Ballerine IUB in Istanbul: Copper Ball IUD Guide

How does Ballerine differ from GyneFix?

GyneFix is a frameless copper chain anchored in the muscle at the top of the uterus. Ballerine has a frame that forms a rounded shape and does not use that anchoring method. Their insertion and removal techniques are different.

A description such as “bead coil” can be ambiguous. Always identify the brand and model, especially if you are arranging removal of an existing device.

Does a rounded shape mean that it is safer?

The shape alone is not proof of less pain, lighter bleeding or fewer complications. The comparison should include independent clinical evidence, current instructions for use and your own medical history.

An observational, single-center study has reported experience with Ballerine MIDI. That design of study does not establish that the device is superior to other IUDs for every patient.

Source: Baram and colleagues: observational study of Ballerine MIDI.

How should historical safety reports be interpreted?

In 2021, the Dutch Health and Youth Care Inspectorate reviewed reports involving expulsion, perforation and pregnancy, alongside the device’s technical documentation and post-market surveillance. Its report describes a suspension of the CE certificate at that time.

This is a historical report about a particular regulatory setting; it does not by itself establish the product’s current status in Türkiye. Current documentation must be checked before a new fitting. If you already use Ballerine, discuss the model, symptoms and follow-up with your clinician rather than attempting removal yourself.

Source: Dutch IGJ market surveillance report, 2021.

What is discussed before a fitting decision?

• Your preference for a hormone-free method.
• Heavy bleeding, cramps and previous IUD experiences.
• Pregnancy possibility and findings affecting the uterine cavity.
• The exact model, product documentation and replacement date.
• Potential side effects, pain relief, alternatives and follow-up.

Conventional copper and hormonal IUDs should also be part of the discussion. Device shape or branding alone should not determine the choice.

Ballerine removal and missing strings

The approach depends on whether the strings are visible and where the device is located. If strings are missing or a previous removal attempt failed, the priority is to establish the position and conditions for removal.

The IUD removal guide explains specialist office instruments, ultrasound assessment, pain relief and possible hysteroscopy. It also covers contraception before removal and symptoms requiring urgent care.

Frequently asked questions