Intrauterine devices (IUD) are a long acting form of reversible contraception that is inserted into the uterus to prevent pregnancy. IUD’s are among the most widely used form of contraception and are considered the most effective. Two types of IUD are available in the US – hormonal (Sklya and Mirena) and copper (ParaGard There are three types of IUD’s inserted in this office:

• Skyla – progesterone secreting IUD inserted for three years (skyla-us.com)
• Mirena – progesterone secreting IUD inserted for five years (mirena-us.com)
• ParaGard – copper IUD effective for twelve years (paragard.com)

IUD’s are safe in premenopausal women who are breastfeeding as well as adolescents to prevent pregnancy and to control heavy bleeding.   An IUD also can improve pelvic pain caused by painful periods. They work by effectively by inhibiting the sperm from coming in contact with the egg, thus preventing pregnancy. IUD’s are immediately effective after insertion. An IUD does NOT protect against sexually transmitted infections.

CONTRAINDICATIONS TO IUD’s

1. If you think you may be pregnant
2. Have untreated cervical cancer or cancer of the uterus
3. Unexplained vaginal bleeding
4. Are under the treatment for a current sexually transmitted infection or pelvic infection
5. Have a history or being treated for breast cancer
6. Have severe liver disease
7. Have Wilson’s disease (for ParaGard only) – a disease where copper accumulates in the body

DISADVANTAGES and RISKS:

• Mild cramping during the procedure
• Irregular menses during the first 3-6 months after insertion
• Risk of perforation of the uterus
• IUD dislodging or slipping out of place
• Rare infections caused during insertion of IUD

IUD’s can be inserted at anytime but is most comfortable when it is inserted during the middle of a menstrual cycle when the cervix is most open. There will be a follow up visit required after 4-6 weeks of insertion for an IUD check.