Spiral is a birth control method applied into the uterus. It is a tool that is preferred to be used the most among Decongestant birth control methods worldwide. The spiral causes the sperm to lose their vitality, preventing their passage to the ovarian ducts. It also prevents the egg from settling into the uterus, where fertilization takes place.

What is the structure of the spiral?

Spiral vehicles often resemble a T-shape. There are 2 ropes on the underside of the spiral. The ropes in the spiral are used to control the spiral and remove the tool again.

Almost all of the spirals used for birth control are covered with a kind of substance called barium sulfate. The purpose of being coated with barium sulfate is to make it visible on ultrasounds taken to control the spiral.

Some spirals, on the other hand, were developed by adding the hormone progesterone instead of copper. Spirals with the addition of the hormone pregesterone reduce the bleeding rate compared to other spirals. All other spirals lead to an increase in bleeding for about 4 – 5 months after being attached to the patient. However, spirals with the addition of progesterone are higher in terms of cost compared to other spirals.

After the spirals are attached to the person, they are initially perceived by the body as a foreign substance. It can lead to a reaction called inflammation in the area where it is attached. This reaction, on the other hand, causes the sperm to lose their vitality in the uterus and prevents pregnancy.

How long does the spiral protect from pregnancy?

The spiral protects from pregnancy from the moment it is applied to the person. It also becomes ineffective from the moment it is removed.The protection process of spirals differs according to the vehicles. The duration of protection varies between 5 and 10 years. However, it should not lose its protective properties and should be replaced every 5 years to make sure.

The protection property of spirals is quite high. But like other methods, there is no 100% protection feature. Pregnancy is also observed in women who use spiralculants.

Who is the spiral use suitable for?

  • Women who have just given birth and are breastfeeding their baby can have a spiral inserted 40 days after birth
  • Women who are not at risk of sexually transmitted diseases
  • Women who do not have an intrauterine-related infectious disease
  • In women who cannot use any other method of prevention due to some factors
  • All women who do not want to conceive for a long time but want to remove it back when desired can use a spiral.

In which cases is the spiral not attached?

  • There should be no suspicion of pregnancy in people who want to have a spiral inserted
  • In those with weakened immunity and those with AIDS and leukemia-style diseases
  • In those who experience menstrual irregularity and if the cause of the irregularity has not been explained
  • In people with heart valve problems
  • In those who have a suspected untreated cervical or vaginal infection
  • For those who are allergic to copper
  • In those who are exposed to very severe pain during menstrual periods
  • In women whose pap smear test result is negative
  • Spirals should not be used in the presence of uterine cancer and endometrial cancer.



Follow me
President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
Follow me