Medically reviewed by Mary Jane Minkin, M.D.

Women at the moment have extra choices than ever in the case of contraception. One of those choices is the intrauterine system, higher referred to as the IUD. But how are you aware if an IUD is best for you? Talk to your healthcare supplier (HCP) about your choices. In the meantime, right here’s the news about IUDs.

What is 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 implies you don’t have to fret about contraception each day. But it gained’t maintain 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 known as progestin. Progestin makes the mucus in your uterus thicker to cease sperm from fertilizing an egg and may 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 moving into the uterus.

Who are good candidates for IUDs?

Many premenopausal girls can safely use IUDs for contraception. Also, girls who’ve extreme menstrual bleeding and cramps or who’ve fibroid ache are typically prescribed hormonal IUDs as a result of progestin might help with these signs.

Always talk about this together with your healthcare supplier, however typically, you need to not use a hormonal IUD when you’ve got 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
  • Heart circumstances
  • If you might have lately given start
  • If you’ve had an IUD earlier than and your physique expelled it

People with an allergy to copper shouldn’t use the non-hormonal IUD.

Does getting an IUD damage?

The means of IUD insertion is fast, however it may be painful. How badly IUD insertion hurts can range from individual to individual. Typically, folks getting an IUD are instructed to take non-steroidal anti-inflammatory medicine (NSAIDs) like ibuprofen or aspirin forward of time to forestall cramping or afterward to ease ache. But native anesthetics or topical freezing may also 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 in case you suppose you’ll need one thing for the ache.

Can you might have intercourse with an IUD?

Yes, and one benefit of getting an IUD is that intercourse doesn’t need to be interrupted for contraception.

There is a 24-hour advisable ready interval after your IUD is inserted to forestall an infection. This is as a result of the IUD procedure 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. If you might have intercourse too quickly, you could possibly develop pelvic inflammatory disease. After that ready interval, you’ll be able to have intercourse anytime.

Can you get pregnant when you’ve got 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?

Sometimes. A hormonal IUD can gradual your interval bleeding a number of months after insertion, or make your durations irregular. Around 1 in 5 of women cease getting their durations after getting a hormonal IUD. Non-hormonal IUDs usually don’t have an effect on your interval.

Are there any unintended effects of IUDs?

There will be. For hormonal IUDs, unintended effects can embrace:

  • Headaches
  • Adult pimples
  • Breast tenderness
  • Mood shifts
  • Cramps or ache round your pelvis

Side results of hormone-free IUDs can embrace:

  • Bleeding between durations
  • Pain
  • Heavy durations

How a lot do IUDs value and are they coated by insurance coverage? 

IUDs can value greater than $1,300 out of pocket. However, many insurance coverage cowl IUDs at low or no value. Check your protection, and converse to your (HCP) for extra data.

This useful resource was created with assist from Organon and Co. and Sebela Women’s Health, Inc.

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