of five years. A new Flexi-T can be inserted immediately after removal. Here are the steps on how to use it:

1. Consult with your healthcare provider to determine whether the IUD is the right form of birth control for you.
2. Choose a day to have the IUD inserted. It can be inserted anytime during your menstrual cycle if you are not currently pregnant.
3. Your healthcare provider will first perform a pelvic exam to determine the position and size of your uterus.
4. The IUD will then be inserted through the cervical opening and into your uterus.
5. The IUD's string will be cut to the appropriate length, which allows you to check that it is still in place.
6. After the IUD is inserted, you may experience some cramping and spotting for a few days.
7. Your healthcare provider may schedule a follow-up appointment to make sure the IUD is still in place and to address any concerns you may have.

The device is inserted into the uterus by a healthcare provider during a routine office visit. The insertion process typically takes only a few minutes.

Side Effects

Serious Side Effects of Flexi T Plus 300 (Intrauterine Device):

• Abdominal pains and cramps
• Longer and heavier menstruation after insertion
• Spotting throughout menstrual cycle which should decrease over time
• Copper allergy (rare; always notify your doctor if you are allergic)
• An extremely small chance of perforation of the womb

Forms and Strength

Flexi T Plus 300 (Intrauterine Device) is available in the following forms and strength:

Flexi T Plus 300: IUD

• No dose

Cautions

• Like all intrauterine devices, there is a risk of pelvic infection after insertion, especially in women with multiple sexual partners or a history of sexually transmitted infections.
• Rarely, the device can perforate the uterus during insertion or later, which can lead to pain, bleeding, or damage to other organs.
• Some women may experience discomfort or pain during and after insertion, although it usually subsides within a few days.
• The device may increase the risk of heavier menstrual bleeding and cramping, although it usually improves after a few months.
• Women with certain medical conditions or risk factors may not be good candidates for the device and discuss these with a healthcare provider before getting it inserted.
• Check that the threads of the device are still present and in their normal position after each menstrual cycle to ensure that it is in place and functioning properly.
• The device may increase the risk of ectopic pregnancy in rare cases. Women who experience abdominal pain or unusual bleeding after getting the device inserted should seek medical attention immediately.
• The device may become dislodged or fall out, which can lead to unintended pregnancy. Women can check that the device is still in place by feeling for the device strings in the vagina, which should be within reach. If the strings are not present or if they feel longer or shorter than usual, women should contact their healthcare provider.
• Women who are allergic to copper or have a history of copper metabolism disorders may not be good candidates for the device.
• Women who are breastfeeding may experience a decrease in milk production while using the device, although it is usually temporary and not harmful to the baby.
• The device may not protect against sexually transmitted infections, and it is recommended to use condoms in addition to the device to reduce the risk of infection.
• Women who have or are at risk for certain medical conditions, such as liver disease or breast cancer, may need to avoid using the device or be closely monitored while using it. Discuss any medical conditions or concerns with a healthcare provider before getting the device inserted.

Frequently Asked Questions (FAQ)

How long does the Flexi T Plus 300 last?

The device can provide protection for up to 5 years. After this time, it should be removed and replaced if continued birth control is desired.

Is the Flexi T Plus 300 safe?

Like all medical devices, there may be some risks associated with its use, such as pelvic infection, perforation of the uterus, discomfort during and after insertion, and heavier menstrual bleeding. However, the device is considered safe and effective for most women.

Can I have an intrauterine device inserted if I have never given birth?

Yes, women who have never given birth can have an intrauterine device inserted. However, insertion may be more uncomfortable and there may be a slightly higher risk of expulsion or perforation.

Resources

• https://www.plannedparenthood.org/learn/birth-control/iud/what-are-the-disadvantages-of-iuds
• https://www.flexitiud.ca/what-side-effects-should-i-expect-when-using-a-non-hormonal-iud
• https://www.surgo.com/i-u-d-intrauterine-devices-for-contraception-and-removal-hook--4/flexi-t-300-i-u-d--2
• https://flexi-t.com/wp-content/uploads/2020/02/126011_Rev12_IFU_EN.pdf