Doctor insights on:
Regarding Iud Hear
I have a mirena iud but I'm constantly hearing about pregnancy's still happening with them. Is that the. O1 percent reporting? Do I always need backu?
Mirena failure rate: "The failure rate of Mirena is approximately 0.2% in the first year and the cumulative failure rate is 0.7% after 5 years." Please see: https://www. Mirena-us. Com/q-and-a/ Most women don't feel the need to use backup with Mirena. Although nothing is absolutely 100% effective - Mirena is really pretty dog-gone effective. In answere to your question - You don't need to use backup. ...Read more
Mirena (levonorgestrel) IUD: I think Mirena (levonorgestrel) is a fairly safe form of Birth control. Like all forms of contraception it has its risks. Mirena (levonorgestrel) not only has the risks of progesterone but the risks associated with a device in the uterus. Let me refer you to www. Mirena-us. Com for full details as there is not room her to give you a full discussion. ...Read more
Very few: The IUD is one of the safest birth control methods with very few risks. Risks included expulsion (1/2000), perforation during the time of insertion, a slight risk in PID during the 1st 2 weeks in those who have gonorrhea or chlamydia, occasional spotting, tubal pregnancy and others. All of these are rare. ...Read more
Feel the strings: Checking the strings of your iud is a quick, easy way to check to see if your iud is still present in the uterus. You should feel strings (only 3-4 cm long) coming from the cervix. Do not pull the strings as this could cause inadvertent removal of the iud. See you doctor if you cannot feel the strings. ...Read more
No: Two types of iud aka intrauterine device/ system are available in the us (progesterone releasing and copper containing). Each changes cervical mucus consistency and ph so sperm cannot make it through to the uterus. The iud changes the lining of the uterus that makes it an environment in which an egg or sperm will not survive and the Progesterone iud may inhibit ovulation. ...Read more
IUDs very effective: Iuds are among the top tier of birth control, and are as effective as sterilization at preventing pregnancy. Not perfect, but among the most effective methods. They don't prevent stds, so if you have concerns about your partner's fidelity or are not mutually monogamous, condoms are important to preventing stds. ...Read more
There is discomfort: I have placed a lot of iuds and there is a lot of variation in what women feel. Most women who have had vaginal births have a cervix that is more open, and most feel mild to moderate discomfort only. Women who haven't had a vaginal birth tend to have moderate pain, mostly because the cervix isn't as open. I recommend a woman take Ibuprofen prior to iud. The discomfort is just with insertion. ...Read more
Yes, but not needed:
Iud is high effective in reducing/preventing pregancy, and so spermicide is not typically needed.
As you probably already know, using condom (which often contains spermicide) is advisable to reduce risks of std transmission and it is safe to use on women who have an iud in place.
Iud only reduces/prevents pregnancy, not std...Thus adding a condom, with/out spermicide is advisable... ...Read more
Depends on type: Paragard iud lasts 10 years and tends to cause periods to be some heavier and or longer. Some women have more cramps. Mirena (levonorgestrel) iud has Progesterone in it which helps periods be lighter. In fact 20% of women will have no periods. Cramping is an issue for some women. Both can have irregular spotting for some weeks when first placed, can fall out, or perforate the uterus. ...Read more
Varies: It is quite uncommon for this to occur. The symptoms would likely include persistent pelvic pain, abnormal spotting and/or bleeding, and increased cramps with the period. An ultrasound can determine very easily if the iud is properly placed. ...Read more
No it will not: The hormone of the Mirena (levonorgestrel) IUD tends to work locally in your uterus and pelvis to reduce your risks of pregnancy very effectively. Having a Mirena (levonorgestrel) inserted and practicing "safe sex", using condoms to reduce your risk of sexually transmitted infections will keep you healthy and happy. Not eating well balanced nutritious meals and not exercising regularly will "make you put on weight". ...Read more
Great Choice!: The Paragard intrauterine device (IUD) has a long track-record of successful use. It is a small plastic device covered with copper that is inserted into the uterus during a short office procedure. It can be left in-place and prevents pregnancy for up to 10 years! The chance of pregnancy is ...Read more
Not good - need dr.: If you iud has 'vanished' you need to have some imaging done (sonogram to evaluate the uterus/ovaries, and look for the iud in the uterus) and maybe ct scan to see if the iud has perforated through the uterine wall, into the abdominal cavity. Need to be checked for pregnancy as well. This problem definitely needs a visit with the gyn. ...Read more
As soon as you want: There is usually no restriction on physical activity after an IUD insertion. The insertion itself can cause some cramping or abdominal and back discomfort as well as spotting or bleeding. These things can make you not want to workout but there is not a medical reason for to return to your normal activities. ...Read more
5-10 years: Paraguard (copper-based) & the Mirena (levonorgestrel) (progestin based) are effective for 10 & 5 years respectively. If you're referring to the side effects of spotting or cramping, this usually last a week or two & with menstrual cycles for the first few months. If you have problems beyond this, see your doc for evaluation. It may be poorly placed, extruding, or simply not for you. Good luck. ...Read more
Not in Texas: I don't know about other state laws, but in texas 16 years old is still considered a minor and would require parental consent to get an iud placed. If you had just had a baby, this would usually change one's status to 'emancipated' and it would probably be legal to get the iud without consent (only after good counseling about the risks/benefits of iuds). ...Read more