MSD has announced that the production of the Multiload® copper spiral will be discontinued worldwide. For the Multiload® spiral an alternative option is available in the Netherlands, namely the T-Safe Copper spiral.

In the Standard Contraception of the Dutch Society of General Practitioners (NHG) a preference is expressed for the T-Safe® copper coil on the basis of reliability. In addition, T-Safe® is the only coil registered for a stay of up to 10 years. This means that the T-Safe® coil is currently the best alternative to Multiload®.

"The reliability of various available copper coils is 0.1 to 1.0 pregnancies per 100 women after 1 year. Because a special insertion technique is required for the Gynefix and because no clinical studies have been done with the Flexi-T spiral, the T-Safe® Cu spiral and the Multiload® Cu spiral are preferred". (NHG Standard Contraception M02)