{"id":10908,"date":"2023-11-03T16:15:38","date_gmt":"2023-11-03T16:15:38","guid":{"rendered":"http:\/\/www.sanatateafemeii.md\/?page_id=884"},"modified":"2023-11-09T13:09:13","modified_gmt":"2023-11-09T10:09:13","slug":"dispozitivul-intrauterin-cu-cupru","status":"publish","type":"page","link":"https:\/\/cidsr.md\/en\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/","title":{"rendered":"Intrauterine Device","raw":"Intrauterine Device"},"content":{"rendered":"<p><strong>What Is the Intrauterine Device?<br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-980\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/DIU-cupru-300x225.jpg\" alt=\"DIU cupru\" width=\"250\" height=\"187\" \/><\/strong><\/p>\n<ul>\n<li>The copper-bearing intrauterine device (IUD) is a small, flexible plastic frame with copper sleeves or wire around it. A specifically trained health care provider inserts it into a woman\u2019s uterus through her vagina and cervix.<\/li>\n<li>Almost all types of IUDs have one or two strings, or threads, tied to them. The strings hang through the cervix into the vagina.<\/li>\n<li>Works primarily by causing a chemical change that damages sperm and egg before they can meet.<\/li>\n<\/ul>\n[accordion][accordion-item title=&#8221;How Effective?&#8221;]\n<p><strong>One of the most effective and long-lasting methods:<\/strong><\/p>\n<ul>\n<li>Less than 1 pregnancy per 100 women using an IUD over the first year (6 to 8 per 1,000 women). This means that 992 to 994 of every 1,000 women using IUDs will not become pregnant.<\/li>\n<li>A small risk of pregnancy remains beyond the first year of use and continues as long as the woman is using the IUD.<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">&#8211; Over 10 years of IUD use: About 2 pregnancies per 100 women<\/p>\n<ul>\n<li>Studies have found that the TCu-380A is effective for 12 years. The TCu-380A is labeled for up to 10 years of use, however. (Providers should follow program guidelines as to when the IUD should be removed.)<\/li>\n<\/ul>\n<p><strong>Return of fertility after IUD is removed:<\/strong> No delay<br \/>\n<strong>Protection against sexually transmitted infections (STIs):<\/strong> None<\/p>\n[\/accordion-item][accordion-item title=&#8221;Side Effects, Health Benefits, Health Risks&#8221;]\n<p><strong>Side Effects<\/strong><br \/>\nSome users report the following:<\/p>\n<ul>\n<li>Changes in bleeding patterns (especially in the first 3 to 6 months) including:<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">&#8211; Prolonged and heavy monthly bleeding<br \/>\n&#8211; Irregular bleeding<br \/>\n&#8211; More cramps and pain during monthly bleeding<\/p>\n<p><strong>Known Health Benefits:<\/strong><\/p>\n<ul>\n<li>Helps protect against: risks of pregnancy<\/li>\n<li>May help protect against: Cancer of the lining of the uterus (endometrial cancer)<\/li>\n<\/ul>\n<p><strong>Known Health Risks:<\/strong><\/p>\n<ul>\n<li>Uncommon: May contribute to anemia if a woman already has low iron blood stores before insertion and the IUD causes heavier monthly bleeding<\/li>\n<li>Rare:\u00a0Pelvic inflammatory disease (PID) may occur if the woman has chlamydia or gonorrhea at the time of IUD insertion<\/li>\n<\/ul>\n<p><strong>Complications<\/strong><br \/>\nRare:<\/p>\n<ul>\n<li>Puncturing (perforation) of the wall of the uterus by the IUD or an instrument used for insertion. Usually heals without treatment.<\/li>\n<li>Miscarriage, preterm birth, or infection in the rare case that the woman becomes pregnant with the IUD in place.<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=&#8221;Who Can and Cannot Use \u00a0IUD&#8221;]\n<p>Safe and Suitable for Nearly All Women<\/p>\n<p>Most women can use IUDs safely and effectively, including women who:<\/p>\n<ul>\n<li>Have or have not had children<\/li>\n<li>Are not married<\/li>\n<li>Are of any age, including adolescents and women over 40 years old<\/li>\n<li>Have just had an abortion or miscarriage (if no evidence of infection)<\/li>\n<li>Are breastfeeding<\/li>\n<li>Do hard physical work<\/li>\n<li>Have had ectopic pregnancy<\/li>\n<li>Have had pelvic inflammatory disease (PID)<\/li>\n<li>Have vaginal infections<\/li>\n<li>Have anemia<\/li>\n<li>Are infected with HIV or on antiretroviral therapy and doing well<\/li>\n<\/ul>\n<p>Women can begin using IUDs:<\/p>\n<ul>\n<li>Without STI testing<\/li>\n<li>Without an HIV test<\/li>\n<li>Without any blood tests or other routine laboratory tests<\/li>\n<li>Without cervical cancer screening<\/li>\n<li>Without a breast examination<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=&#8221;Correcting Misunderstandings&#8221;]\n<p>Intrauterine devices:<\/p>\n<ul>\n<li>Rarely lead to PID.<\/li>\n<li>Do not increase the risk of contracting STIs, including HIV.<\/li>\n<li>Do not increase the risk of miscarriage when a woman becomes pregnant after the IUD is removed.<\/li>\n<li>Do not make women infertile.<\/li>\n<li>Do not cause birth defects.<\/li>\n<li>Do not cause cancer.<\/li>\n<li>Do not move to the heart or brain.<\/li>\n<li>Do not cause discomfort or pain for the woman during sex.<\/li>\n<li>Substantially reduce the risk of ectopic pregnancy.<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=&#8221;Managing Any Problems&#8221;]\n<strong>Problems Reported As Side Effects or Complications<\/strong><\/p>\n<ul>\n<li>Heavy or prolonged bleeding (twice as much as usual or longer than 8 days)<\/li>\n<li>Irregular bleeding (bleeding at unexpected times that bothers the client)<\/li>\n<li>Cramping and pain<\/li>\n<li>Possible anemia<\/li>\n<li>Partner can feel IUD strings during sex<\/li>\n<li>Severe pain in lower abdomen (suspected pelvic inflammatory disease [PID])<\/li>\n<li>Severe pain in lower abdomen (suspected ectopic pregnancy)<\/li>\n<li>Suspected uterine puncturing (perforation)<\/li>\n<li>IUD partially comes out (partial expulsion)<\/li>\n<li>IUD completely comes out (complete expulsion)<\/li>\n<li>Missing strings (suggesting possible pregnancy, uterine perforation, or expulsion)<\/li>\n<\/ul>\n<p><strong>New Problems That May Require Switching Methods<\/strong><\/p>\n<ul>\n<li>Unexplained vaginal bleeding (that suggests a medical condition not related to the method)<\/li>\n<li>Suspected pregnancy<\/li>\n<\/ul>\n<p><strong>Contact\u00a0your doctor if you have any of the problems listed above.<\/strong><\/p>\n[\/accordion-item][accordion-item title=&#8221;Questions and Answers About the Intrauterine Device&#8221;]\n<p><strong>1. Does the IUD cause pelvic inflammatory disease (PID)? <\/strong><br \/>\nBy itself, the IUD does not cause PID. <a href=\"https:\/\/cidsr.md\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">Gonorrhea<\/a> and chlamydia are the primary direct causes of PID. IUD insertion when a woman has gonorrhea or chlamydia may lead to PID, however. This does not happen often. When it does, it is most likely to occur in the first 20 days after IUD insertion. It has been estimated that, in a group of clients where STIs are common and screening questions identify half the STI cases, there might be 1 case of PID in every 666 IUD insertions (or less than 2 per 1,000).<\/p>\n<p><strong>2. Can young women and older women use IUDs?<\/strong><br \/>\nYes. There is no minimum or maximum age limit. An IUD should be removed after menopause has occurred\u2014within 12 months after her last monthly bleeding.<\/p>\n<p><strong>3. If a current IUD user has a sexually transmitted infection (STI) or has become at very high individual risk of becoming infected with an STI, should her IUD be removed?<\/strong><br \/>\nNo. If a woman develops a new STI after her IUD has been inserted, she is not especially at risk of developing PID because of the IUD. She can continue to use the IUD while she is being treated for the STI. Removing the IUD has no benefit and may leave her at risk of unwanted pregnancy. Counsel her on condom use and other strategies to avoid STIs in the future.<\/p>\n<p><strong>4. Does the IUD make a woman infertile?<\/strong><br \/>\nNo. A woman can become pregnant once the IUD is removed just as quickly as a woman who has never used an IUD, although fertility decreases as women get older. Good studies find no increased risk of infertility among women who have used IUDs, including young women and women with no children. Whether or not a woman has an IUD, however, if she develops PID and it is not treated, there is some chance that she will become infertile.<\/p>\n<p><strong>5. Can a woman who has never had a baby use an IUD?<\/strong><br \/>\nYes. A woman who has not had children generally can use an IUD, but she should understand that the IUD is more likely to come out because her uterus may be smaller than the uterus of a woman who has given birth.<\/p>\n<p><strong>6. Can the IUD travel from the woman\u2019s uterus to other parts of her body, such as her heart or her brain?<\/strong><br \/>\nThe IUD never travels to the heart, brain, or any other part of the body outside the abdomen. The IUD normally stays within the uterus like a seed within a shell. Rarely, the IUD may come through the wall of the uterus into the abdominal cavity. This is most often due to a mistake during insertion. If it is discovered within 6 weeks or so after insertion or if it is causing symptoms at any time, the IUD will need to be removed by laparoscopic or laparotomic surgery. Usually, however, the out-of-place IUD causes no problems and should be left where it is. The woman will need another contraceptive method.<\/p>\n<p><strong>7. Should a woman have a \u201crest period\u201d after using her IUD for several years or after the IUD reaches its recommended time for removal?<\/strong><br \/>\nNo. This is not necessary, and it could be harmful. Removing the old IUD and immediately inserting a new IUD poses less risk of infection than 2 separate procedures. Also, a woman could become pregnant during a \u201crest period\u201d before her new IUD is inserted.<\/p>\n<p><strong>8. Should antibiotics be routinely given before IUD insertion?<\/strong><br \/>\nNo, usually not. Most recent research done where STIs are not common suggests that PID risk is low with or without antibiotics. When appropriate questions to screen for STI risk are used and IUD insertion is done with proper infection-prevention procedures (including the no-touch insertion technique), there is little risk of infection. Antibiotics may be considered, however, in areas where STIs are common and STI screening is limited.<\/p>\n<p><strong>9. Must an IUD be inserted only during a woman\u2019s monthly bleeding?<\/strong><br \/>\nNo. For a woman having menstrual cycles, an IUD can be inserted at any time during her menstrual cycle if it is reasonably certain that the woman is not pregnant. Inserting the IUD during her monthly bleeding may be a good time because she is not likely to be pregnant, and insertion may be easier. It is not as easy to see signs of infection during monthly bleeding, however.<\/p>\n<p><strong>10. Should a woman be denied an IUD because she does not want to check her IUD strings?<\/strong><br \/>\nNo. A woman should not be denied an IUD because she is unwilling to check the strings. The importance of checking the IUD strings has been overemphasized. It is uncommon for an IUD to come out, and it is rare for it to come out without the woman noticing. The IUD is most likely to come out during the first few months after IUD insertion, during monthly bleeding, among women who have had an IUD inserted soon after childbirth, a second-trimester abortion, or miscarriage, and among women who have never been pregnant. A woman can check her IUD strings if she wants reassurance that it is still in place. Or, if she does not want to check her strings, she can watch carefully in the first month or so and during monthly bleeding to see if the IUD has come out.<\/p>\n<p><strong>11.\u00a0Do IUDs increase the risk of ectopic pregnancy?<\/strong><br \/>\nNo. On the contrary, IUDs greatly reduce the risk of ectopic pregnancy. Ectopic pregnancies are rare among IUD users. The rate of ectopic pregnancy among women with IUDs is 12 per 10,000 women per year. The rate of ectopic pregnancy among women in the United States using no contraceptive method is 65 per 10,000 women per year. On the rare occasions that the IUD fails and pregnancy occurs, 6 to 8 of every 100 of these pregnancies are ectopic. Thus, the great majority of pregnancies after IUD failure are not ectopic. Still, ectopic pregnancy can be life-threatening, so a provider should be aware that ectopic pregnancy is possible if the IUD fails.<\/p>\n[\/accordion-item][accordion-item title=&#8221;<strong>Where to address?<\/strong>&#8220;]\n<p>For a family planning consultation:<\/p>\n<ul>\n<li>Ask your family doctor at your health care facility in your area of residence \u00a0(see\u00a0<strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/Lista-MF-instruiti-in-PF.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a><\/strong>). WARNING: if you belong to one of the socially vulnerable groups (see\u00a0<strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/04\/ord-nr.-658-din-18.08.2015-Cu-privire-la-asigurarea-cu-contraceptive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a><\/strong>) you can benefit from free contraceptives!<\/li>\n<li>Ask \u00a0<a href=\"http:\/\/new.neovita.md\/reteaua-cspt-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Youth Friendly Health Centers<\/a><\/li>\n<li>Call the RHTC \u00a0Hotline (free and confidential call) \u2013 0800-088-08<\/li>\n<li>Call \u00a0RHTC\u00a0\u2013 022355072 \/ 060903782 \/ 078306973<\/li>\n<li>Write to RHTC e-mail \u00a0\u2013\u00a0<a href=\"mailto:cidsr2012@gmail.com\">cidsr2012@gmail.com<\/a><\/li>\n<\/ul>\n[\/accordion-item][\/accordion]\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/cidsr.md\/planificarea-familiala\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-958 aligncenter\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435-\u0444\u0430\u0439\u043b\u044b.png\" alt=\"\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435 \u0444\u0430\u0439\u043b\u044b\" width=\"100\" height=\"45\" \/><\/a><\/p>\n","protected":false,"raw":"<strong>What Is the Intrauterine Device?\n<img class=\"alignright wp-image-980\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/DIU-cupru-300x225.jpg\" alt=\"DIU cupru\" width=\"250\" height=\"187\" \/><\/strong>\n<ul>\n \t<li>The copper-bearing intrauterine device (IUD) is a small, flexible plastic frame with copper sleeves or wire around it. A specifically trained health care provider inserts it into a woman\u2019s uterus through her vagina and cervix.<\/li>\n \t<li>Almost all types of IUDs have one or two strings, or threads, tied to them. The strings hang through the cervix into the vagina.<\/li>\n \t<li>Works primarily by causing a chemical change that damages sperm and egg before they can meet.<\/li>\n<\/ul>\n[accordion][accordion-item title=\"How Effective?\"]\n\n<strong>One of the most effective and long-lasting methods:<\/strong>\n<ul>\n \t<li>Less than 1 pregnancy per 100 women using an IUD over the first year (6 to 8 per 1,000 women). This means that 992 to 994 of every 1,000 women using IUDs will not become pregnant.<\/li>\n \t<li>A small risk of pregnancy remains beyond the first year of use and continues as long as the woman is using the IUD.<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">- Over 10 years of IUD use: About 2 pregnancies per 100 women<\/p>\n\n<ul>\n \t<li>Studies have found that the TCu-380A is effective for 12 years. The TCu-380A is labeled for up to 10 years of use, however. (Providers should follow program guidelines as to when the IUD should be removed.)<\/li>\n<\/ul>\n<strong>Return of fertility after IUD is removed:<\/strong> No delay\n<strong>Protection against sexually transmitted infections (STIs):<\/strong> None\n\n[\/accordion-item][accordion-item title=\"Side Effects, Health Benefits, Health Risks\"]\n\n<strong>Side Effects<\/strong>\nSome users report the following:\n<ul>\n \t<li>Changes in bleeding patterns (especially in the first 3 to 6 months) including:<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">- Prolonged and heavy monthly bleeding\n- Irregular bleeding\n- More cramps and pain during monthly bleeding<\/p>\n<strong>Known Health Benefits:<\/strong>\n<ul>\n \t<li>Helps protect against: risks of pregnancy<\/li>\n \t<li>May help protect against: Cancer of the lining of the uterus (endometrial cancer)<\/li>\n<\/ul>\n<strong>Known Health Risks:<\/strong>\n<ul>\n \t<li>Uncommon: May contribute to anemia if a woman already has low iron blood stores before insertion and the IUD causes heavier monthly bleeding<\/li>\n \t<li>Rare:\u00a0Pelvic inflammatory disease (PID) may occur if the woman has chlamydia or gonorrhea at the time of IUD insertion<\/li>\n<\/ul>\n<strong>Complications<\/strong>\nRare:\n<ul>\n \t<li>Puncturing (perforation) of the wall of the uterus by the IUD or an instrument used for insertion. Usually heals without treatment.<\/li>\n \t<li>Miscarriage, preterm birth, or infection in the rare case that the woman becomes pregnant with the IUD in place.<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"Who Can and Cannot Use \u00a0IUD\"]\n\nSafe and Suitable for Nearly All Women\n\nMost women can use IUDs safely and effectively, including women who:\n<ul>\n \t<li>Have or have not had children<\/li>\n \t<li>Are not married<\/li>\n \t<li>Are of any age, including adolescents and women over 40 years old<\/li>\n \t<li>Have just had an abortion or miscarriage (if no evidence of infection)<\/li>\n \t<li>Are breastfeeding<\/li>\n \t<li>Do hard physical work<\/li>\n \t<li>Have had ectopic pregnancy<\/li>\n \t<li>Have had pelvic inflammatory disease (PID)<\/li>\n \t<li>Have vaginal infections<\/li>\n \t<li>Have anemia<\/li>\n \t<li>Are infected with HIV or on antiretroviral therapy and doing well<\/li>\n<\/ul>\nWomen can begin using IUDs:\n<ul>\n \t<li>Without STI testing<\/li>\n \t<li>Without an HIV test<\/li>\n \t<li>Without any blood tests or other routine laboratory tests<\/li>\n \t<li>Without cervical cancer screening<\/li>\n \t<li>Without a breast examination<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"Correcting Misunderstandings\"]\n\nIntrauterine devices:\n<ul>\n \t<li>Rarely lead to PID.<\/li>\n \t<li>Do not increase the risk of contracting STIs, including HIV.<\/li>\n \t<li>Do not increase the risk of miscarriage when a woman becomes pregnant after the IUD is removed.<\/li>\n \t<li>Do not make women infertile.<\/li>\n \t<li>Do not cause birth defects.<\/li>\n \t<li>Do not cause cancer.<\/li>\n \t<li>Do not move to the heart or brain.<\/li>\n \t<li>Do not cause discomfort or pain for the woman during sex.<\/li>\n \t<li>Substantially reduce the risk of ectopic pregnancy.<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"Managing Any Problems\"]\n<strong>Problems Reported As Side Effects or Complications<\/strong>\n<ul>\n \t<li>Heavy or prolonged bleeding (twice as much as usual or longer than 8 days)<\/li>\n \t<li>Irregular bleeding (bleeding at unexpected times that bothers the client)<\/li>\n \t<li>Cramping and pain<\/li>\n \t<li>Possible anemia<\/li>\n \t<li>Partner can feel IUD strings during sex<\/li>\n \t<li>Severe pain in lower abdomen (suspected pelvic inflammatory disease [PID])<\/li>\n \t<li>Severe pain in lower abdomen (suspected ectopic pregnancy)<\/li>\n \t<li>Suspected uterine puncturing (perforation)<\/li>\n \t<li>IUD partially comes out (partial expulsion)<\/li>\n \t<li>IUD completely comes out (complete expulsion)<\/li>\n \t<li>Missing strings (suggesting possible pregnancy, uterine perforation, or expulsion)<\/li>\n<\/ul>\n<strong>New Problems That May Require Switching Methods<\/strong>\n<ul>\n \t<li>Unexplained vaginal bleeding (that suggests a medical condition not related to the method)<\/li>\n \t<li>Suspected pregnancy<\/li>\n<\/ul>\n<strong>Contact\u00a0your doctor if you have any of the problems listed above.<\/strong>\n\n[\/accordion-item][accordion-item title=\"Questions and Answers About the Intrauterine Device\"]\n\n<strong>1. Does the IUD cause pelvic inflammatory disease (PID)? <\/strong>\nBy itself, the IUD does not cause PID. <a href=\"https:\/\/cidsr.md\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">Gonorrhea<\/a> and chlamydia are the primary direct causes of PID. IUD insertion when a woman has gonorrhea or chlamydia may lead to PID, however. This does not happen often. When it does, it is most likely to occur in the first 20 days after IUD insertion. It has been estimated that, in a group of clients where STIs are common and screening questions identify half the STI cases, there might be 1 case of PID in every 666 IUD insertions (or less than 2 per 1,000).\n\n<strong>2. Can young women and older women use IUDs?<\/strong>\nYes. There is no minimum or maximum age limit. An IUD should be removed after menopause has occurred\u2014within 12 months after her last monthly bleeding.\n\n<strong>3. If a current IUD user has a sexually transmitted infection (STI) or has become at very high individual risk of becoming infected with an STI, should her IUD be removed?<\/strong>\nNo. If a woman develops a new STI after her IUD has been inserted, she is not especially at risk of developing PID because of the IUD. She can continue to use the IUD while she is being treated for the STI. Removing the IUD has no benefit and may leave her at risk of unwanted pregnancy. Counsel her on condom use and other strategies to avoid STIs in the future.\n\n<strong>4. Does the IUD make a woman infertile?<\/strong>\nNo. A woman can become pregnant once the IUD is removed just as quickly as a woman who has never used an IUD, although fertility decreases as women get older. Good studies find no increased risk of infertility among women who have used IUDs, including young women and women with no children. Whether or not a woman has an IUD, however, if she develops PID and it is not treated, there is some chance that she will become infertile.\n\n<strong>5. Can a woman who has never had a baby use an IUD?<\/strong>\nYes. A woman who has not had children generally can use an IUD, but she should understand that the IUD is more likely to come out because her uterus may be smaller than the uterus of a woman who has given birth.\n\n<strong>6. Can the IUD travel from the woman\u2019s uterus to other parts of her body, such as her heart or her brain?<\/strong>\nThe IUD never travels to the heart, brain, or any other part of the body outside the abdomen. The IUD normally stays within the uterus like a seed within a shell. Rarely, the IUD may come through the wall of the uterus into the abdominal cavity. This is most often due to a mistake during insertion. If it is discovered within 6 weeks or so after insertion or if it is causing symptoms at any time, the IUD will need to be removed by laparoscopic or laparotomic surgery. Usually, however, the out-of-place IUD causes no problems and should be left where it is. The woman will need another contraceptive method.\n\n<strong>7. Should a woman have a \u201crest period\u201d after using her IUD for several years or after the IUD reaches its recommended time for removal?<\/strong>\nNo. This is not necessary, and it could be harmful. Removing the old IUD and immediately inserting a new IUD poses less risk of infection than 2 separate procedures. Also, a woman could become pregnant during a \u201crest period\u201d before her new IUD is inserted.\n\n<strong>8. Should antibiotics be routinely given before IUD insertion?<\/strong>\nNo, usually not. Most recent research done where STIs are not common suggests that PID risk is low with or without antibiotics. When appropriate questions to screen for STI risk are used and IUD insertion is done with proper infection-prevention procedures (including the no-touch insertion technique), there is little risk of infection. Antibiotics may be considered, however, in areas where STIs are common and STI screening is limited.\n\n<strong>9. Must an IUD be inserted only during a woman\u2019s monthly bleeding?<\/strong>\nNo. For a woman having menstrual cycles, an IUD can be inserted at any time during her menstrual cycle if it is reasonably certain that the woman is not pregnant. Inserting the IUD during her monthly bleeding may be a good time because she is not likely to be pregnant, and insertion may be easier. It is not as easy to see signs of infection during monthly bleeding, however.\n\n<strong>10. Should a woman be denied an IUD because she does not want to check her IUD strings?<\/strong>\nNo. A woman should not be denied an IUD because she is unwilling to check the strings. The importance of checking the IUD strings has been overemphasized. It is uncommon for an IUD to come out, and it is rare for it to come out without the woman noticing. The IUD is most likely to come out during the first few months after IUD insertion, during monthly bleeding, among women who have had an IUD inserted soon after childbirth, a second-trimester abortion, or miscarriage, and among women who have never been pregnant. A woman can check her IUD strings if she wants reassurance that it is still in place. Or, if she does not want to check her strings, she can watch carefully in the first month or so and during monthly bleeding to see if the IUD has come out.\n\n<strong>11.\u00a0Do IUDs increase the risk of ectopic pregnancy?<\/strong>\nNo. On the contrary, IUDs greatly reduce the risk of ectopic pregnancy. Ectopic pregnancies are rare among IUD users. The rate of ectopic pregnancy among women with IUDs is 12 per 10,000 women per year. The rate of ectopic pregnancy among women in the United States using no contraceptive method is 65 per 10,000 women per year. On the rare occasions that the IUD fails and pregnancy occurs, 6 to 8 of every 100 of these pregnancies are ectopic. Thus, the great majority of pregnancies after IUD failure are not ectopic. Still, ectopic pregnancy can be life-threatening, so a provider should be aware that ectopic pregnancy is possible if the IUD fails.\n\n[\/accordion-item][accordion-item title=\"<strong>Where to address?<\/strong>\"]\n\nFor a family planning consultation:\n<ul>\n \t<li>Ask your family doctor at your health care facility in your area of residence \u00a0(see\u00a0<strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/Lista-MF-instruiti-in-PF.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a><\/strong>). WARNING: if you belong to one of the socially vulnerable groups (see\u00a0<strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/04\/ord-nr.-658-din-18.08.2015-Cu-privire-la-asigurarea-cu-contraceptive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a><\/strong>) you can benefit from free contraceptives!<\/li>\n \t<li>Ask \u00a0<a href=\"http:\/\/new.neovita.md\/reteaua-cspt-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Youth Friendly Health Centers<\/a><\/li>\n \t<li>Call the RHTC \u00a0Hotline (free and confidential call) \u2013 0800-088-08<\/li>\n \t<li>Call \u00a0RHTC\u00a0\u2013 022355072 \/ 060903782 \/ 078306973<\/li>\n \t<li>Write to RHTC e-mail \u00a0\u2013\u00a0<a href=\"mailto:cidsr2012@gmail.com\">cidsr2012@gmail.com<\/a><\/li>\n<\/ul>\n[\/accordion-item][\/accordion]\n\n&nbsp;\n\n<a href=\"https:\/\/cidsr.md\/planificarea-familiala\"><img class=\"size-full wp-image-958 aligncenter\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435-\u0444\u0430\u0439\u043b\u044b.png\" alt=\"\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435 \u0444\u0430\u0439\u043b\u044b\" width=\"100\" height=\"45\" \/><\/a>"},"excerpt":{"rendered":"","protected":false,"raw":""},"author":4,"featured_media":0,"parent":983,"menu_order":999,"comment_status":"closed","ping_status":"closed","template":"page-text.php","meta":{"_acf_changed":false,"_ru_post_content":"<strong>\u0427\u0442\u043e \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0441\u043e\u0431\u043e\u0439 \u0432\u043d\u0443\u0442\u0440\u0438\u043c\u0430\u0442\u043e\u0447\u043d\u043e\u0435 \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u043e?<img class=\"alignright wp-image-980\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/DIU-cupru-300x225.jpg\" alt=\"DIU cupru\" width=\"250\" height=\"187\" \/><\/strong>\n<ul>\n \t<li>\u041c\u0435\u0434\u044c\u0441\u043e\u0434\u0435\u0440\u0436\u0430\u0449\u0435\u0435 \u0432\u043d\u0443\u0442\u0440\u0438\u043c\u0430\u0442\u043e\u0447\u043d\u043e\u0435 \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u043e (\u0412\u041c\u0421) \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0441\u043e\u0431\u043e\u0439 \u043d\u0435\u0431\u043e\u043b\u044c\u0448\u0443\u044e \u0433\u0438\u0431\u043a\u0443\u044e \u0440\u0430\u043c\u043a\u0443 \u0438\u0437 \u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0430 \u0441 \u043c\u0435\u0434\u043d\u044b\u043c\u0438 \u0433\u0438\u043b\u044c\u0437\u0430\u043c\u0438 \u0438\u043b\u0438 \u043e\u0431\u043c\u043e\u0442\u043a\u043e\u0439 \u0438\u0437 \u043c\u0435\u0434\u043d\u043e\u0439 \u043f\u0440\u043e\u0432\u043e\u043b\u043e\u043a\u0438. \u0412\u043b\u0430\u0434\u0435\u044e\u0449\u0438\u0439 \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0435\u0439 \u0442\u0435\u0445\u043d\u0438\u043a\u043e\u0439 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442 \u0432\u0432\u043e\u0434\u0438\u0442 \u0412\u041c\u0421 \u0432 \u043f\u043e\u043b\u043e\u0441\u0442\u044c \u043c\u0430\u0442\u043a\u0438, \u043f\u0440\u043e\u0445\u043e\u0434\u044f \u0447\u0435\u0440\u0435\u0437 \u0432\u043b\u0430\u0433\u0430\u043b\u0438\u0449\u0435 \u0438 \u0448\u0435\u0439\u043a\u0443 \u043c\u0430\u0442\u043a\u0438.<\/li>\n \t<li>\u041f\u043e\u0447\u0442\u0438 \u0432\u0441\u0435 \u0442\u0438\u043f\u044b \u0412\u041c\u0421 \u043e\u0441\u043d\u0430\u0449\u0435\u043d\u044b \u043e\u0434\u043d\u0438\u043c \u0438\u043b\u0438 \u0434\u0432\u0443\u043c\u044f \u043d\u0438\u0442\u044f\u043c\u0438, \u0441\u0432\u0438\u0441\u0430\u044e\u0449\u0438\u043c\u0438 \u0432\u043e \u0432\u043b\u0430\u0433\u0430\u043b\u0438\u0449\u0435.<\/li>\n \t<li>\u041e\u0441\u043d\u043e\u0432\u043d\u043e\u0439 \u043c\u0435\u0445\u0430\u043d\u0438\u0437\u043c \u0434\u0435\u0439\u0441\u0442\u0432\u0438\u044f \u0441\u043e\u0441\u0442\u043e\u0438\u0442 \u0432 \u0438\u043d\u0438\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0438 \u0445\u0438\u043c\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u0439, \u0432\u044b\u0432\u043e\u0434\u044f\u0449\u0438\u0445 \u0438\u0437 \u0441\u0442\u0440\u043e\u044f \u0441\u043f\u0435\u0440\u043c\u0430\u0442\u043e\u0437\u043e\u0438\u0434\u044b \u0438 \u044f\u0439\u0446\u0435\u043a\u043b\u0435\u0442\u043a\u0443 \u0434\u043e \u043c\u043e\u043c\u0435\u043d\u0442\u0430 \u0438\u0445 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0433\u043e \u0441\u043b\u0438\u044f\u043d\u0438\u044f.<\/li>\n<\/ul>\n[accordion][accordion-item title=\"\u041a\u0430\u043a\u043e\u0432\u0430 \u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u044c \u043c\u0435\u0442\u043e\u0434\u0430?\"]\n\n<strong>\u0412\u041c\u0421 \u0432\u0445\u043e\u0434\u044f\u0442 \u0432 \u0433\u0440\u0443\u043f\u043f\u0443 \u043d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u044b\u0445 \u0438 \u0434\u043e\u043b\u0433\u043e\u0441\u0440\u043e\u0447\u043d\u044b\u0445 \u043c\u0435\u0442\u043e\u0434\u043e\u0432 \u043a\u043e\u043d\u0442\u0440\u0430\u0446\u0435\u043f\u0446\u0438\u0438:<\/strong>\n<ul>\n \t<li>\u041d\u0430 100 \u0436\u0435\u043d\u0449\u0438\u043d, \u043f\u043e\u043b\u044c\u0437\u0443\u044e\u0449\u0438\u0445\u0441\u044f \u043c\u0435\u0442\u043e\u0434\u043e\u043c \u043f\u0435\u0440\u0432\u044b\u0439 \u0433\u043e\u0434, \u043f\u0440\u0438\u0445\u043e\u0434\u0438\u0442\u0441\u044f \u043c\u0435\u043d\u0435\u0435 1 \u0441\u043b\u0443\u0447\u0430\u044f \u043d\u0435\u0437\u0430\u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438 (\u043e\u0442 6 \u0434\u043e 8 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043d\u0430 1 000 \u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u0435\u043b\u0435\u0439). \u042d\u0442\u043e \u043e\u0437\u043d\u0430\u0447\u0430\u0435\u0442, \u0447\u0442\u043e \u0436\u0435\u043b\u0430\u0435\u043c\u043e\u0433\u043e \u044d\u0444\u0444\u0435\u043a\u0442\u0430 (\u043f\u0440\u0435\u0434\u043e\u0445\u0440\u0430\u043d\u0435\u043d\u0438\u0435 \u043e\u0442 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438) \u0434\u043e\u0441\u0442\u0438\u0433\u043d\u0443\u0442 \u043e\u0442 992 \u0434\u043e 994 \u0438\u0437 1 000 \u0436\u0435\u043d\u0449\u0438\u043d, \u043f\u043e\u043b\u044c\u0437\u0443\u044e\u0449\u0438\u0445\u0441\u044f \u0412\u041c\u0421.<\/li>\n \t<li>\u041d\u0435\u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439 \u0440\u0438\u0441\u043a \u043d\u0430\u0441\u0442\u0443\u043f\u043b\u0435\u043d\u0438\u044f \u043d\u0435\u0437\u0430\u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438 \u043f\u0440\u043e\u0434\u043e\u043b\u0436\u0430\u0435\u0442 \u0441\u043e\u0445\u0440\u0430\u043d\u044f\u0442\u044c\u0441\u044f \u0438 \u043f\u043e \u0438\u0441\u0442\u0435\u0447\u0435\u043d\u0438\u0438 \u043f\u0435\u0440\u0432\u043e\u0433\u043e \u0433\u043e\u0434\u0430 \u043f\u043e\u0441\u043b\u0435 \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0412\u041c\u0421. \u0422\u0430\u043a\u043e\u0439 \u0440\u0438\u0441\u043a \u0441\u0443\u0449\u0435\u0441\u0442\u0432\u0443\u0435\u0442 \u043d\u0430 \u043f\u0440\u043e\u0442\u044f\u0436\u0435\u043d\u0438\u0438 \u0432\u0441\u0435\u0433\u043e \u043f\u0435\u0440\u0438\u043e\u0434\u0430 \u043d\u043e\u0448\u0435\u043d\u0438\u044f \u0412\u041c\u0421.<\/li>\n<\/ul>\n\u2014 \u0412 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 10 \u043b\u0435\u0442 \u043d\u043e\u0448\u0435\u043d\u0438\u044f \u0412\u041c\u0421: \u043e\u043a\u043e\u043b\u043e 2 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043d\u0435\u0437\u0430\u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438 \u043d\u0430 100 \u0436\u0435\u043d\u0449\u0438\u043d.\n<ul>\n \t<li>\u0418\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f \u043f\u043e\u043a\u0430\u0437\u0430\u043b\u0438, \u0447\u0442\u043e \u0412\u041c\u0421 \u0442\u0438\u043f\u0430 T\u0421u-380\u0410 \u0441\u043e\u0445\u0440\u0430\u043d\u044f\u044e\u0442 \u0441\u0432\u043e\u0439 \u043a\u043e\u043d\u0442\u0440\u0430\u0446\u0435\u043f\u0442\u0438\u0432\u043d\u044b\u0439 \u044d\u0444\u0444\u0435\u043a\u0442 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 12 \u043b\u0435\u0442. \u0422\u0435\u043c \u043d\u0435 \u043c\u0435\u043d\u0435\u0435, \u043d\u0430 \u0443\u043f\u0430\u043a\u043e\u0432\u043a\u0430\u0445 T\u0421u-380\u0410 \u0443\u043a\u0430\u0437\u044b\u0432\u0430\u0435\u0442\u0441\u044f, \u0447\u0442\u043e \u043d\u043e\u043c\u0438\u043d\u0430\u043b\u044c\u043d\u044b\u0439 \u0441\u0440\u043e\u043a \u0438\u0445 \u0441\u043b\u0443\u0436\u0431\u044b \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 10 \u043b\u0435\u0442. (\u041f\u0440\u043e\u0432\u0430\u0439\u0434\u0435\u0440\u0430\u043c \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e \u0441\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u044c \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0430\u0446\u0438\u044f\u043c \u043e\u0442\u043d\u043e\u0441\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0432\u0440\u0435\u043c\u0435\u043d\u0438 \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u044f \u0412\u041c\u0421, \u043f\u0440\u0438\u043d\u044f\u0442\u044b\u043c \u0432 \u0440\u0430\u043c\u043a\u0430\u0445 \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u043e\u0439 \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u044b \u043f\u043e \u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044e \u0441\u0435\u043c\u044c\u0438).<\/li>\n<\/ul>\n<strong>\u0412\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u0435 \u0444\u0435\u0440\u0442\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u0438 \u043f\u043e\u0441\u043b\u0435 \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u044f \u0412\u041c\u0421<\/strong>: \u041f\u0440\u043e\u0438\u0441\u0445\u043e\u0434\u0438\u0442 \u043f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0438 \u0441\u0440\u0430\u0437\u0443.\n<strong>\u0417\u0430\u0449\u0438\u0442\u0430 \u043e\u0442 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0439, \u043f\u0435\u0440\u0435\u0434\u0430\u044e\u0449\u0438\u0445\u0441\u044f \u043f\u043e\u043b\u043e\u0432\u044b\u043c \u043f\u0443\u0442\u0435\u043c (\u0418\u041f\u041f\u041f):<\/strong> \u041d\u0435 \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0438\u0432\u0430\u0435\u0442\u0441\u044f.\n\n[\/accordion-item][accordion-item title=\"\u041f\u043e\u0431\u043e\u0447\u043d\u044b\u0435 \u044d\u0444\u0444\u0435\u043a\u0442\u044b, \u0431\u043b\u0430\u0433\u043e\u0442\u0432\u043e\u0440\u043d\u043e\u0435 \u0432\u043b\u0438\u044f\u043d\u0438\u0435 \u0438 \u0440\u0438\u0441\u043a\u0438 \u0434\u043b\u044f \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u044f\"]\n\n<strong>\u041f\u043e\u0431\u043e\u0447\u043d\u044b\u0435 \u044d\u0444\u0444\u0435\u043a\u0442\u044b<\/strong>\n\u041d\u0435\u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u0435\u043b\u0438 \u0441\u043e\u043e\u0431\u0449\u0430\u044e\u0442 \u043e \u043f\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u0438 \u0441\u043b\u0435\u0434\u0443\u044e\u0449\u0438\u0445 \u043f\u043e\u0431\u043e\u0447\u043d\u044b\u0445 \u044d\u0444\u0444\u0435\u043a\u0442\u043e\u0432:\n<ul>\n \t<li>\u0418\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u0435 \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u0430 \u043c\u0435\u043d\u0441\u0442\u0440\u0443\u0430\u043b\u044c\u043d\u044b\u0445 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u0439 (\u0432 \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438, \u0432 \u043f\u0435\u0440\u0432\u044b\u0435 3-6 \u043c\u0435\u0441\u044f\u0446\u0435\u0432 \u043f\u043e\u0441\u043b\u0435 \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0412\u041c\u0421), \u0432\u043a\u043b\u044e\u0447\u0430\u044f:<\/li>\n<\/ul>\n\u2014 \u0417\u0430\u0442\u044f\u0436\u043d\u044b\u0435 \u0438 \u043e\u0431\u0438\u043b\u044c\u043d\u044b\u0435 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u044f\n\u2014 \u041d\u0435\u0440\u0435\u0433\u0443\u043b\u044f\u0440\u043d\u044b\u0435 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u044f\n\u2014 \u0423\u0432\u0435\u043b\u0438\u0447\u0435\u043d\u0438\u0435 \u0438\u043d\u0442\u0435\u043d\u0441\u0438\u0432\u043d\u043e\u0441\u0442\u0438 \u043c\u0435\u043d\u0441\u0442\u0440\u0443\u0430\u043b\u044c\u043d\u044b\u0445 \u0441\u043f\u0430\u0437\u043c\u043e\u0432 \u0438 \u0431\u043e\u043b\u0435\u0439\n\n<strong>\u0423\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044b\u0435 \u0432\u0438\u0434\u044b \u0431\u043b\u0430\u0433\u043e\u0442\u0432\u043e\u0440\u043d\u043e\u0433\u043e \u0432\u043b\u0438\u044f\u043d\u0438\u044f \u043d\u0430 \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u0435<\/strong>:\n<ul>\n \t<li>\u0421\u043f\u043e\u0441\u043e\u0431\u0441\u0442\u0432\u0443\u044e\u0442 \u043f\u0440\u043e\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0435 \u0440\u0438\u0441\u043a\u043e\u0432, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0445 \u0441 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c\u044e.<\/li>\n \t<li>\u041c\u043e\u0433\u0443\u0442 \u0441\u043f\u043e\u0441\u043e\u0431\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u043f\u0440\u043e\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0435 \u0440\u0430\u043a\u0430 \u0441\u043b\u0438\u0437\u0438\u0441\u0442\u043e\u0439 \u043e\u0431\u043e\u043b\u043e\u0447\u043a\u0438 \u043c\u0430\u0442\u043a\u0438 (\u044d\u043d\u0434\u043e\u043c\u0435\u0442\u0440\u0438\u044f).<\/li>\n<\/ul>\n<strong>\u0423\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u043d\u044b\u0435 \u0440\u0438\u0441\u043a\u0438 \u0434\u043b\u044f \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u044f<\/strong>\n\u041e\u0447\u0435\u043d\u044c \u0440\u0435\u0434\u043a\u043e:\n<ul>\n \t<li>\u041f\u0440\u0438\u043c\u0435\u043d\u0435\u043d\u0438\u0435 \u043c\u0435\u0442\u043e\u0434\u0430 \u043c\u043e\u0436\u0435\u0442 \u0441\u043f\u043e\u0441\u043e\u0431\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044e \u0436\u0435\u043b\u0435\u0437\u043e\u0434\u0435\u0444\u0438\u0446\u0438\u0442\u043d\u043e\u0439 \u0430\u043d\u0435\u043c\u0438\u0438 \u0432 \u0442\u0435\u0445 \u0441\u043b\u0443\u0447\u0430\u044f\u0445, \u043a\u043e\u0433\u0434\u0430 \u0443 \u0436\u0435\u043d\u0449\u0438\u043d\u044b \u043d\u0430 \u043c\u043e\u043c\u0435\u043d\u0442 \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0412\u041c\u0421 \u0438\u043c\u0435\u043b\u0441\u044f \u043d\u0438\u0437\u043a\u0438\u0439 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u0433\u0435\u043c\u043e\u0433\u043b\u043e\u0431\u0438\u043d\u0430, \u0438 \u043d\u043e\u0448\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 \u0441\u043e\u043f\u0440\u043e\u0432\u043e\u0436\u0434\u0430\u0435\u0442\u0441\u044f \u043e\u0431\u0438\u043b\u044c\u043d\u044b\u043c\u0438 \u043c\u0435\u0441\u044f\u0447\u043d\u044b\u043c\u0438 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u044f\u043c\u0438.<\/li>\n<\/ul>\nRar:\n<ul>\n \t<li>\u0412\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u043e\u0440\u0433\u0430\u043d\u043e\u0432 \u043c\u0430\u043b\u043e\u0433\u043e \u0442\u0430\u0437\u0430 (\u0412\u0417\u041e\u041c\u0422) \u0435\u0441\u043b\u0438 \u043d\u0430 \u043c\u043e\u043c\u0435\u043d\u0442 \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0412\u041c\u0421 \u0443 \u0436\u0435\u043d\u0449\u0438\u043d\u044b \u0438\u043c\u0435\u0435\u0442\u0441\u044f \u0445\u043b\u0430\u043c\u0438\u0434\u0438\u0439\u043d\u0430\u044f \u0438\u043b\u0438 <a href=\"https:\/\/cidsr.md\/ru\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">\u0433\u043e\u043d\u043e\u0440\u0435\u0439\u043d\u0430\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f<\/a>.<\/li>\n<\/ul>\n<strong>\u041e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f<\/strong>\n\u0412\u0441\u0442\u0440\u0435\u0447\u0430\u044e\u0442\u0441\u044f \u0440\u0435\u0434\u043a\u043e \u0438 \u0432\u043a\u043b\u044e\u0447\u0430\u044e\u0442:\n<ul>\n \t<li>\u041f\u0440\u043e\u0431\u043e\u0434\u0435\u043d\u0438\u0435 (\u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044e) \u0441\u0442\u0435\u043d\u043a\u0438 \u043c\u0430\u0442\u043a\u0438 \u0432\u0432\u043e\u0434\u0438\u043c\u044b\u043c \u0412\u041c\u0421 \u0438\u043b\u0438 \u0438\u043d\u0441\u0442\u0440\u0443\u043c\u0435\u043d\u0442\u043e\u043c, \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u0435\u043c\u044b\u043c \u043f\u0440\u0438 \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u0438 \u0412\u041c\u0421. \u041a\u0430\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u0437\u0430\u0436\u0438\u0432\u043b\u0435\u043d\u0438\u0435 \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u043e\u0442\u0432\u0435\u0440\u0441\u0442\u0438\u044f \u043f\u0440\u043e\u0438\u0441\u0445\u043e\u0434\u0438\u0442 \u0441\u0430\u043c\u043e\u0441\u0442\u043e\u044f\u0442\u0435\u043b\u044c\u043d\u043e.<\/li>\n \t<li>\u0412\u044b\u043a\u0438\u0434\u044b\u0448, \u043f\u0440\u0435\u0436\u0434\u0435\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0435 \u0440\u043e\u0434\u044b \u0438\u043b\u0438 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f \u0432 \u0442\u0435\u0445 \u0440\u0435\u0434\u043a\u0438\u0445 \u0441\u043b\u0443\u0447\u0430\u044f\u0445, \u043a\u043e\u0433\u0434\u0430 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c \u043d\u0430\u0441\u0442\u0443\u043f\u0430\u0435\u0442 \u0432 \u043f\u0435\u0440\u0438\u043e\u0434 \u043d\u043e\u0448\u0435\u043d\u0438\u044f \u0412\u041c\u0421.<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"\u041a\u0442\u043e \u043c\u043e\u0436\u0435\u0442 \u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u044c\u0441\u044f \u0412\u041c\u0421?\"]\n\n\u0412\u041c\u0421 \u043c\u043e\u0433\u0443\u0442 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e \u0438 \u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e \u043f\u0440\u0438\u043c\u0435\u043d\u044f\u0442\u044c\u0441\u044f \u043f\u043e\u0447\u0442\u0438 \u043a\u0430\u0436\u0434\u043e\u0439 \u0436\u0435\u043d\u0449\u0438\u043d\u043e\u0439, \u0432\u043a\u043b\u044e\u0447\u0430\u044f:\n<ul>\n \t<li>\u0420\u043e\u0436\u0430\u0432\u0448\u0438\u0445 \u0438 \u043d\u0435\u0440\u043e\u0436\u0430\u0432\u0448\u0438\u0445 \u0436\u0435\u043d\u0449\u0438\u043d<\/li>\n \t<li>\u041d\u0435\u0437\u0430\u043c\u0443\u0436\u043d\u0438\u0445 \u0436\u0435\u043d\u0449\u0438\u043d<\/li>\n \t<li>\u0416\u0435\u043d\u0449\u0438\u043d \u043b\u044e\u0431\u043e\u0433\u043e \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430 (\u0432\u043a\u043b\u044e\u0447\u0430\u044f \u0434\u0435\u0432\u0443\u0448\u0435\u043a \u043f\u043e\u0434\u0440\u043e\u0441\u0442\u043a\u043e\u0432\u043e\u0433\u043e \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430 \u0438 \u0436\u0435\u043d\u0449\u0438\u043d \u0441\u0442\u0430\u0440\u0448\u0435 40 \u043b\u0435\u0442)<\/li>\n \t<li>\u0416\u0435\u043d\u0449\u0438\u043d, \u043d\u0435\u0434\u0430\u0432\u043d\u043e \u043f\u0435\u0440\u0435\u043d\u0435\u0441\u0448\u0438\u0445 \u0430\u0431\u043e\u0440\u0442 \u0438\u043b\u0438 \u0432\u044b\u043a\u0438\u0434\u044b\u0448<\/li>\n \t<li>\u041a\u043e\u0440\u043c\u044f\u0449\u0438\u0445 \u0433\u0440\u0443\u0434\u044c\u044e \u043c\u0430\u0442\u0435\u0440\u0435\u0439<\/li>\n \t<li>\u0416\u0435\u043d\u0449\u0438\u043d, \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u044e\u0449\u0438\u0445 \u0442\u044f\u0436\u0435\u043b\u0443\u044e \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0443\u044e \u0440\u0430\u0431\u043e\u0442\u0443<\/li>\n \t<li>\u0416\u0435\u043d\u0449\u0438\u043d, \u043f\u0435\u0440\u0435\u043d\u0435\u0441\u0448\u0438\u0445 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044e \u043f\u043e \u043f\u043e\u0432\u043e\u0434\u0443 \u0432\u043d\u0435\u043c\u0430\u0442\u043e\u0447\u043d\u043e\u0439 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438<\/li>\n \t<li>\u0416\u0435\u043d\u0449\u0438\u043d, \u043f\u0435\u0440\u0435\u0431\u043e\u043b\u0435\u0432\u0448\u0438\u0445 \u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u043c \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435\u043c \u043e\u0440\u0433\u0430\u043d\u043e\u0432 \u043c\u0430\u043b\u043e\u0433\u043e \u0442\u0430\u0437\u0430 (\u0412\u0417\u041e\u041c\u0422)(BIP)<\/li>\n \t<li>\u0416\u0435\u043d\u0449\u0438\u043d \u0441 \u0432\u0430\u0433\u0438\u043d\u0430\u043b\u044c\u043d\u043e\u0439 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0435\u0439<\/li>\n \t<li>\u0416\u0435\u043d\u0449\u0438\u043d \u0441 \u0430\u043d\u0435\u043c\u0438\u0435\u0439<\/li>\n \t<li>\u0412\u0418\u0427-\u0438\u043d\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0445 \u0436\u0435\u043d\u0449\u0438\u043d \u0438 \u0436\u0435\u043d\u0449\u0438\u043d, \u043f\u043e\u043b\u0443\u0447\u0430\u044e\u0449\u0438\u0445 \u0438 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0440\u0435\u0430\u0433\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u043d\u0430 \u0430\u043d\u0442\u0438\u0440\u0435\u0442\u0440\u043e\u0432\u0438\u0440\u0443\u0441\u043d\u043e\u0435 \u043b\u0435\u0447\u0435\u043d\u0438\u0435<\/li>\n<\/ul>\n\u0416\u0435\u043d\u0449\u0438\u043d\u0430 \u043c\u043e\u0436\u0435\u0442 \u043f\u0440\u0438\u0441\u0442\u0443\u043f\u0430\u0442\u044c \u043a \u043f\u0440\u0438\u043c\u0435\u043d\u0435\u043d\u0438\u044e \u043c\u0435\u0442\u043e\u0434\u0430:\n<ul>\n \t<li>\u0411\u0435\u0437 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u043e\u0431\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f \u043d\u0430 \u0418\u041f\u041f\u041f<\/li>\n \t<li>\u0411\u0435\u0437 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u043e\u0431\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f \u043d\u0430 \u0412\u0418\u0427-\u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044e<\/li>\n \t<li>\u0411\u0435\u0437 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u0430\u043d\u0430\u043b\u0438\u0437\u0430 \u043a\u0440\u043e\u0432\u0438 \u0438 \u043f\u0440\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0434\u0440\u0443\u0433\u0438\u0445 \u0441\u0442\u0430\u043d\u0434\u0430\u0440\u0442\u043d\u044b\u0445 \u043b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u043d\u044b\u0445 \u0442\u0435\u0441\u0442\u043e\u0432<\/li>\n \t<li>\u0411\u0435\u0437 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u0441\u043a\u0440\u0438\u043d\u0438\u043d\u0433\u0430 \u043d\u0430 \u0440\u0430\u043a \u0448\u0435\u0439\u043a\u0438 \u043c\u0430\u0442\u043a\u0438.<\/li>\n \t<li>\u0411\u0435\u0437 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u043e\u0431\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f \u043c\u043e\u043b\u043e\u0447\u043d\u044b\u0445 \u0436\u0435\u043b\u0435\u0437<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"\u041e\u043f\u0440\u043e\u0432\u0435\u0440\u0436\u0435\u043d\u0438\u0435 \u043c\u0438\u0444\u043e\u0432\"]\n\n\u0412\u043d\u0443\u0442\u0440\u0438\u043c\u0430\u0442\u043e\u0447\u043d\u044b\u0435 \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0430:\n<ul>\n \t<li>\u0420\u0435\u0434\u043a\u043e \u043f\u0440\u0438\u0432\u043e\u0434\u044f\u0442 \u043a \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044e \u0412\u0417\u041e\u041c\u0422<\/li>\n \t<li>\u041d\u0435 \u0443\u0432\u0435\u043b\u0438\u0447\u0438\u0432\u0430\u044e\u0442 \u0440\u0438\u0441\u043a \u0437\u0430\u0440\u0430\u0436\u0435\u043d\u0438\u044f \u0418\u041f\u041f\u041f (\u0432\u043a\u043b\u044e\u0447\u0430\u044f \u0412\u0418\u0427-\u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044e)<\/li>\n \t<li>\u041d\u0435 \u0443\u0432\u0435\u043b\u0438\u0447\u0438\u0432\u0430\u044e\u0442 \u0440\u0438\u0441\u043a \u0441\u0430\u043c\u043e\u043f\u0440\u043e\u0438\u0437\u0432\u043e\u043b\u044c\u043d\u043e\u0433\u043e \u043f\u0440\u0435\u0440\u044b\u0432\u0430\u043d\u0438\u044f \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438 \u0432\u00a0\u0442\u043e\u043c \u0441\u043b\u0443\u0447\u0430\u0435, \u0435\u0441\u043b\u0438 \u0442\u0430\u043a\u043e\u0432\u0430\u044f \u043d\u0430\u0441\u0442\u0443\u043f\u0430\u0435\u0442 \u043f\u043e\u0441\u043b\u0435 \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u044f \u0412\u041c\u0421<\/li>\n \t<li>\u041d\u0435 \u043f\u0440\u0438\u0432\u043e\u0434\u044f\u0442 \u043a \u0431\u0435\u0441\u043f\u043b\u043e\u0434\u0438\u044e<\/li>\n \t<li>\u041d\u0435 \u043f\u0440\u0438\u0432\u043e\u0434\u044f\u0442 \u043a \u043f\u043e\u0440\u043e\u043a\u0430\u043c \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u043f\u043b\u043e\u0434\u0430<\/li>\n \t<li>\u041d\u0435 \u0432\u044b\u0437\u044b\u0432\u0430\u044e\u0442 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0445 \u043e\u043f\u0443\u0445\u043e\u043b\u0435\u0439<\/li>\n \t<li>\u041d\u0435 \u043c\u0438\u0433\u0440\u0438\u0440\u0443\u044e\u0442 \u0432 \u0441\u0435\u0440\u0434\u0446\u0435 \u0438\u043b\u0438 \u043c\u043e\u0437\u0433<\/li>\n \t<li>\u041d\u0435 \u0432\u044b\u0437\u044b\u0432\u0430\u044e\u0442 \u0434\u0438\u0441\u043a\u043e\u043c\u0444\u043e\u0440\u0442\u0430 \u0438\u043b\u0438 \u0431\u043e\u043b\u0435\u0439 \u0443 \u0436\u0435\u043d\u0449\u0438\u043d\u044b \u0432\u043e \u0432\u0440\u0435\u043c\u044f\u00a0\u043f\u043e\u043b\u043e\u0432\u043e\u0433\u043e \u0430\u043a\u0442\u0430<\/li>\n \t<li>\u0417\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0441\u043d\u0438\u0436\u0430\u044e\u0442 \u0440\u0438\u0441\u043a \u043d\u0430\u0441\u0442\u0443\u043f\u043b\u0435\u043d\u0438\u044f \u0432\u043d\u0435\u043c\u0430\u0442\u043e\u0447\u043d\u043e\u0439 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"\u0420\u0435\u0448\u0435\u043d\u0438\u0435 \u043f\u0440\u043e\u0431\u043b\u0435\u043c, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u044b\u0445 \u0441 \u043f\u0440\u0438\u043c\u0435\u043d\u0435\u043d\u0438\u0435\u043c \u043c\u0435\u0442\u043e\u0434\u0430\"]\n<strong>\u041f\u0440\u043e\u0431\u043b\u0435\u043c\u044b, \u043e\u0442\u043d\u043e\u0441\u0438\u043c\u044b\u0435 \u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u0435\u043b\u044f\u043c\u0438 \u043a \u0440\u0430\u0437\u0440\u044f\u0434\u0443 \u043f\u043e\u0431\u043e\u0447\u043d\u044b\u0445 \u044d\u0444\u0444\u0435\u043a\u0442\u043e\u0432 \u0438\u043b\u0438 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u0439<\/strong>:\n<ul>\n \t<li>\u041e\u0431\u0438\u043b\u044c\u043d\u044b\u0435 \u0438\u043b\u0438 \u0437\u0430\u0442\u044f\u0436\u043d\u044b\u0435 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u044f (\u043a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u043e \u0442\u0435\u0440\u044f\u0435\u043c\u043e\u0439 \u043a\u0440\u043e\u0432\u0438 \u0432 \u0434\u0432\u0430 \u0440\u0430\u0437\u0430 \u043f\u0440\u0435\u0432\u044b\u0448\u0430\u0435\u0442 \u043e\u0431\u044b\u0447\u043d\u043e\u0435, \u043b\u0438\u0431\u043e \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u044f \u0434\u043b\u044f\u0442\u0441\u044f \u0431\u043e\u043b\u0435\u0435 8 \u0434\u043d\u0435\u0439)<\/li>\n \t<li>\u041d\u0435\u0440\u0435\u0433\u0443\u043b\u044f\u0440\u043d\u044b\u0435 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u044f (\u0436\u0435\u043d\u0449\u0438\u043d\u0443 \u0431\u0435\u0441\u043f\u043e\u043a\u043e\u0438\u0442 \u043f\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u0435 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u0439 \u0432 \u043d\u0435\u043e\u0436\u0438\u0434\u0430\u043d\u043d\u044b\u0435 \u043c\u043e\u043c\u0435\u043d\u0442\u044b)<\/li>\n \t<li>\u0421\u043f\u0430\u0437\u043c\u044b \u0438 \u0431\u043e\u043b\u0438<\/li>\n \t<li>\u0412\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0435 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0430\u043d\u0435\u043c\u0438\u0438<\/li>\n \t<li>\u041f\u0430\u0440\u0442\u043d\u0435\u0440 \u043e\u0449\u0443\u0449\u0430\u0435\u0442 \u043f\u0440\u0438\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043d\u0438\u0442\u0435\u0439 \u0412\u041c\u0421 \u0432\u043e \u0432\u043b\u0430\u0433\u0430\u043b\u0438\u0449\u0435 \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u043f\u043e\u043b\u043e\u0432\u043e\u0433\u043e \u0430\u043a\u0442\u0430<\/li>\n \t<li>\u0421\u0438\u043b\u044c\u043d\u044b\u0435 \u0431\u043e\u043b\u0438 \u0432\u043d\u0438\u0437\u0443 \u0436\u0438\u0432\u043e\u0442\u0430 (\u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0435 \u043d\u0430 \u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435 \u043e\u0440\u0433\u0430\u043d\u043e\u0432 \u043c\u0430\u043b\u043e\u0433\u043e \u0442\u0430\u0437\u0430 [\u0412\u0417\u041e\u041c\u0422])<\/li>\n \t<li>\u0421\u0438\u043b\u044c\u043d\u0430\u044f \u0431\u043e\u043b\u044c \u0432\u043d\u0438\u0437\u0443 \u0436\u0438\u0432\u043e\u0442\u0430 (\u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0435 \u043d\u0430 \u0432\u043d\u0435\u043c\u0430\u0442\u043e\u0447\u043d\u0443\u044e =-\u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c)<\/li>\n \t<li>\u041f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0435 \u043d\u0430 \u043f\u0440\u043e\u0431\u043e\u0434\u0435\u043d\u0438\u0435 (\u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044e) \u043c\u0430\u0442\u043a\u0438<\/li>\n \t<li>\u0427\u0430\u0441\u0442\u0438\u0447\u043d\u043e\u0435 \u0432\u044b\u043f\u0430\u0434\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 (\u0447\u0430\u0441\u0442\u0438\u0447\u043d\u043e\u0435 \u0438\u0437\u0433\u043d\u0430\u043d\u0438\u0435)<\/li>\n \t<li>\u041f\u043e\u043b\u043d\u043e\u0435 \u0432\u044b\u043f\u0430\u0434\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 (\u043f\u043e\u043b\u043d\u043e\u0435 \u0438\u0437\u0433\u043d\u0430\u043d\u0438\u0435)<\/li>\n \t<li>\u041e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043d\u0438\u0442\u0435\u0439 \u0412\u041c\u0421 (\u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0435 \u043d\u0430 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c, \u043f\u0440\u043e\u0431\u043e\u0434\u0435\u043d\u0438\u0435 \u043c\u0430\u0442\u043a\u0438 \u0438\u043b\u0438 \u0438\u0437\u0433\u043d\u0430\u043d\u0438\u0435 \u0412\u041c\u0421)<\/li>\n<\/ul>\n<strong>\u0412\u043e\u0437\u043d\u0438\u043a\u0448\u0438\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043c\u043e\u0433\u0443\u0442 \u0442\u0440\u0435\u0431\u043e\u0432\u0430\u0442\u044c \u0441\u043c\u0435\u043d\u044b \u043c\u0435\u0442\u043e\u0434\u0430<\/strong>\n<ul>\n \t<li>\u0412\u0430\u0433\u0438\u043d\u0430\u043b\u044c\u043d\u044b\u0435 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u044f \u043d\u0435\u044f\u0441\u043d\u043e\u0439 \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0438 (\u043f\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u0435 \u0442\u0430\u043a\u0438\u0445 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u0439 \u043c\u043e\u0436\u0435\u0442 \u0443\u043a\u0430\u0437\u044b\u0432\u0430\u0442\u044c \u043d\u0430 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435, \u043d\u0435 \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u043e\u0435 \u0441 \u043d\u043e\u0448\u0435\u043d\u0438\u0435\u043c \u0412\u041c\u0421)<\/li>\n \t<li>\u041f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0435 \u043d\u0430 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c<\/li>\n<\/ul>\n<strong>\u0412 \u0441\u043b\u0443\u0447\u0430\u0435 \u0432\u043e\u0437\u043d\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0438\u044f \u043f\u0435\u0440\u0435\u0447\u0438\u0441\u043b\u0435\u043d\u043d\u044b\u0445 \u0440\u0430\u0441\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432, \u043e\u0431\u0440\u0430\u0442\u0438\u0442\u0435\u0441\u044c \u043a \u0432\u0440\u0430\u0447\u0443.<\/strong>\n\n[\/accordion-item][accordion-item title=\"\u0412\u043d\u0443\u0442\u0440\u0438\u043c\u0430\u0442\u043e\u0447\u043d\u044b\u0435 \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0430 (\u0412\u041c\u0421): \u0432\u043e\u043f\u0440\u043e\u0441\u044b \u0438 \u043e\u0442\u0432\u0435\u0442\u044b\"]\n\n<strong>1. \u041c\u043e\u0433\u0443\u0442 \u043b\u0438 \u0412\u041c\u0421 \u0432\u044b\u0437\u044b\u0432\u0430\u0442\u044c \u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u043e\u0440\u0433\u0430\u043d\u043e\u0432 \u043c\u0430\u043b\u043e\u0433\u043e \u0442\u0430\u0437\u0430 (\u0412\u0417\u041e\u041c\u0422)?<\/strong>\n\u0421\u0430\u043c\u0438 \u043f\u043e \u0441\u0435\u0431\u0435, \u0412\u041c\u0421 \u043d\u0435 \u043c\u043e\u0433\u0443\u0442 \u044f\u0432\u043b\u044f\u0442\u044c\u0441\u044f \u043f\u0440\u0438\u0447\u0438\u043d\u043e\u0439 \u0412\u0417\u041e\u041c\u0422. \u041e\u0441\u043d\u043e\u0432\u043d\u044b\u043c\u0438 \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u0444\u0430\u043a\u0442\u043e\u0440\u0430\u043c\u0438 \u0412\u0417\u041e\u041c\u0422 \u044f\u0432\u043b\u044f\u044e\u0442\u0441\u044f <a href=\"https:\/\/cidsr.md\/ru\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">\u0433\u043e\u043d\u043e\u0440\u0435\u044f<\/a> \u0438 \u0445\u043b\u0430\u043c\u0438\u0434\u0438\u043e\u0437. \u0422\u0435\u043c \u043d\u0435 \u043c\u0435\u043d\u0435\u0435, \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 \u0432 \u043f\u0435\u0440\u0438\u043e\u0434, \u043a\u043e\u0433\u0434\u0430 <a href=\"https:\/\/cidsr.md\/ru\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">\u0436\u0435\u043d\u0449\u0438\u043d\u0430 \u0431\u043e\u043b\u0435\u0435\u0442 \u0433\u043e\u043d\u043e\u0440\u0435\u0435\u0439<\/a> \u0438\u043b\u0438 \u0445\u043b\u0430\u043c\u0438\u0434\u0438\u043e\u0437\u043e\u043c, \u043c\u043e\u0436\u0435\u0442 \u043f\u0440\u0438\u0432\u043e\u0434\u0438\u0442\u044c \u043a \u0412\u0417\u041e\u041c\u0422, \u0447\u0442\u043e, \u043e\u0434\u043d\u0430\u043a\u043e, \u043f\u0440\u043e\u0438\u0441\u0445\u043e\u0434\u0438\u0442 \u0440\u0435\u0434\u043a\u043e. \u0412 \u0442\u0435\u0445 \u0441\u043b\u0443\u0447\u0430\u044f\u0445, \u043a\u043e\u0433\u0434\u0430 \u0412\u0417\u041e\u041c\u0422 \u0434\u0435\u0439\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u0435\u0442\u0441\u044f, \u044d\u0442\u043e \u043e\u0431\u044b\u0447\u043d\u043e \u043f\u0440\u043e\u0438\u0441\u0445\u043e\u0434\u0438\u0442 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 20 \u0434\u043d\u0435\u0439 \u043f\u043e\u0441\u043b\u0435 \u0443\u0441\u0442\u0430\u043d\u043e\u0432\u043a\u0438 \u0412\u041c\u0421. \u0411\u044b\u043b\u043e \u0443\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u043e, \u0447\u0442\u043e \u0432 \u0433\u0440\u0443\u043f\u043f\u0435 \u0436\u0435\u043d\u0449\u0438\u043d \u0441 \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0435\u043d\u043d\u043e\u0441\u0442\u044c\u044e \u0418\u041f\u041f\u041f (\u0443 \u043a\u043e\u0442\u043e\u0440\u044b\u0445 \u0432 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0435 \u0441\u043a\u0440\u0438\u043d\u0438\u043d\u0433\u0430 \u043e\u0431\u043d\u0430\u0440\u0443\u0436\u0438\u0432\u0430\u0435\u0442\u0441\u044f, \u0447\u0442\u043e \u043e\u043a\u043e\u043b\u043e \u043f\u043e\u043b\u043e\u0432\u0438\u043d\u044b \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u0438\u0442\u0435\u043b\u0435\u0439 \u0433\u0440\u0443\u043f\u043f\u044b \u0431\u043e\u043b\u0435\u0435\u0442 \u0418\u041f\u041f\u041f), \u043d\u0430 666 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0412\u041c\u0421 \u043f\u0440\u0438\u0445\u043e\u0434\u0438\u0442\u0441\u044f 1 \u0441\u043b\u0443\u0447\u0430\u0439 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0412\u0417\u041e\u041c\u0422 (\u0438\u043b\u0438 \u043c\u0435\u043d\u0435\u0435 2 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043d\u0430 1 \u0442\u044b\u0441. \u0436\u0435\u043d\u0449\u0438\u043d).\n\n<strong>2. \u0414\u043e\u043f\u0443\u0441\u043a\u0430\u0435\u0442\u0441\u044f \u043b\u0438 \u043d\u043e\u0448\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 \u0432 \u043f\u043e\u0434\u0440\u043e\u0441\u0442\u043a\u043e\u0432\u043e\u043c \u0438 \u043f\u043e\u0436\u0438\u043b\u043e\u043c \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0435?<\/strong>\n\u0414\u0430. \u041a\u0430\u043a\u0438\u0435-\u043b\u0438\u0431\u043e \u043d\u0438\u0436\u043d\u0438\u0435 \u0438\u043b\u0438 \u0432\u0435\u0440\u0445\u043d\u0438\u0435 \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u043d\u044b\u0435 \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u0438\u044f \u0434\u043b\u044f \u043d\u043e\u0448\u0435\u043d\u0438\u044f \u0412\u041c\u0421 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0442. \u0412\u041c\u0421 \u0434\u043e\u043b\u0436\u043d\u0430 \u0431\u044b\u0442\u044c \u0443\u0434\u0430\u043b\u0435\u043d\u043e \u043f\u043e\u0441\u043b\u0435 \u043d\u0430\u0441\u0442\u0443\u043f\u043b\u0435\u043d\u0438\u044f \u043c\u0435\u043d\u043e\u043f\u0430\u0443\u0437\u044b \u2013 \u0442.\u0435. \u043f\u043e \u043f\u0440\u043e\u0448\u0435\u0441\u0442\u0432\u0438\u0438 12 \u043c\u0435\u0441\u044f\u0446\u0435\u0432 \u043f\u043e\u0441\u043b\u0435 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u0435\u0433\u043e \u043c\u0435\u0441\u044f\u0447\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u044f.\n\n<strong>3. \u0421\u043b\u0435\u0434\u0443\u0435\u0442 \u043b\u0438 \u0443\u0434\u0430\u043b\u044f\u0442\u044c \u0412\u041c\u0421 \u0432 \u0442\u043e\u043c \u0441\u043b\u0443\u0447\u0430\u0435, \u0435\u0441\u043b\u0438 \u0436\u0435\u043d\u0449\u0438\u043d\u0430 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u0435\u0442 \u0418\u041f\u041f\u041f, \u0438\u043b\u0438 \u043f\u043e\u043f\u0430\u0434\u0430\u0435\u0442 \u0432 \u0433\u0440\u0443\u043f\u043f\u0443 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u043d\u043e\u0433\u043e \u0440\u0438\u0441\u043a\u0430 \u043f\u043e \u0418\u041f\u041f\u041f \u0432 \u043f\u0435\u0440\u0438\u043e\u0434 \u043d\u043e\u0448\u0435\u043d\u0438\u044f \u0412\u041c\u0421?<\/strong>\n\u041d\u0435\u0442. \u0415\u0441\u043b\u0438 \u0436\u0435\u043d\u0449\u0438\u043d\u0430 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u0435\u0442 \u0418\u041f\u041f\u041f \u043f\u043e\u0441\u043b\u0435 \u0432\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u0412\u041c\u0421, \u0442\u043e \u0432 \u044d\u0442\u043e\u043c \u0441\u043b\u0443\u0447\u0430\u0435 \u0440\u0438\u0441\u043a \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0412\u0417\u041e\u041c\u0422 \u043f\u043e \u043f\u0440\u0438\u0447\u0438\u043d\u0435 \u043f\u0440\u0438\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u044f \u0412\u041c\u0421 \u0432 \u043f\u043e\u043b\u043e\u0441\u0442\u0438 \u043c\u0430\u0442\u043a\u0438 \u043d\u0435\u0432\u044b\u0441\u043e\u043a. \u0416\u0435\u043d\u0449\u0438\u043d\u0430 \u043c\u043e\u0436\u0435\u0442 \u043f\u0440\u043e\u0434\u043e\u043b\u0436\u0438\u0442\u044c \u043d\u043e\u0448\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 \u0432 \u043f\u0435\u0440\u0438\u043e\u0434 \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u0418\u041f\u041f\u041f. \u0423\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 \u043d\u0435 \u0434\u0430\u0435\u0442 \u043a\u0430\u043a\u0438\u0445-\u043b\u0438\u0431\u043e \u043e\u0449\u0443\u0442\u0438\u043c\u044b\u0445 \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432 \u0438 \u043c\u043e\u0436\u0435\u0442 \u043f\u0440\u0438\u0432\u043e\u0434\u0438\u0442\u044c \u043a \u043d\u0430\u0441\u0442\u0443\u043f\u043b\u0435\u043d\u0438\u044e \u043d\u0435\u0437\u0430\u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438. \u041f\u043e\u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0439\u0442\u0435 \u0436\u0435\u043d\u0449\u0438\u043d\u0435\/\u043f\u0430\u0440\u0435 \u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u044c\u0441\u044f \u043f\u0440\u0435\u0437\u0435\u0440\u0432\u0430\u0442\u0438\u0432\u0430\u043c\u0438 \u0438 \u0442\u0430\u043a\u0436\u0435 \u043f\u0440\u0438\u043c\u0435\u043d\u044f\u0442\u044c \u0434\u0440\u0443\u0433\u0438\u0435 \u0441\u043f\u043e\u0441\u043e\u0431\u044b \u043f\u0440\u043e\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0438 \u0418\u041f\u041f\u041f.\n\n<strong>4. \u041c\u043e\u0433\u0443\u0442 \u043b\u0438 \u0412\u041c\u0421 \u0432\u044b\u0437\u044b\u0432\u0430\u0442\u044c \u0431\u0435\u0441\u043f\u043b\u043e\u0434\u0438\u0435 \u0443 \u0436\u0435\u043d\u0449\u0438\u043d?<\/strong>\n\u041d\u0435\u0442. \u041f\u043e\u0441\u043b\u0435 \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u044f \u0412\u041c\u0421 \u0436\u0435\u043d\u0449\u0438\u043d\u0430 \u043c\u043e\u0436\u0435\u0442 \u0437\u0430\u0431\u0435\u0440\u0435\u043c\u0435\u043d\u0435\u0442\u044c \u0442\u0430\u043a \u0436\u0435 \u0431\u044b\u0441\u0442\u0440\u043e, \u043a\u0430\u043a \u0438 \u0436\u0435\u043d\u0449\u0438\u043d\u0430, \u043d\u0438\u043a\u043e\u0433\u0434\u0430 \u0440\u0430\u043d\u0435\u0435 \u043d\u0435 \u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0432\u0448\u0430\u044f\u0441\u044f \u0434\u0430\u043d\u043d\u044b\u043c \u043c\u0435\u0442\u043e\u0434\u043e\u043c (\u043f\u0440\u0438 \u044d\u0442\u043e\u043c \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u0443\u0447\u0438\u0442\u044b\u0432\u0430\u0442\u044c \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u043d\u043e\u0435 \u0443\u0433\u0430\u0441\u0430\u043d\u0438\u0435 \u0444\u0435\u0440\u0442\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u0438). \u0420\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u044b \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0439 \u0441\u0432\u0438\u0434\u0435\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0443\u044e\u0442 \u043e \u0442\u043e\u043c, \u0447\u0442\u043e \u0436\u0435\u043d\u0449\u0438\u043d\u044b, \u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0432\u0448\u0438\u0435\u0441\u044f \u0412\u041c\u0421 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\u043c\u0435\u0441\u044f\u0446\u0430 \u043f\u043e\u0441\u043b\u0435 \u0443\u0441\u0442\u0430\u043d\u043e\u0432\u043a\u0438 \u0412\u041c\u0421, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0432 \u043f\u0435\u0440\u0438\u043e\u0434\u044b \u043c\u0435\u043d\u0441\u0442\u0440\u0443\u0430\u043b\u044c\u043d\u044b\u0445 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u0439 \u043d\u0430 \u043f\u0440\u0435\u0434\u043c\u0435\u0442 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0433\u043e \u0438\u0437\u0433\u043d\u0430\u043d\u0438\u044f \u0412\u041c\u0421.\n\n<strong>11. \u0423\u0432\u0435\u043b\u0438\u0447\u0438\u0432\u0430\u0435\u0442 \u043b\u0438 \u043d\u043e\u0448\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 \u0440\u0438\u0441\u043a \u043d\u0430\u0441\u0442\u0443\u043f\u043b\u0435\u043d\u0438\u044f \u0432\u043d\u0435\u043c\u0430\u0442\u043e\u0447\u043d\u043e\u0439 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438?<\/strong>\n\u041d\u0435\u0442. \u041d\u0430\u043f\u0440\u043e\u0442\u0438\u0432, \u043d\u043e\u0448\u0435\u043d\u0438\u0435 \u0412\u041c\u0421 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0441\u043d\u0438\u0436\u0430\u0435\u0442 \u0440\u0438\u0441\u043a \u043d\u0430\u0441\u0442\u0443\u043f\u043b\u0435\u043d\u0438\u044f \u0432\u043d\u0435\u043c\u0430\u0442\u043e\u0447\u043d\u043e\u0439 \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u0438. \u0412\u043d\u0435\u043c\u0430\u0442\u043e\u0447\u043d\u0430\u044f \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c \u043e\u0442\u043d\u043e\u0441\u0438\u0442\u0441\u044f \u043a \u0440\u0430\u0437\u0440\u044f\u0434\u0443 \u0434\u043e\u0432\u043e\u043b\u044c\u043d\u043e \u0440\u0435\u0434\u043a\u0438\u0445 \u044f\u0432\u043b\u0435\u043d\u0438\u0439 \u0441\u0440\u0435\u0434\u0438 \u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u0435\u043b\u0435\u0439 \u0412\u041c\u0421. \u041d\u0430 10 \u0442\u044b\u0441. 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\u043f\u043e \u0432\u043e\u043f\u0440\u043e\u0441\u0430\u043c \u043f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f \u0441\u0435\u043c\u044c\u0438:\n<ul>\n \t<li>\u041e\u0431\u0440\u0430\u0442\u0438\u0442\u0435\u0441\u044c \u043a \u0441\u0435\u043c\u0435\u0439\u043d\u043e\u043c\u0443 \u0432\u0440\u0430\u0447\u0443\u00a0\u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u043e\u0433\u043e \u0443\u0447\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u044f \u043f\u043e \u043c\u0435\u0441\u0442\u0443 \u0436\u0438\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0430\u00a0(\u0441\u043c.\u00a0<strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/Lista-MF-instruiti-in-PF.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u0442\u0443\u0442<\/a><\/strong>). \u0412\u041d\u0418\u041c\u0410\u041d\u0418\u0415: \u0435\u0441\u043b\u0438 \u0432\u044b \u0432\u0445\u043e\u0434\u0438\u0442\u0435 \u0432\u00a0 \u0432 \u0441\u043e\u0446\u0438\u0430\u043b\u044c\u043d\u043e-\u0443\u044f\u0437\u0432\u0438\u043c\u0443\u044e \u0433\u0440\u0443\u043f\u043f\u0443 \u043b\u044e\u0434\u0435\u0439 (\u0441\u043c.\u00a0<strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/04\/ord-nr.-658-din-18.08.2015-Cu-privire-la-asigurarea-cu-contraceptive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">\u0442\u0443\u0442<\/a><\/strong>) \u0432\u044b \u0438\u043c\u0435\u0435\u0442\u0435 \u043f\u0440\u0430\u0432\u043e \u043d\u0430 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u0435 \u0431\u0435\u0441\u043f\u043b\u0430\u0442\u043d\u044b\u0445 \u043a\u043e\u043d\u0442\u0440\u0430\u0446\u0435\u043f\u0442\u0438\u0432\u043e\u0432!<\/li>\n \t<li>\u041e\u0431\u0440\u0430\u0442\u0438\u0442\u0435\u0441\u044c \u0432 \u00a0\u00a0<a href=\"http:\/\/new.neovita.md\/reteaua-cspt-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0\u0414\u0440\u0443\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435\u00a0\u043c\u043e\u043b\u043e\u0434\u0435\u0436\u0438 \u0446\u0435\u043d\u0442\u0440\u044b \u0437\u0434\u043e\u0440\u043e\u0432\u044c\u044f<\/a><\/li>\n \t<li>\u041f\u043e\u0437\u0432\u043e\u043d\u0438\u0442\u0435 \u043d\u0430 \u0413\u043e\u0440\u044f\u0447\u0443\u044e \u041b\u0438\u043d\u0438\u044e\u00a0\u041e\u0431\u0443\u0447\u0430\u044e\u0449\u0435\u0433\u043e \u0426\u0435\u043d\u0442\u0440\u0430 \u043f\u043e \u0420\u0435\u043f\u0440\u043e\u0434\u0443\u043a\u0442\u0438\u0432\u043d\u043e\u043c\u0443 \u0417\u0434\u043e\u0440\u043e\u0432\u044c\u044e \u0420.\u00a0\u041c\u043e\u043b\u0434\u043e\u0432\u0430\u00a0(CIDSR) (\u0437\u0432\u043e\u043d\u043a\u0438 \u0431\u0435\u0441\u043f\u043b\u0430\u0442\u043d\u044b\u0435 \u0438 \u043a\u043e\u043d\u0444\u0438\u0434\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u044b\u0435) \u2014 0800-088-08<\/li>\n \t<li>\u041f\u043e\u0437\u0432\u043e\u043d\u0438\u0442\u0435 \u0432\u00a0CIDSR \u2014 022355072 \/ 060903782 \/ 078306973<\/li>\n \t<li>\u041d\u0430\u043f\u0438\u0448\u0438\u0442\u0435 \u043f\u0438\u0441\u044c\u043c\u043e \u043d\u0430 \u0430\u0434\u0440\u0435\u0441 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u043e\u0439 \u043f\u043e\u0447\u0442\u044b CIDSR \u2014\u00a0<a href=\"mailto:cidsr2012@gmail.com\">cidsr2012@gmail.com<\/a><\/li>\n<\/ul>\n[\/accordion-item][\/accordion]\n<a href=\"https:\/\/cidsr.md\/planificarea-familiala\"><img class=\"size-full wp-image-958 aligncenter\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435-\u0444\u0430\u0439\u043b\u044b.png\" alt=\"\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435 \u0444\u0430\u0439\u043b\u044b\" width=\"100\" height=\"45\" \/><\/a>","_ru_post_name":"dispozitivul-intrauterin-cu-cupru","_ru_post_excerpt":"","_ru_post_title":"\u0412\u043d\u0443\u0442\u0440\u0438\u043c\u0430\u0442\u043e\u0447\u043d\u044b\u0435 \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0430 (\u0412\u041c\u0421)","_en_post_content":"<strong>What Is the Intrauterine Device?\n<img class=\"alignright wp-image-980\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/DIU-cupru-300x225.jpg\" alt=\"DIU cupru\" width=\"250\" height=\"187\" \/><\/strong>\n<ul>\n \t<li>The copper-bearing intrauterine device (IUD) is a small, flexible plastic frame with copper sleeves or wire around it. A specifically trained health care provider inserts it into a woman\u2019s uterus through her vagina and cervix.<\/li>\n \t<li>Almost all types of IUDs have one or two strings, or threads, tied to them. The strings hang through the cervix into the vagina.<\/li>\n \t<li>Works primarily by causing a chemical change that damages sperm and egg before they can meet.<\/li>\n<\/ul>\n[accordion][accordion-item title=\"How Effective?\"]\n\n<strong>One of the most effective and long-lasting methods:<\/strong>\n<ul>\n \t<li>Less than 1 pregnancy per 100 women using an IUD over the first year (6 to 8 per 1,000 women). This means that 992 to 994 of every 1,000 women using IUDs will not become pregnant.<\/li>\n \t<li>A small risk of pregnancy remains beyond the first year of use and continues as long as the woman is using the IUD.<\/li>\n<\/ul>\n<p style=\"padding-left: 30px;\">- Over 10 years of IUD use: About 2 pregnancies per 100 women<\/p>\n\n<ul>\n \t<li>Studies have found that the TCu-380A is effective for 12 years. The TCu-380A is labeled for up to 10 years of use, however. (Providers should follow program guidelines as to when the IUD should be removed.)<\/li>\n<\/ul>\n<strong>Return of fertility after IUD is removed:<\/strong> No delay\n<strong>Protection against sexually transmitted infections (STIs):<\/strong> None\n\n[\/accordion-item][accordion-item title=\"Side Effects, Health Benefits, Health Risks\"]\n\n<strong>Side Effects<\/strong>\nSome users report the following:\n<ul>\n \t<li>Changes in bleeding patterns (especially in the first 3 to 6 months) including:<\/li>\n<\/ul>\n<p style=\"padding-left: 60px;\">- Prolonged and heavy monthly bleeding\n- Irregular bleeding\n- More cramps and pain during monthly bleeding<\/p>\n<strong>Known Health Benefits:<\/strong>\n<ul>\n \t<li>Helps protect against: risks of pregnancy<\/li>\n \t<li>May help protect against: Cancer of the lining of the uterus (endometrial cancer)<\/li>\n<\/ul>\n<strong>Known Health Risks:<\/strong>\n<ul>\n \t<li>Uncommon: May contribute to anemia if a woman already has low iron blood stores before insertion and the IUD causes heavier monthly bleeding<\/li>\n \t<li>Rare:\u00a0Pelvic inflammatory disease (PID) may occur if the woman has chlamydia or gonorrhea at the time of IUD insertion<\/li>\n<\/ul>\n<strong>Complications<\/strong>\nRare:\n<ul>\n \t<li>Puncturing (perforation) of the wall of the uterus by the IUD or an instrument used for insertion. Usually heals without treatment.<\/li>\n \t<li>Miscarriage, preterm birth, or infection in the rare case that the woman becomes pregnant with the IUD in place.<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"Who Can and Cannot Use \u00a0IUD\"]\n\nSafe and Suitable for Nearly All Women\n\nMost women can use IUDs safely and effectively, including women who:\n<ul>\n \t<li>Have or have not had children<\/li>\n \t<li>Are not married<\/li>\n \t<li>Are of any age, including adolescents and women over 40 years old<\/li>\n \t<li>Have just had an abortion or miscarriage (if no evidence of infection)<\/li>\n \t<li>Are breastfeeding<\/li>\n \t<li>Do hard physical work<\/li>\n \t<li>Have had ectopic pregnancy<\/li>\n \t<li>Have had pelvic inflammatory disease (PID)<\/li>\n \t<li>Have vaginal infections<\/li>\n \t<li>Have anemia<\/li>\n \t<li>Are infected with HIV or on antiretroviral therapy and doing well<\/li>\n<\/ul>\nWomen can begin using IUDs:\n<ul>\n \t<li>Without STI testing<\/li>\n \t<li>Without an HIV test<\/li>\n \t<li>Without any blood tests or other routine laboratory tests<\/li>\n \t<li>Without cervical cancer screening<\/li>\n \t<li>Without a breast examination<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"Correcting Misunderstandings\"]\n\nIntrauterine devices:\n<ul>\n \t<li>Rarely lead to PID.<\/li>\n \t<li>Do not increase the risk of contracting STIs, including HIV.<\/li>\n \t<li>Do not increase the risk of miscarriage when a woman becomes pregnant after the IUD is removed.<\/li>\n \t<li>Do not make women infertile.<\/li>\n \t<li>Do not cause birth defects.<\/li>\n \t<li>Do not cause cancer.<\/li>\n \t<li>Do not move to the heart or brain.<\/li>\n \t<li>Do not cause discomfort or pain for the woman during sex.<\/li>\n \t<li>Substantially reduce the risk of ectopic pregnancy.<\/li>\n<\/ul>\n[\/accordion-item][accordion-item title=\"Managing Any Problems\"]\n<strong>Problems Reported As Side Effects or Complications<\/strong>\n<ul>\n \t<li>Heavy or prolonged bleeding (twice as much as usual or longer than 8 days)<\/li>\n \t<li>Irregular bleeding (bleeding at unexpected times that bothers the client)<\/li>\n \t<li>Cramping and pain<\/li>\n \t<li>Possible anemia<\/li>\n \t<li>Partner can feel IUD strings during sex<\/li>\n \t<li>Severe pain in lower abdomen (suspected pelvic inflammatory disease [PID])<\/li>\n \t<li>Severe pain in lower abdomen (suspected ectopic pregnancy)<\/li>\n \t<li>Suspected uterine puncturing (perforation)<\/li>\n \t<li>IUD partially comes out (partial expulsion)<\/li>\n \t<li>IUD completely comes out (complete expulsion)<\/li>\n \t<li>Missing strings (suggesting possible pregnancy, uterine perforation, or expulsion)<\/li>\n<\/ul>\n<strong>New Problems That May Require Switching Methods<\/strong>\n<ul>\n \t<li>Unexplained vaginal bleeding (that suggests a medical condition not related to the method)<\/li>\n \t<li>Suspected pregnancy<\/li>\n<\/ul>\n<strong>Contact\u00a0your doctor if you have any of the problems listed above.<\/strong>\n\n[\/accordion-item][accordion-item title=\"Questions and Answers About the Intrauterine Device\"]\n\n<strong>1. Does the IUD cause pelvic inflammatory disease (PID)? <\/strong>\nBy itself, the IUD does not cause PID. <a href=\"https:\/\/cidsr.md\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">Gonorrhea<\/a> and chlamydia are the primary direct causes of PID. IUD insertion when a woman has gonorrhea or chlamydia may lead to PID, however. This does not happen often. When it does, it is most likely to occur in the first 20 days after IUD insertion. It has been estimated that, in a group of clients where STIs are common and screening questions identify half the STI cases, there might be 1 case of PID in every 666 IUD insertions (or less than 2 per 1,000).\n\n<strong>2. Can young women and older women use IUDs?<\/strong>\nYes. There is no minimum or maximum age limit. An IUD should be removed after menopause has occurred\u2014within 12 months after her last monthly bleeding.\n\n<strong>3. If a current IUD user has a sexually transmitted infection (STI) or has become at very high individual risk of becoming infected with an STI, should her IUD be removed?<\/strong>\nNo. If a woman develops a new STI after her IUD has been inserted, she is not especially at risk of developing PID because of the IUD. She can continue to use the IUD while she is being treated for the STI. Removing the IUD has no benefit and may leave her at risk of unwanted pregnancy. Counsel her on condom use and other strategies to avoid STIs in the future.\n\n<strong>4. Does the IUD make a woman infertile?<\/strong>\nNo. A woman can become pregnant once the IUD is removed just as quickly as a woman who has never used an IUD, although fertility decreases as women get older. Good studies find no increased risk of infertility among women who have used IUDs, including young women and women with no children. Whether or not a woman has an IUD, however, if she develops PID and it is not treated, there is some chance that she will become infertile.\n\n<strong>5. Can a woman who has never had a baby use an IUD?<\/strong>\nYes. A woman who has not had children generally can use an IUD, but she should understand that the IUD is more likely to come out because her uterus may be smaller than the uterus of a woman who has given birth.\n\n<strong>6. Can the IUD travel from the woman\u2019s uterus to other parts of her body, such as her heart or her brain?<\/strong>\nThe IUD never travels to the heart, brain, or any other part of the body outside the abdomen. The IUD normally stays within the uterus like a seed within a shell. Rarely, the IUD may come through the wall of the uterus into the abdominal cavity. This is most often due to a mistake during insertion. If it is discovered within 6 weeks or so after insertion or if it is causing symptoms at any time, the IUD will need to be removed by laparoscopic or laparotomic surgery. Usually, however, the out-of-place IUD causes no problems and should be left where it is. The woman will need another contraceptive method.\n\n<strong>7. Should a woman have a \u201crest period\u201d after using her IUD for several years or after the IUD reaches its recommended time for removal?<\/strong>\nNo. This is not necessary, and it could be harmful. Removing the old IUD and immediately inserting a new IUD poses less risk of infection than 2 separate procedures. Also, a woman could become pregnant during a \u201crest period\u201d before her new IUD is inserted.\n\n<strong>8. Should antibiotics be routinely given before IUD insertion?<\/strong>\nNo, usually not. Most recent research done where STIs are not common suggests that PID risk is low with or without antibiotics. When appropriate questions to screen for STI risk are used and IUD insertion is done with proper infection-prevention procedures (including the no-touch insertion technique), there is little risk of infection. Antibiotics may be considered, however, in areas where STIs are common and STI screening is limited.\n\n<strong>9. Must an IUD be inserted only during a woman\u2019s monthly bleeding?<\/strong>\nNo. For a woman having menstrual cycles, an IUD can be inserted at any time during her menstrual cycle if it is reasonably certain that the woman is not pregnant. Inserting the IUD during her monthly bleeding may be a good time because she is not likely to be pregnant, and insertion may be easier. It is not as easy to see signs of infection during monthly bleeding, however.\n\n<strong>10. Should a woman be denied an IUD because she does not want to check her IUD strings?<\/strong>\nNo. A woman should not be denied an IUD because she is unwilling to check the strings. The importance of checking the IUD strings has been overemphasized. It is uncommon for an IUD to come out, and it is rare for it to come out without the woman noticing. The IUD is most likely to come out during the first few months after IUD insertion, during monthly bleeding, among women who have had an IUD inserted soon after childbirth, a second-trimester abortion, or miscarriage, and among women who have never been pregnant. A woman can check her IUD strings if she wants reassurance that it is still in place. Or, if she does not want to check her strings, she can watch carefully in the first month or so and during monthly bleeding to see if the IUD has come out.\n\n<strong>11.\u00a0Do IUDs increase the risk of ectopic pregnancy?<\/strong>\nNo. On the contrary, IUDs greatly reduce the risk of ectopic pregnancy. Ectopic pregnancies are rare among IUD users. The rate of ectopic pregnancy among women with IUDs is 12 per 10,000 women per year. The rate of ectopic pregnancy among women in the United States using no contraceptive method is 65 per 10,000 women per year. On the rare occasions that the IUD fails and pregnancy occurs, 6 to 8 of every 100 of these pregnancies are ectopic. Thus, the great majority of pregnancies after IUD failure are not ectopic. Still, ectopic pregnancy can be life-threatening, so a provider should be aware that ectopic pregnancy is possible if the IUD fails.\n\n[\/accordion-item][accordion-item title=\"<strong>Where to address?<\/strong>\"]\n\nFor a family planning consultation:\n<ul>\n \t<li>Ask your family doctor at your health care facility in your area of residence \u00a0(see\u00a0<strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/Lista-MF-instruiti-in-PF.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a><\/strong>). WARNING: if you belong to one of the socially vulnerable groups (see\u00a0<strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/04\/ord-nr.-658-din-18.08.2015-Cu-privire-la-asigurarea-cu-contraceptive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a><\/strong>) you can benefit from free contraceptives!<\/li>\n \t<li>Ask \u00a0<a href=\"http:\/\/new.neovita.md\/reteaua-cspt-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Youth Friendly Health Centers<\/a><\/li>\n \t<li>Call the RHTC \u00a0Hotline (free and confidential call) \u2013 0800-088-08<\/li>\n \t<li>Call \u00a0RHTC\u00a0\u2013 022355072 \/ 060903782 \/ 078306973<\/li>\n \t<li>Write to RHTC e-mail \u00a0\u2013\u00a0<a href=\"mailto:cidsr2012@gmail.com\">cidsr2012@gmail.com<\/a><\/li>\n<\/ul>\n[\/accordion-item][\/accordion]\n\n&nbsp;\n\n<a href=\"https:\/\/cidsr.md\/planificarea-familiala\"><img class=\"size-full wp-image-958 aligncenter\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435-\u0444\u0430\u0439\u043b\u044b.png\" alt=\"\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435 \u0444\u0430\u0439\u043b\u044b\" width=\"100\" height=\"45\" \/><\/a>","_en_post_name":"dispozitivul-intrauterin-cu-cupru","_en_post_excerpt":"","_en_post_title":"Intrauterine Device","_ro_post_content":"<strong>Ce sunt dispozitivele intrauterine?<img class=\"alignright wp-image-980\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/DIU-cupru-300x225.jpg\" alt=\"DIU cupru\" width=\"250\" height=\"187\" \/><\/strong>\r\n<ul>\r\n \t<li>Dispozitivul intrauterin (DIU) cu cupru este o bucat\u0103 de plastic mic\u0103 \u015fi flexibil\u0103 ce are pe ea man\u015foane de cupru sau un fir de cupru \u00eenf\u0103\u015furat. Un furnizor de servicii medicale special instruit efectueaz\u0103 inser\u0163ia acestuia \u00een uterul femeii, prin vagin \u015fi colul uterin.<\/li>\r\n \t<li>Aproape toate tipurile de DIU au ata\u015fate unul sau dou\u0103 fire. Firele str\u0103bat canalul cervical p\u00e2n\u0103 \u00een vagin.<\/li>\r\n \t<li>Ac\u0163ioneaz\u0103, \u00een principal, prin producerea unei modific\u0103ri chimice care d\u0103uneaz\u0103 spermatozoizilor \u015fi ovulului, \u00eenainte de a se putea \u00eent\u00e2lni.<\/li>\r\n<\/ul>\r\n[accordion][accordion-item title=\"<strong>C\u00e2t de eficiente sunt?<\/strong>\"]\r\n\r\n<strong>Una din cele mai eficiente metode cu durat\u0103 lung\u0103 de utilizare:<\/strong>\r\n<ul>\r\n \t<li>Mai pu\u0163in de 1 sarcin\u0103 la 100 de femei \u00een timpul primului an de utilizare a DIU (6 p\u00e2n\u0103 la 8 sarcini la 1.000 de femei). Aceasta \u00eenseamn\u0103 c\u0103 992 p\u00e2n\u0103 la 994 din 1.000 de femei care utilizeaz\u0103 DIU nu vor r\u0103m\u00e2ne \u00eens\u0103rcinate.<\/li>\r\n \t<li>Dup\u0103 primul an de utilizare persist\u0103 un risc mic de sarcin\u0103, care se men\u0163ine pe toat\u0103 durata utiliz\u0103rii de c\u0103tre femeie a DIU.<\/li>\r\n<\/ul>\r\n<p style=\"padding-left: 30px;\">- Mai mult de 10 ani de utilizare a DIU: Aproximativ 2 sarcini la 100 de femei<\/p>\r\n\r\n<ul>\r\n \t<li>Studiile au ar\u0103tat c\u0103 TCu-380A este eficient timp de 12 ani. Totu\u015fi, TCu-380A este aprobat pentru utilizare pe o perioad\u0103 de p\u00e2n\u0103 la 10 ani. (Furnizorii trebuie s\u0103 respecte recomand\u0103rile programului referitor la momentul \u00een care trebuie extras DIU.)<\/li>\r\n<\/ul>\r\n<strong>Revenirea fertilit\u0103\u0163ii dup\u0103 extragerea DIU<\/strong>: Imediat\u0103\r\n<strong>Protec\u0163ia \u00eempotriva infec\u0163iilor cu transmitere sexual\u0103 (ITS):<\/strong> Nu protejeaz\u0103\r\n\r\n[\/accordion-item][accordion-item title=\"<strong>Efecte secundare, beneficii \u015fi riscuri pentru s\u0103n\u0103tate<\/strong>\"]\r\n\r\n<strong>Efecte secundare <\/strong>\r\nUnele utilizatoare raporteaz\u0103 urm\u0103toarele:\r\n<ul>\r\n \t<li>Modific\u0103ri ale caracterelor s\u00e2nger\u0103rii vaginale (\u00een special \u00een primele 3 p\u00e2n\u0103 la 6 luni), ce includ:<\/li>\r\n<\/ul>\r\n<p style=\"padding-left: 60px;\">- Menstrua\u0163ii abundente \u015fi prelungite\r\n- S\u00e2nger\u0103ri vaginale neregulate\r\n- Crampe mai intense \u015fi dureri \u00een timpul menstrua\u0163iei<\/p>\r\n<strong>Beneficii pentru s\u0103n\u0103tate<\/strong>:\r\n<ul>\r\n \t<li>Ajut\u0103 la protec\u0163ia \u00eempotriva riscurilor asociate sarcinii.<\/li>\r\n \t<li>Poate ajuta la protec\u0163ia \u00eempotriva cancerului mucoasei uterine (cancer de endometru).<\/li>\r\n<\/ul>\r\n<strong>Riscuri pentru s\u0103n\u0103tate<\/strong>\r\nPu\u0163in frecvent:\r\n<ul>\r\n \t<li>Poate contribui la apari\u0163ia anemiei dac\u0103 femeia prezint\u0103 deja \u00eenainte de inser\u0163ie nivele sc\u0103zute ale depozitelor de fier \u015fi DIU cauzeaz\u0103 menstrua\u0163ii mai abundente<\/li>\r\n<\/ul>\r\nRar:\r\n<ul>\r\n \t<li>Boala inflamatorie pelvin\u0103 (BIP) poate apare dac\u0103 femeia are infec\u0163ie cu chlamydia sau <a href=\"https:\/\/cidsr.md\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">gonoree<\/a> \u00een momentul inser\u0163iei DIU<\/li>\r\n<\/ul>\r\n<strong>Complica\u021bii<\/strong>\r\nRare:\r\n<ul>\r\n \t<li>Perfora\u0163ia peretelui uterin de c\u0103tre DIU sau un instrument folosit la inser\u0163ie. De obicei, se vindec\u0103 f\u0103r\u0103 tratament.<\/li>\r\n \t<li>Avort spontan, na\u015ftere prematur\u0103 sau infec\u0163ie \u00een eventualitatea rar\u0103 \u00een care femeia r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 av\u00e2nd DIU \u00een uter.<\/li>\r\n<\/ul>\r\n[\/accordion-item][accordion-item title=\"<strong>Cine poate \u015fi cine nu poate utiliza dispozitivul intrauterin<\/strong>\"]\r\n\r\nCele mai multe femei pot utiliza DIU \u00een siguran\u0163\u0103 \u015fi eficient, inclusiv femeile care:\r\n<ul>\r\n \t<li>Au n\u0103scut sau nu au n\u0103scut<\/li>\r\n \t<li>Nu sunt c\u0103s\u0103torite<\/li>\r\n \t<li>Au orice v\u00e2rst\u0103, inclusiv adolescente \u015fi femei peste 40 de ani<\/li>\r\n \t<li>Tocmai au avut un avort la cerere sau avort spontan (dac\u0103 nu exist\u0103 semne de infec\u0163ie)<\/li>\r\n \t<li>Al\u0103pteaz\u0103<\/li>\r\n \t<li>Efectueaz\u0103 munc\u0103 fizic\u0103 grea<\/li>\r\n \t<li>Au avut sarcin\u0103 ectopic\u0103<\/li>\r\n \t<li>Au avut boal\u0103 inflamatorie pelvin\u0103 (BIP)<\/li>\r\n \t<li>Au infec\u0163ii vaginale<\/li>\r\n \t<li>Au anemie<\/li>\r\n \t<li>Sunt infectate cu HIV sau utilizeaz\u0103 terapie antiretroviral\u0103 \u015fi evolu\u0163ia clinic\u0103 este bun\u0103<\/li>\r\n<\/ul>\r\nFemeile pot \u00eencepe utilizarea DIU:\r\n<ul>\r\n \t<li>F\u0103r\u0103 testare pentru ITS<\/li>\r\n \t<li>F\u0103r\u0103 testare pentru HIV<\/li>\r\n \t<li>F\u0103r\u0103 teste din s\u00e2nge sau alte teste de laborator efectuate de rutin\u0103<\/li>\r\n \t<li>F\u0103r\u0103 screening pentru cancerul de col uterin<\/li>\r\n \t<li>F\u0103r\u0103 examinarea s\u00e2nilor<\/li>\r\n<\/ul>\r\n[\/accordion-item][accordion-item title=\"<strong>Corectarea miturilor<\/strong>\"]\r\n\r\nDispozitivele intrauterine:\r\n<ul>\r\n \t<li>Rareori cauzeaz\u0103 BIP.<\/li>\r\n \t<li>Nu cresc riscul de infectare cu ITS, inclusiv HIV.<\/li>\r\n \t<li>Nu cresc riscul de avort spontan atunci c\u00e2nd femeia r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 dup\u0103 extragerea DIU.<\/li>\r\n \t<li>Nu produc infertilitate.<\/li>\r\n \t<li>Nu cauzeaz\u0103 anomalii fetale.<\/li>\r\n \t<li>Nu cauzeaz\u0103 cancer.<\/li>\r\n \t<li>Nu migreaz\u0103 c\u0103tre inim\u0103 sau creier.<\/li>\r\n \t<li>Nu cauzeaz\u0103 femeii disconfort sau durere \u00een timpul actului sexual.<\/li>\r\n \t<li>Scad substan\u0163ial riscul de sarcin\u0103 ectopic\u0103.<\/li>\r\n<\/ul>\r\n[\/accordion-item][accordion-item title=\"<strong>Managementul problemelor<\/strong>\"]\r\n<strong>Probleme raportate drept efecte secundare sau complica\u021bii<\/strong>:\r\n<ul>\r\n \t<li>S\u00e2ngerare vaginal\u0103 abundent\u0103 sau prelungit\u0103 (de dou\u0103 ori mai abundent\u0103 dec\u00e2t de obicei sau cu durat\u0103 mai lung\u0103 de 8 zile)<\/li>\r\n \t<li>S\u00e2nger\u0103ri vaginale neregulate (s\u00e2nger\u0103ri nea\u015fteptate care deranjeaz\u0103\u00a0\u00a0\u00a0 clienta)<\/li>\r\n \t<li>Crampe \u015fi durere<\/li>\r\n \t<li>Posibil anemie<\/li>\r\n \t<li>Partenerul simte firele DIU \u00een timpul contactului sexual<\/li>\r\n \t<li>Dureri severe \u00een zona inferioar\u0103 a abdomenului (suspiciune\u00a0de boal\u0103 inflamatorie pelvin\u0103 [BIP])<\/li>\r\n \t<li>Dureri severe \u00een zona inferioar\u0103 a abdomenului (suspiciune de \u00a0sarcin\u0103 \u00a0ectopic\u0103)<\/li>\r\n \t<li>Suspiciune de perfora\u0163ie uterin\u0103<\/li>\r\n \t<li>DIU iese par\u0163ial (expulzie par\u0163ial\u0103)<\/li>\r\n \t<li>DIU iese complet (expulzie complet\u0103)<\/li>\r\n \t<li>Firele lipsesc (suger\u00e2nd o posibil\u0103 sarcin\u0103, perfora\u0163ie uterin\u0103 sau expulzie)<\/li>\r\n<\/ul>\r\n<strong>Probleme noi care pot necesita schimbarea metodei<\/strong>\r\n<ul>\r\n \t<li>S\u00e2ngerare vaginal\u0103 neexplicat\u0103 (care sugereaz\u0103 o afec\u0163iune medical\u0103 f\u0103r\u0103 leg\u0103tur\u0103 cu metoda)<\/li>\r\n \t<li>Suspiciune de sarcin\u0103<\/li>\r\n<\/ul>\r\n<strong>\u00cen caz de apari\u021bie a unor probleme din cele listate mai sus, adresa\u021bi-v\u0103 la medic.<\/strong>\r\n\r\n[\/accordion-item][accordion-item title=\"<strong>\u00centreb\u0103ri \u015fi r\u0103spunsuri despre DIU<\/strong>\"]\r\n\r\n<strong>1. Determin\u0103 DIU boal\u0103 inflamatorie pelvin\u0103 (BIP)?<\/strong>\r\nDIU singur nu cauzeaz\u0103 BIP. <a href=\"https:\/\/cidsr.md\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">Gonoreea<\/a> \u015fi infec\u0163ia cu chlamydia sunt principalele cauze directe ale BIP. Totu\u015fi, atunci c\u00e2nd femeia are <a href=\"https:\/\/cidsr.md\/sarcina-de-nastere\/romana-infectiile-si-sarcina\/romana-gonorea\/\">gonoree<\/a> sau infec\u0163ie cu chlamydia, inser\u0163ia DIU poate duce la BIP. Aceasta nu se \u00eent\u00e2mpl\u0103 frecvent. Dac\u0103 apare BIP, cel mai probabil apare \u00een primele 20 de zile dup\u0103 inser\u0163ia DIU. S-a estimat c\u0103, acolo unde ITS sunt frecvente \u015fi \u00eentreb\u0103rile de screening identific\u0103 jum\u0103tate din cazurile de ITS, \u00eentr-un grup de cliente ar putea exista 1 caz de\u00a0BIP la fiecare 666 de inser\u0163ii DIU (sau mai pu\u0163in de 2 la 1.000).\r\n\r\n<strong>2. Femeile tinere \u015fi femeile \u00een v\u00e2rst\u0103 pot utiliza DIU?<\/strong>\r\nDa. Nu exist\u0103 o v\u00e2rst\u0103 limit\u0103 minim\u0103 sau maxim\u0103. DIU ar trebui extras dup\u0103 instalarea menopauzei, \u00een intervalul de 12 luni dup\u0103 ultima menstrua\u0163ie .\r\n\r\n<strong>3. Dac\u0103 o utilizatoare de DIU are o infec\u0163ie cu transmitere sexual\u0103 (ITS) sau \u00eencepe s\u0103 fie la risc individual foarte mare de a se infecta cu o ITS, ar trebui s\u0103 i se extrag\u0103 DIU?<\/strong>\r\nNu. Dac\u0103 o femeie contracteaz\u0103 o nou\u0103 ITS dup\u0103 ce DIU i-a fost inserat, ea nu este \u00een mod special la risc de apari\u0163ie a BIP datorit\u0103 DIU. Ea poate continua s\u0103 utilizeze DIU \u00een timp ce este tratat\u0103 pentru ITS. Extragerea DIU nu aduce beneficii \u015fi o poate l\u0103sa la risc pentru sarcini nedorite. Consilia\u0163i-o referitor la utilizarea prezervativului \u015fi alte strategii de evitare a ITS \u00een viitor.\r\n\r\n<strong>4. Este DIU cauz\u0103 de infertilitate la femeie?<\/strong>\r\nNu. Dup\u0103 ce DIU este extras, femeia poate r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 la fel\u00a0de repede ca o femeie care nu a utilizat niciodat\u0103 DIU, de\u015fi fertilitatea\u00a0descre\u015fte pe m\u0103sur\u0103 ce femeia \u00eemb\u0103tr\u00e2ne\u015fte. Exist\u0103 studii bune care nu au ar\u0103tat risc mai mare de infertilitate la femeile care au\u00a0utilizat DIU, inclusiv la femei tinere \u015fi femei care nu au n\u0103scut. Totu\u015fi, indiferent dac\u0103 o femeie este sau nu este utilizatoare de DIU, dac\u0103 ea prezint\u0103 BIP \u015fi nu este tratat\u0103, exist\u0103 o oarecare probabilitate ca ea s\u0103 devin\u0103 infertil\u0103.\r\n\r\n<strong>5. Poate s\u0103 utilizeze DIU o femeie care nu a n\u0103scut niciodat\u0103?<\/strong>\r\nDa. \u00cen general, o femeie care nu a n\u0103scut poate utiliza DIU, dar ea trebuie s\u0103 \u00een\u0163eleag\u0103 c\u0103 probabilitatea de expulzie a DIU este mai mare, deoarece uterul ei ar putea fi mai mic dec\u00e2t uterul unei femei care a n\u0103scut.\r\n\r\n<strong>6. Poate DIU s\u0103 se deplaseze din uterul femeii \u00een alte p\u0103r\u0163i ale corpului ei, precum inima sau creierul?<\/strong>\r\nDIU nu se deplaseaz\u0103 niciodat\u0103 spre inim\u0103, creier sau orice alt\u0103 parte a corpului, din afara abdomenului. \u00cen mod normal, DIU r\u0103m\u00e2ne \u00een uter precum o s\u0103m\u00e2n\u0163\u0103 \u00een \u00eenveli\u015ful ei. Rareori, DIU poate trece prin peretele uterului, \u00een cavitatea abdominal\u0103. Aceasta se datoreaz\u0103, de cele mai multe ori, unei gre\u015feli \u00een timpul inser\u0163iei. Dac\u0103 aceasta se depisteaz\u0103 \u00een primele 6 s\u0103pt\u0103m\u00e2ni dup\u0103 inser\u0163ie, sau dac\u0103 cauzeaz\u0103 vreodat\u0103 simptome, DIU va trebui extras prin interven\u0163ie chirurgical\u0103 laparoscopic\u0103 sau prin laparatomie. Totu\u015fi, de obicei, DIU deplasat din pozi\u0163ia sa nu cauzeaz\u0103 probleme \u015fi ar trebui l\u0103sat acolo unde se afl\u0103. Femeia va avea nevoie de o alt\u0103 metod\u0103 contraceptiv\u0103.\r\n\r\n<strong>7. Este nevoie ca femeia s\u0103 p\u0103streze o \u201epauz\u0103\u201d dup\u0103 ce\u00a0a folosit timp de mai mul\u0163i ani un DIU sau dup\u0103 ce DIU pe care l-a folosit \u015fi-a epuizat timpul de eficien\u0163\u0103?<\/strong>\r\nNu. Acest lucru nu este necesar, poate fi chiar d\u0103un\u0103tor. Extragerea vechiului DIU, urmat\u0103 de inser\u0163ia imediat\u0103 a unui nou DIU, presupune un risc mai mic de infec\u0163ie dec\u00e2t efectuarea a 2 proceduri separate. De asemenea, femeia ar putea r\u0103m\u00e2ne \u00eens\u0103rcinat\u0103 \u00een\u00a0\u201epauza\u201d de dinaintea inser\u0163iei noului DIU.\r\n\r\n<strong>8. Este necesar\u0103 administrarea de rutin\u0103 a antibioticelor \u00eenainte de inser\u0163ia DIU?<\/strong>\r\nNu, de obicei nu. Cele mai recente studii, efectuate \u00een localiz\u0103ri unde ITS nu sunt frecvente, arat\u0103 c\u0103 riscul apari\u0163iei BIP este mic, cu sau f\u0103r\u0103 antibiotice. C\u00e2nd sunt folosite \u00eentreb\u0103rile potrivite pentru screening privind ITS \u015fi inser\u0163ia DIU este efectuat\u0103 respect\u00e2nd procedurile adecvate de prevenire a infec\u0163iilor (incluz\u00e2nd tehnica\u00a0de inser\u0163ie \u201ef\u0103r\u0103 atingere\u201d), riscul de infec\u0163ie este mic. Totu\u015fi, antibioticele pot fi luate \u00een considerare \u00een zonele \u00een care ITS sunt frecvente \u015fi screening-ul pentru ITS este limitat.\r\n\r\n<strong>9. DIU trebuie inserat doar \u00een timpul menstrua\u0163iei?<\/strong>\r\nNu. \u00cen cazul unei femei care are cicluri menstruale, DIU poate fi inserat \u00een orice moment al ciclului menstrual, dac\u0103 se \u015ftie cu un grad rezonabil de certitudine c\u0103 nu este \u00eens\u0103rcinat\u0103. Inser\u0163ia DIU \u00een timpul menstrua\u0163iei poate fi convenabil\u0103, deoarece este improbabil ca ea s\u0103 fie \u00eens\u0103rcinat\u0103 \u015fi inser\u0163ia ar putea fi mai u\u015foar\u0103. Totu\u015fi,\u00a0\u00een timpul menstrua\u0163iei nu se pot observa at\u00e2t de u\u015for semnele de infec\u0163ie.\r\n\r\n<strong>10. Ar trebui s\u0103-i fie refuzat DIU unei femei care nu dore\u015fte s\u0103 verifice firele ata\u015fate DIU?<\/strong>\r\nNu. Nu trebuie refuzat DIU unei femei care nu dore\u015fte s\u0103 verifice firele. Importan\u0163a verific\u0103rii firelor DIU a fost supraestimat\u0103.\u00a0Expulzia DIU nu este frecvent\u0103, \u015fi rareori expulzia are loc f\u0103r\u0103 ca femeia s\u0103 observe.\u00a0Probabilitatea cea mai mare de expulzie a unui DIU este \u00een primele c\u00e2teva luni dup\u0103 inser\u0163ie, \u00een timpul menstrua\u0163iei, la femei c\u0103rora li s-a inserat DIU cur\u00e2nd dup\u0103 na\u015ftere, dup\u0103 un avort la cerere sau avort spontan \u00een trimestrul al doilea, \u015fi la femei care nu au fost niciodat\u0103 \u00eens\u0103rcinate. Femeia poate s\u0103 verifice firele DIU dac\u0103 vrea s\u0103 se reasigure c\u0103 DIU este \u00een continuare la locul s\u0103u. Sau, dac\u0103\u00a0nu dore\u015fte s\u0103 verifice firele, ea poate urm\u0103ri cu aten\u0163ie, \u00een prima lun\u0103 sau chiar mai mult, \u015fi \u00een timpul menstrua\u0163iei, dac\u0103 DIU a fost expulzat.\r\n\r\n<strong>11. Cresc DIU riscul de sarcin\u0103 ectopic\u0103?<\/strong>\r\nNu. Dimpotriv\u0103, DIU reduc substan\u0163ial riscul de sarcin\u0103 ectopic\u0103. Sarcinile ectopice apar rar \u00een r\u00e2ndul utilizatoarelor de DIU. Rata sarcinilor ectopice la femeile care utilizeaz\u0103 DIU este de 12 la 10.000 de femei \u00eentr-un an de zile. Rata sarcinilor ectopice la femeile din Statele Unite care nu utilizeaz\u0103 nicio metod\u0103 contraceptiv\u0103 este de 65 la 10.000 de femei \u00eentr-un an de zile.\u00a0\u00cen rarele cazuri de e\u015fec al DIU \u015fi de apari\u0163ie a sarcinii, un num\u0103r de 6 p\u00e2n\u0103 la 8 din 100 de astfel de sarcini sunt ectopice. Astfel, marea majoritate a sarcinilor care apar \u00een caz de e\u015fec al DIU nu\u00a0sunt ectopice. Totu\u015fi, sarcina ectopic\u0103 prezint\u0103 risc vital; de aceea, furnizorul trebuie s\u0103 fie con\u015ftient de faptul c\u0103 sarcina ectopic\u0103 este posibil\u0103 \u00een caz de e\u015fec al DIU.\r\n\r\n[\/accordion-item][accordion-item title=\"<strong>Unde va adresa\u021bi<\/strong>\"]\r\n\r\nPentru o consulta\u021bie \u00een planificarea familial\u0103:\r\n<ul>\r\n \t<li>Adresa\u021bi-v\u0103 medicului de familie din cadrul institu\u021biei medicale din raionul Dvs de re\u0219edin\u021b\u0103 (vezi <strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/Lista-MF-instruiti-in-PF.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">aici<\/a><\/strong>). ATEN\u021aIE: daca apar\u021bine\u021bi unuia din grupurile social-vulnerabile (vezi <strong><a href=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/04\/ord-nr.-658-din-18.08.2015-Cu-privire-la-asigurarea-cu-contraceptive.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">aici<\/a><\/strong>) pute\u021bi beneficia de contraceptive gratuite!<\/li>\r\n \t<li>Adresa\u021bi-v\u0103 la <a href=\"http:\/\/new.neovita.md\/reteaua-cspt-2\/\" target=\"_blank\" rel=\"noopener noreferrer\">Centrele de S\u0103n\u0103tate Prietenoase Tinerilor<\/a><\/li>\r\n \t<li>Telefona\u021bi la Linia Fierbinte a CIDSR (apel gratuit \u0219i confiden\u021bial) - 0800-088-08<\/li>\r\n \t<li>Telefona\u021bi la CIDSR - 022355072 \/ 060903782 \/ 078306973<\/li>\r\n \t<li>Scrie\u021bi la adresa de e-mail CIDSR -<a href=\"mailto:cidsr2012@gmail.com\">cidsr2012@gmail.com<\/a><\/li>\r\n<\/ul>\r\n[\/accordion-item][\/accordion]\r\n\r\n&nbsp;\r\n\r\n<a href=\"https:\/\/cidsr.md\/planificarea-familiala\"><img class=\"size-full wp-image-958 aligncenter\" src=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435-\u0444\u0430\u0439\u043b\u044b.png\" alt=\"\u0441\u043a\u0430\u0447\u0430\u043d\u043d\u044b\u0435 \u0444\u0430\u0439\u043b\u044b\" width=\"100\" height=\"45\" \/><\/a>","_ro_post_name":"dispozitivul-intrauterin-cu-cupru","_ro_post_excerpt":"","_ro_post_title":"Dispozitivul intrauterin","edit_language":"en","footnotes":""},"class_list":["post-10908","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Dispozitivul intrauterin - Centrul de Instruire \u00een Domeniul S\u0103n\u0103t\u0103\u0163ii Reproductive<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cidsr.md\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dispozitivul intrauterin - Centrul de Instruire \u00een Domeniul S\u0103n\u0103t\u0103\u0163ii Reproductive\" \/>\n<meta property=\"og:description\" content=\"What Is the Intrauterine Device? The copper-bearing intrauterine device (IUD) is a small, flexible plastic frame with copper sleeves or wire around it. A specifically trained health care provider inserts it into a woman\u2019s uterus through her vagina and cervix. Almost all types of IUDs have one or two strings, or threads, tied to them. [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cidsr.md\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/\" \/>\n<meta property=\"og:site_name\" content=\"Centrul de Instruire \u00een Domeniul S\u0103n\u0103t\u0103\u0163ii Reproductive\" \/>\n<meta property=\"article:modified_time\" content=\"2023-11-09T10:09:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cidsr.md\/wp-content\/uploads\/2015\/09\/DIU-cupru-300x225.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cidsr.md\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/\",\"url\":\"https:\/\/cidsr.md\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/\",\"name\":\"Dispozitivul intrauterin - Centrul de Instruire \u00een Domeniul S\u0103n\u0103t\u0103\u0163ii Reproductive\",\"isPartOf\":{\"@id\":\"https:\/\/cidsr.md\/#website\"},\"datePublished\":\"2023-11-03T16:15:38+00:00\",\"dateModified\":\"2023-11-09T10:09:13+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/cidsr.md\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cidsr.md\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cidsr.md\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430\",\"item\":\"https:\/\/new.cidsr.md\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Resurse\",\"item\":\"https:\/\/cidsr.md\/resurses\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"\u041f\u043b\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0441\u0435\u043c\u044c\u0438\",\"item\":\"https:\/\/cidsr.md\/ru\/%d1%80%d0%b5%d1%81%d1%83%d1%80%d1%81%d1%8b\/planificarea-familiala\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Dispozitivul intrauterin\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cidsr.md\/#website\",\"url\":\"https:\/\/cidsr.md\/\",\"name\":\"Centrul de Instruire \u00een Domeniul S\u0103n\u0103t\u0103\u0163ii Reproductive\",\"description\":\"Promov\u0103m s\u0103n\u0103tatea \u0219i drepturile sexuale \u0219i reproductive!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/cidsr.md\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Dispozitivul intrauterin - Centrul de Instruire \u00een Domeniul S\u0103n\u0103t\u0103\u0163ii Reproductive","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cidsr.md\/resurses\/planificarea-familiala\/dispozitivul-intrauterin-cu-cupru\/","og_locale":"en_US","og_type":"article","og_title":"Dispozitivul intrauterin - Centrul de Instruire \u00een Domeniul S\u0103n\u0103t\u0103\u0163ii Reproductive","og_description":"What Is the Intrauterine Device? 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