Medically reviewed by Mary Jane Minkin, M.D.
Ladies at the moment have extra choices than ever relating to contraception. One in every of these choices is the intrauterine system, higher generally known as the IUD. However how have you learnt if an IUD is best for you? Discuss to your healthcare supplier (HCP) about your choices. Within the meantime, right here’s the inside track about IUDs.
What’s an IUD?
An IUD is a small T-shaped plastic system that’s inserted into your uterus by your HCP. An IUD is taken into account long-acting reversible contraception (LARC), which suggests you don’t have to fret about contraception each day. But it surely gained’t preserve you from getting pregnant as soon as it’s eliminated. IUDs don’t shield you from STIs/STDs, so you’ll have to use condoms for that safety.
There are two various kinds of IUDs:
- Hormonal IUDs launch a human-made model of hormone progesterone, which is known as progestin. Progestin makes the mucus in your uterus thicker to cease sperm from fertilizing an egg and might cease you from ovulating (releasing an egg).
- Hormone-free IUDs have a copper wire coil wrapped round them. The copper causes an inflammatory response, which is poisonous to sperm and retains it from stepping into the uterus.
Who’re good candidates for IUDs?
Many premenopausal girls can safely use IUDs for contraception. Additionally, girls who’ve extreme menstrual bleeding and cramps or who’ve fibroid ache are generally prescribed hormonal IUDs as a result of progestin can assist with these signs.
All the time talk about this along with your healthcare supplier, however on the whole, it’s best to not use a hormonal IUD you probably have or had sure well being circumstances. These embrace:
- Breast, uterine or cervical most cancers
- Liver illness
- Migraine illness
- A historical past of blood clots
- Pelvic infections or unexplained vaginal bleeding
- Coronary heart circumstances
- When you have not too long ago given beginning
- If you happen to’ve had an IUD earlier than and your physique expelled it
Individuals with an allergy to copper mustn’t use the non-hormonal IUD.
Does getting an IUD harm?
The method of IUD insertion is fast, however it may be painful. How badly IUD insertion hurts can range from individual to individual. Sometimes, individuals getting an IUD are instructed to take non-steroidal anti-inflammatory medicine (NSAIDs) like ibuprofen or aspirin forward of time to stop cramping or afterward to ease ache. However native anesthetics or topical freezing may assist with ache throughout insertion. Don’t be afraid to ask your HCP what your choices are earlier than the process and demand on getting assist when you assume you’ll need one thing for the ache.
Can you could have intercourse with an IUD?
Sure, and one benefit of getting an IUD is that intercourse doesn’t should be interrupted for contraception.
There’s a 24-hour beneficial ready interval after your IUD is inserted to stop an infection. It is because the IUD process entails your healthcare supplier utilizing surgical devices because it passes the IUD by way of your vagina and cervix, and into your uterus. The process can irritate the liner of your reproductive system briefly. When you have intercourse too quickly, you possibly can develop pelvic inflammatory illness. After that ready interval, you may have intercourse anytime.
Are you able to get pregnant you probably have an IUD?
Getting pregnant with IUD is uncommon, however can occur — IUDs are greater than 99% efficient.
How lengthy do IUDs keep in?
A hormonal IUD can keep in place for as much as eight years, relying on the model. A hormone-free IUD can keep in place as much as 10 years.
Do IUDs cease durations?
Typically. A hormonal IUD can gradual your interval bleeding a couple of months after insertion, or make your durations irregular. Round 1 in 5 of girls cease getting their durations after getting a hormonal IUD. Non-hormonal IUDs sometimes don’t have an effect on your interval.
Are there any unwanted side effects of IUDs?
There could be. For hormonal IUDs, unwanted side effects can embrace:
- Grownup zits
- Breast tenderness
- Temper shifts
- Cramps or ache round your pelvis
Unintended effects of hormone-free IUDs can embrace:
- Bleeding between durations
- Heavy durations
How a lot do IUDs price and are they lined by insurance coverage?
IUDs can price greater than $1,300 out of pocket. Nonetheless, many insurance policy cowl IUDs at low or no price. Verify your protection, and converse to your (HCP) for extra data.
This useful resource was created with help from Organon and Co. and Sebela Ladies’s Well being, Inc.
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