IUDs in V.
An IUD (Intra Uterine Device) is a low maintenance, reversible method of birth control. Once the gynecologist places this “T” shaped device into the uterine cavity, if you are not experiencing any issues, you can forget it is even there. It is however important to understand that this method of contraception is highly effective in preventing pregnancy, but it does not protect against sexually transmitted infections (STI) and therefore, if there is a concern for STI exposure then a condom should also be used if engaging in sexual intercourse. IUD’s may not be the right choice for everyone particularly if you have distorted uterine anatomy i.e. large fibroids, pelvic inflammatory disease, pelvic cancer, or unexplained vaginal bleeding. There are two main groups of IUD’s: hormonal and non-hormonal. If you are considering an IUD, then your doctor can help you decide, and certain things should be considered when making this decision, including length of time of contraception needs, cost + coverage, personal comfort with regards to hormones and effects on menstrual flow. Here are the V. types of IUDs:
i. Paragard
The Paragard is the only non-hormonal IUD that is currently available in the US. It is often referred to as the copper T because the plastic device also contains copper. If you have a copper allergy or Wilson’s disease (inability to metabolize copper) then this device is not right for you. Once inserted, it is immediately effective and can work as an emergency form of contraception. It is effective for up to 10 years after proper placement. Additional side effects may include irregular staining and heavier periods.
ii. Mirena
The Mirena is a hormonal IUD. It is a plastic device that contains levonorgestrel, a progesterone hormone. The hormone helps with contraception by increasing cervical mucous, thinning the endometrial lining and in some instances suppressing ovulation. Once it is inserted it becomes effective after approximately 1 week. Many women experience irregular bleeding for approximately 3-6 months after insertion and then menses are often lighter and sometimes absent. The Mirena is efficacious for 7 years after insertion.
iii. Liletta
The Liletta is a hormonal IUD. It is a plastic device that contains levonorgestrel, a progesterone hormone. The hormone helps with contraception by increasing cervical mucous, thinning the endometrial lining and in some instances suppressing ovulation. Once it is inserted it becomes effective after approximately 1 week. Many women experience irregular bleeding for approximately 3-6 months after insertion and then menses are often lighter and sometimes absent.
iv. Kyleena
The Kyleena is a hormonal IUD. It is a plastic device that contains levonorgestrel, a progesterone hormone. The hormone helps with contraception by increasing cervical mucous, thinning the endometrial lining and in some instances suppressing ovulation. The Once it is inserted it becomes effective after approximately 1 week. Many women experience irregular bleeding for approximately 3-6 months after insertion and then menses are often lighter and sometimes absent. The Kyleena is effective for up to 5 years. It has less progesterone hormone than Mirena or Liletta but cannot be used as long.
v. Skyla
The Skyla IUD is a smallest and lowest dose hormonal IUD that is effective for up to 3 years. The levonorgestrel hormone helps with contraception by increasing cervical mucous, thinning the endometrial lining and in some instances suppressing ovulation. Once it is inserted, it becomes effective after approximately 1 week. Many women experience irregular bleeding for approximately 3-6 months after insertion and then menses are often lighter and sometimes absent.
Verbena does not provide medical advice, diagnosis, or treatment and is not a medical provider. Discuss contraception options with your personal OBGYN/provider.
If you think you may have a medical emergency, call your doctor or 911 immediately.