IUD BENEFITS
An IUD is an ideal method if you do not plan to become pregnant for at least one year (or longer) or you want a method that is highly effective and does not require daily or weekly attention. IUDs are also appropriate for women who do not want to or cannot use estrogen.
IUDs have relatively few side effects, and are reversible. If you decide you want to become pregnant, you can do so by having the IUD removed. IUDs do not affect your chance of becoming pregnant after the IUD is removed.
Intrauterine devices are an excellent choice for contraception in all women of child bearing age (14-55 years), whether they have been pregnant or not!
Types of IUD
Copper, Mirena and Kyleena are all suitable choices for users who cannot use estrogen containing methods including breastfeeding mothers.
**Remember that the IUD does not protect you against sexually transmitted infections.
IUD Frequently Asked Questions
1. What is an Intrauterine device (IUD)?
It is a small T-shaped device that remains in the uterus. There are two main types copper and hormonal. More specifically copper, Kyleena and Mirena.
2. How do IUDs work?
Copper IUD works by foreign body mechanism, making the uterus a hostile environment for egg fertilization. Sperm movement is ineffective and so impacts its ability to fertilize an egg. Meanwhile, the hormonal IUDs work by keeping the endometrial lining very thin so difficult for a fertilized egg to implant; it also works by making the cervical mucus thick and difficult for sperm to enter the uterus.
3. Can I use an IUD if I want to become pregnant in the future?
Yes, IUDs are completely reversible . An IUD is an ideal method if you do not plan to become pregnant for at least one year (or longer) or you want a method that is highly effective and does not require daily or weekly attention. Copper IUD lasts for 5-10 years and hormonal IUD for 5 years; but can be removed at any time. IUDs do not affect your chance of becoming pregnant after the IUD is removed.
4. Can I use IUD if I have never been pregnant before?
Yes, IUDs can be used in most women of child-bearing age, no matter if pregnant before or not.
5. If I am post-partum and breastfeeding can I have the IUD inserted?
Yes, breastfeeding mothers can have the IUD inserted. We find that breastfeeding post-partum women are at increased risk of perforation with IUD insertion. At our clinic we have you wait till you are 3 months post partum to have the IUD inserted.
6. Can I use an IUD as emergency contraception when I've had unprotected sex?
Copper IUD is indicated for emergency contraception if used within 5 days of unprotected sexual intercourse.
7. What are the benefits and risks of IUDs?
Hormonal IUD relieves symptoms of endometriosis, prevents endometrial hyperplasia and cancer. It reduces menstrual bleeding and cramps. About 70% of women have amenorrhea after months with hormonal IUD.
The copper IUD has risk of menstrual cramps and spotting.
Both copper and hormonal IUD have a 1in 1000 risk of perforation; and an expulsion risk of 2-10 in 100 women. Expulsion risk is highest in the first 3 menstrual cycles. The risk of pelvic inflammatory disease is the 2-5% post-IUD insertion. The first 20 days is the highest risk of pelvic inflammatory disease.