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The IUD or Intrauterine Device is a form of birth control that is largely used. It is designed in a T shape and is a flexible plastic. It is often less than 1.5 inches in length.

The IUD can be removed at any time by your medical provider. It contains either copper or progesterone.

An IUD is inserted into the Uterus, it acts to prevent implantation of a fertilized egg and result in the sperm being ineffective.

It is an extremely good option for women as it lasts for a long time, can be easily removed, and it is very safe. It is long acting and is meant to remain within the woman for a few years.

There are approximately 150+ million woman currently with IUD – worldwide.

Types:

1.)  Non-hormonal Copper IUD

2.)  Hormonal IUD

–  In the United Kingdom – there are over ten different types of copper IUD.

Copper IUD

–  Also known as ParaGard
–  The main goal of this IUD is to disrupt the sperm mobility by damaging it.
–  This prevents the sperm from reaching the egg and thus combining with it.
–  Copper is a natural spermicide within the uterus.
–  The sperm looses motility and viability (length of survival)
–  First year failure rate are less than 2.5%.
–  Can be used during breastfeeding – due to the fact there are no hormones.
–  Heavier menstrual periods and increase menstrual periods can be seen.
–  This type of IUD can last 10 years.

Hormonal IUD

4 Types of Hormone Based IUDs.

1.)  Mirena
2.)  Kyleena
3.)  Liletta
4.)  Skyla

Overall Information about Hormonal IUDs:

–  They decreased the risk for bleeding during menstrual periods.
–  Prevention of menstrual period can be seen.
–  They can also be used for heavy bleeding (menorrhagia) along with birth control.
–  This IUD can disrupt sperm as well as help prevent egg implantation.
–  Releases hormone Levonorgestrel which is a form of hormone progestin.
–  May be slightly more effective than Copper IUD in preventing pregnancy.
–  Can last as long as you want…up to 7 years.

1.)  Mirena works for up to 7 years
2.)  Kyleena works for up to 5 years.
3.)  Liletta works for up to 7 years.
4.)  Skyla works for up to 3 years.

–  Avoid use if you are susceptible to pelvic infections, kidney infections, or urinary tract infections.

Other Information

–  Please keep it in mind that an IUD won’t protect you against STD’s (Sexually Transmitted Diseases)
–  The IUD shouldn’t prevent future problems with getting pregnant.
–  Typically, a women’s fertility will be the same as it was before the IUD was implanted.
–  An IUD can be placed approximately 6 weeks after previous delivery.
–  When the Copper IUD is placed – immediate effectiveness of the contraception is seen.
–  When the Mirena is placed – use back-up protection for 7 days.

Self Checking to see if IUD is still in place

–  It often becomes a concern for a women that their IUD is no longer in place.
–  A self check can be done.
–  First thing is to wash your hands.
–  There are three main positions to check the IUD.

1.)  Squat with your legs tilted outward

2.)  Sit on toilet with legs tilted outward

3.)  Place one leg up on a chair

–  Place your finger into the Vaginal Opening and search for the Cervix.

–  You should feel a string at the opening of the cervix.
–  Don’t pull the string too hard.

***If you can’t find the string or if you feel the device itself – call your health care provider and schedule an appointment.

An Ultrasound may be done to locate the device.