A 28-year-old woman, Milja Maunuvaara, was surprised to discover she was pregnant despite having a copper coil inserted as a form of contraception. The pregnancy turned out to be ectopic, a condition where the fertilized egg implants outside the uterus, often due to low hormone levels. Milja had relied on the copper coil, also known as an intrauterine device (IUD), for 18 months and had full confidence in its effectiveness.
In September, Milja, from Helsinki, Finland, started experiencing severe stomach pains, leading her to visit her general practitioner. After suggesting the possibility of pregnancy, an ultrasound confirmed the unexpected news. Milja, who had previously used contraceptive pills for a decade, had opted for the copper coil seeking a hormone-free and reliable option.
Given the ectopic nature of the pregnancy, Milja was presented with three choices by doctors: waiting for a natural resolution, using medication to terminate the pregnancy, or undergoing surgery. She opted for medication due to concerns about surgery and completed the process with an injection in her thigh within a day.
Reflecting on her experience, Milja emphasized the importance of taking a pregnancy test if symptoms arise or periods are delayed, even when using highly effective methods like the IUD. She now advocates for choosing contraception that aligns with individual comfort and needs. Subsequently, she has switched to using condoms with her partner, avoiding birth control pills due to concerns about chemicals in her body.
While Milja’s case raised questions about contraceptive efficacy, the NHS asserts that the copper coil, when used correctly, is over 99% effective in preventing pregnancy. The NHS highlights various contraceptive pills as over 90% effective but warns that condoms, while reducing STI transmission, have lower efficacy in preventing pregnancy due to associated risks.
Women can access free copper coil fittings at sexual health clinics and certain GP surgeries. During the initial appointment, a doctor or nurse will inquire about the individual’s medical history, as detailed on the NHS website.