Long-acting, immediately reversible and highly effective (99.2-99.8%), the IUD is recommended as the first-line method of contraception. They are great for youth, adolescents, adults, immediate postpartum and for later reproductive years including peri-menopausal women experiencing abnormal periods.
Hormonal IUDs are also used for cycle control in women struggling with heavy and/or painful periods.
One of the greatest benefits of an IUD ,is that its success does not depend on the user, as once it is placed, you can simply forget and not worry. Also, it is discrete and cost-effective.
IUDs are also effective as emergency contraception if placed within seven days of unprotected intercourse.
Since many GPs do not offer IUD insertions, we’re here to provide expert care and support.
The IUD is a small, soft T-shaped device that is inserted into your uterus, also known as your womb, to prevent pregnancy.
Some IUDs contain a hormone (Mirena and Kyleena LNG IUS) called progesterone which can reduce menstrual bleeding or stop menstruation altogether.
Whereas , Copper IUDs , are hormone free and the top choice for women who want to avoid hormones.
Let’s sit down and see what best suits your lifestyle.
An IUD is one of the most effective contraception methods – it is 99% effective and lasts between 3 to 8 years, depending on the type.
There are two styles of IUDs available in Canada.
1. Mirena or Kyleena are hormonal (progesterone-based) IUDs and are free of Estrogen . Mirena can be used for up to 8 years for contraception .Mirena is also indicated for management of heavy or painful periods. Kyleena IUD lasts for 5 years for birth control.
Mirena and Kyleena IUD both release a small, steady amount of a hormone called levonorgestrel, which is similar to a natural hormone your body makes. This hormone thickens the mucus in your cervix to block sperm and makes the lining of your uterus thinner, so your periods become lighter or may stop completely. This can be great for women with heavy periods, athletes, or anyone who wants to avoid monthly bleeding. These IUDs can be taken out anytime, are safe to use while breastfeeding, and don’t affect your ability to get pregnant in the future.
2. Copper IUD is the only form of brith control that is completely hormone free and are an excellent choice for women who prefer to avoid hormones for whatever reason including breastfeeding mothers and women with depression or anxiety who want to avoid hormones that might alter mood.
Copper IUDs have a lifespan of 3, 5 or 10 years depending on the style.
It consists of a small piece of flexible plastic, shaped like a T , that has copper wrapped around it. That’s why it’s called a copper IUD.
Non-hormonal Copper IUDs release copper into the uterine cavity preventing pregnancy by stopping sperm from fertilizing an egg and reducing sperm movement. It also causes thickening of the cervical mucous which acts as a plug preventing sperm from entering the uterus.
The copper that is released inside the uterus can make the periods last longer, or they might become more painful and/or heavier which ususally settles after the first few cycles . However, if this persists at 6 months speak to your health-care provider heavy flow can lead to Iron loss and anaemia.
An IUD can be inserted at any time during your cycle, as long as pregnancy is ruled out. If you haven’t been pregnant before, we often recommend scheduling your insertion during or just after your period to make the process smoother. To ensure your comfort, we use a local anesthetic (freezing) to numb the cervix during the procedure. For those who need additional support, we also offer oral or inhaled sedation in select cases to help manage any discomfort.
The IUD insertion procedure typically takes less than five minutes. Dr. Gerber utilizes breathing techniques to help ease the process, and numbing or freezing is offered if needed. The IUD is inserted into the womb using sterile instruments. Pain is subjective, so while some patients may experience only a mild pinch or cramping similar to menstrual discomfort, others may feel more intense sensations. If you're sensitive to procedures, it's advisable to arrange for a ride home afterward.
Most women are able to return to work immediately after the procedure. At our clinic, we recommend that for the first 24 hours after an IUD insertion or removal, you avoid placing anything inside the vagina to lower the risk of infection. During the first 24 hours, we suggest using pads or panty liners and taking showers. After 24 hours, you can resume all normal activities, including hot tubs, swimming, and the use of menstrual cups or tampons.
MIRENA or KYLEENA IUDs become effective 7 days after insertion. If you weren't using birth control prior to the procedure, we recommend using condoms or avoiding sex during the first week. If you were using the pill, patch, or ring, continue using that method for 7 days or refrain from sex during the first week.
Copper IUDs Copper IUDs are effective immediately after insertion and do not require an overlap with other forms of contraception, such as condoms.
If you experienc low grade cramping after the procedure take Ibuprofen or Tylenol or use a heating pad.
IUD STRING CHECKS: Checking for the IUD threads is optional but can give reassurance that your IUD is in place and functioning properly. To do this, insert your middle finger into the vagina until you reach the cervix, which feels rubbery and firm. The IUD threads should be coming out of your cervix. Many women find it difficult to locate the strings at first, so practice may be needed. You can try different positions or have your partner feel for the strings. If you're concerned, use condoms, take a pregnancy test, and see your doctor or a walk-in clinic for a string check.Never pull on your IUD strings, as this can cause the IUD to shift or fall out. Regularly checking the strings is optional and can help detect if your IUD has moved. IUDs tend to shift in the first few months after insertion or during a menstrual period. If the strings feel longer or shorter than they did previously, or if you feel the hard part of the IUD against your cervix, the IUD may have shifted. In this case, use condoms and contact your healthcare provider.
When you choose to change contraception methods, plan a pregnancy, replace your expiring IUD or simply discontinue use, the IUD can be easily removed at our clinic.
To prevent any chance of pregnancy, you should not have sex or must use condoms for at least one week before IUD removal. If you plan to switch to the pill, patch, or ring, ideally start your new method 7 days before your IUD removal appointment.IUD removal is a straightforward procedure that typically involves mild cramping. We use sterile instruments to grasp the threads and gently slide the IUD out of your uterus. If the IUD threads cannot be seen, the removal may be more complicated and require additional instruments and freezing / numbing in order to locate the IUD. In rare cases, if the IUD cannot be removed in our office, a referral to a gynecologist may be necessary. In some instances, minor surgery may be required for removal.
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