Ballerine removal

In 2019 Ballerine IUB MIDI introduced in the Netherlands. The spiral has beenIndicated for contraception during maximum 5 years. After that, the spiral be removed or replaced. In the insert of Ballerine findt u the full instructions for removing Ballerine. In addition, you can here watch a video instruction for the insert and removal of Ballerine. In support of successful removal of Ballerine wordt provided below answers to the most frequently asked questions surrounding removal.

How to remove Ballerine?
Have gloves and sterile forceps ready. Place a speculum around the threads of Ballerine into focus. Remove the Ballerine by quietly with one confident pull pulling the visible wires with the pliers. The becomet advised against multiple pulls.

Can I place a new coil immediately?
You can immediately insert a new coil if the patient requests it and has no contraindications.

What do I do if I can't see the threads?
When the threads of Ballerine are not visible you can by through ultrasound the location of Ballerine adopt.

How can I Ballerine remove if no wires are visible?
When there are no visible wires or the threads have come loose from the Ballerine spiral, it may be difficult to remove. Removing the Ballerine can possibly be simplified with painkillers and cervical dilation. An alligatorpliers or other gripping tool may be useful. You can use it to the threads Whether the frame of the Ballerine clutching and delete. Hysteroscopy may also be applied.

How can I be sure that Ballerine has been removed in its entirety?
Ballerine is made of a nitinol frame and has 17 copper balls on the framee. Check whether these are all present after removing Ballerine. Pay particular attention to the front and back ball attached to the frame.