Intrauterine Devices : Access For Women In The Us
Intrauterine devices are one of the most effective forms of reversible contraception. IUDs, along with implants, are known as long-acting reversible contraception because they can be used to prevent pregnancy for several years. IUDs have been used in the U.S. for decades, but a safety controversy in the 1970s prompted the removal of all but one IUD from the U.S. market by 1986. The first new generation IUD was introduced to the U.S. market in 1988, following revised Food and Drug Administration safety and manufacturing requirements. Recent controversies have focused on the mechanism of action of IUDs, the high upfront costs for the device, and variability in insurance coverage and access. This fact sheet reviews the various IUDs approved by the FDA, awareness, use, and availability of IUDs, and key issues in insurance coverage and financing of IUDs in the U.S.
Drug Interactions Of Kyleena Vs Mirena
Drug interaction studies have not been conducted with Kyleena or Mirena, which both contain LNG. However, drugs that induce enzymes that process LNG may decrease LNG levels, making the IUD less effective. On the other hand, drugs that inhibit enzymes that process LNG may increase LNG levels, causing more side effects. Due to the local effect of the medication , the drug interactions may not be clinically relevant. Ask your healthcare provider if there are any drug interactions with medicines you take.
The manufacturer of both Kyleena and Mirena recommends that any drug prescribed along with one of these IUDs should be checked for potential drug interactions with LNG.
This is not a full list of drug interactions. Consult your healthcare provider for medical advice.
Common Side Effects During And After Placement
You may experience pain, bleeding or dizziness during and after placement. If your symptoms do not pass within 30 minutes after placement, Kyleena may not have been placed correctly. Your healthcare provider will examine you to see if Kyleena needs to be removed or replaced.
If pain is a concern for you, ask your healthcare provider about taking over-the-counter pain medication before the procedure.
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Cons Of The Hormonal Iud:
Hormonal IUDs can damage the vaginal microbiome and increase the risk of yeast infections and bacterial vaginosis.
Hormonal IUDs suppresses ovulation some of the time.
Hormonal IUDs can cause irregular bleeding and spotting during the first three to six months of use. After that, they may suppress bleeding entirely or permit a light natural menstrual period.
Insertion might be painful. But just to clarify: IUD is an in-office procedure that takes just a few minutesits not surgery. Youll probably be instructed to take a painkiller like ibuprofen to ease the cramping, or your doctor may decide to use a local anesthetic .
Hormonal IUDs can come out. The chance of expulsion is 5 percent but more likely immediately following childbirth and during breastfeeding.
Hormonal IUDs carry a small risk of uterine perforation, which could lead to surgery. The chance of perforation is 0.1 percent but more likely if during breastfeeding.
Hormonal IUDs can cause pelvic inflammatory disease but only during the first three weeks after insertion, and only if you have a pre-existing infection with gonorrhea or chlamydia.
Hormonal IUDs must be removed by a doctor. See my copper IUD post for more information about IUD removal.
Hormonal IUDs cannot protect against sexually transmitted infections.
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Or The Members Of An Icelandic Girl Band
The IUD. The subject of so many love songs , and yet it seems so humble. Just a little piece of plastic, but could it be the answer to your birth control prayers?
First, the basics: its a T-shaped device that a provider places in your uterus to prevent pregnancy. There are five IUDs available in the U.S. All five of them are very safe and very effective at preventing pregnancy. None of them protect against STIs, so use condoms or internal condoms for that. IUDs are safe for the vast majority of people to get, but there are some situations in which you shouldnt get an IUD, like if you have an active pelvic infection or STI, if youre already pregnant, or have certain types of cancer.
There are some differences among the five IUDs. The biggest is that the copper IUD is non-hormonal, while the other four contain a hormone called levonorgestrel, which is a type of progestin. While they all work very well to prevent pregnancy, the non-hormonal IUD can have different benefits and side effects than the hormonal IUDs, and the four hormonal IUDs have some differences among them as well.
Which IUD is best for you depends on whats most important to you.
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Can The Kyleena And Mirena Iuds Affect Your Weight
While the prescribing information for Kyleena does not mention weight gain as a side effect, the prescribing information for Mirena does note that weight gain may be a side effect. However, although 6% of women who used Mirena reported weight gain, it was not known if the weight gain was due to Mirena.
In general, hormonal birth control can cause side effects such as bloating and water retention, which is not the same as weight gain due to an increase in body fat. For many, the weight gain is small , and the benefits of birth control outweigh the possibility of a small weight gain. Most adults naturally gain one or two pounds per year, regardless of birth control. If weight gain is a concern, consult your healthcare provider before deciding on a hormonal IUD or another form of birth control.
What Hormones Are In The Different Hormonal Iuds
All hormonal IUDs use the same hormone progestin to prevent pregnancy and help treat painful and heavy periods. Progestin is a safe, synthetic form of a hormone called progesterone that your body makes naturally.
Mirena hormones are the same as in all other hormonal IUDs Mirena uses progestin to prevent pregnancy and make your periods lighter and less painful. Liletta, Kyleena, and Skyla also have progestin in them.
Some hormonal IUDs have a little bit more progestin than others. But the amount of hormones in an IUD only affects how long it lasts it doesnt change how well your IUD prevents pregnancy. All hormonal IUDs are more than 99% effective at preventing pregnancy.
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Common Side Effects Of Skyla Iud
- Like other hormonal forms of birth control, Skyla IUD can cause mood swings
- Breast tenderness or pain is common when using a Skyla IUD
- It has been known to cause vaginal itching or infection, irregular period and changes in bleeding
- Stomach pain, nausea, vomiting and bloating have been reported by Skyla IUD users
- Other common side effects include headache, depression, weight gain, acne, puffiness in face, hands, ankles or feet, as well as loss of interest in sex
What Are The Kinds Of Non
Theres only one brand of copper IUD in the U.S. Its called the Paragard IUD. It lasts for up to 12 years.
You dont have to keep your IUD for 12 years though you can get your IUD taken out whenever you want. If your IUD is going to expire but you want to keep using an IUD, your nurse or doctor can replace it.
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Hormonal Or Nonhormonal Iud: Which One Is Right For You
Its no secret that the IUDs popularity is on the rise. In the past decade intrauterine device use has nearly tripled among American women, and there are more than a few good reasons that happened! Its safe, low-maintenance, highly effective and long lasting.
Chances are if you are a woman who has been looking for the ideal birth control solution, youre considering an IUD. Now the only question is, hormonal or non-hormonal? Whats the difference and how do you decide which one is right for you?
Lets start with what they have in common:
Heres where they differ:
This is the most obvious difference. Hormonal IUDs work by releasing a small amount of levonorgestrel locally to the uterus each day preventing pregnancy. Non-hormonal IUDs contain a copper coil filament whose chemical release is contraceptive. This can be an advantage to women who cant use hormonal birth control. According to the Association of Reproductive Health Professionals, lack of hormones makes IUDs appropriate for smokers older than age 35, postpartum women who are breastfeeding, and others with contraindications to estrogen or progestin.
Women who opt for the hormonal IUD often have irregular bleeding for the first three to six months after insertion. After that initial adjustment period, most hormonal IUD users have either very light periods or dont menstruate at all. For some women this is ideal, while others may prefer to get a regular period.
What Are Some Iud Side Effects To Be Aware Of
Its pretty apparent that both IUD types do an excellent job of preventing pregnancy. So, why would you choose one over the other? For many people, it comes down to the side effects. According to the ACOG, IUD side effects from a hormonal device include:
- Spotting, and potentially more or heavier days of menstrual bleeding in the first few months following insertion, but a decrease in the amount of menstrual bleeding and length of the period over time
- Breast tenderness
- Ovarian cyst formation
It should be noted that these hormonal IUD side effects are rare, and typically go away with time.
Copper IUD side effects, on the other hand, are mostly related to bleedingyou might experience more and for longer periods of time, according to the ACOG. You may also experience more painful periods, especially during the first few months following insertion. However, because its hormone-free, you should not experience any side effects related to elevated progestin levels like breast tenderness, headaches, or nausea, as you may have with a hormonal IUD.
Some people also might wonder whether an IUD can cause weight gain. In general, IUDs are not known to increase your weight, though it is possible. Hormonal IUDs can cause you to retain more water due to elevated progestin, but it would likely only be a few pounds. The copper IUD doesnt release any hormones, so it shouldnt affect your weight.
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Which Iud Is The Right Contraceptive Device For You
The first decision you must make with your doctor is whether you want a copper or a hormonal option. Reviewing the facts below, and discussing them with your doctor, will help you make an informed decision.
If you do choose a hormonal IUD, several factors go into selecting the brand, says Courtney Benedict, a certified nurse midwife and the associate director of medical standards implementation at Planned Parenthood Federation of America.
All hormonal IUDs are progestin-only, but the dosing varies, Benedict says. Differences in dosing play a role in how long the IUD remains effective, she says. Plus, dosing concentrations may affect how light or heavy your period is. The higher the dose of hormone, the lighter your period tends to be, although that wont necessarily determine whether you have hormone side effects like spotting, mood changes, or weight gain, she says.
Another factor for choosing an IUD may depend on the one that your health insurance provider will pay for, as well as the one your doctors health system carries, Destephano says.
The decision of whether to get an IUD and which brand is a complex one, Destephano says. Shared decision-making between the patient and her doctor is important. If youre not comfortable with the counseling youre getting from your doctor, get another opinion, he says, noting that ultimately, its up to you to decide which option is best for you.
Similarities In All Iuds
An IUD is a convenient method of birth control. There is no intake of pills required, which might be problematic if you forget to take them or are on antibiotics. There is also no need for a condom every time you want to get intimate with a partner.
As mentioned above, there are two types of IUDs. Hormonal and Non-Hormonal. They function differently, but there are quite a few similarities between all of them. Both IUD types are similar in shape. They are T-shaped devices that are inserted into the uterus through the cervix. The procedure to insert the device is also the same.
One appointment with the doctor and the device can be added. Sometimes a woman might need a dilator, but that applies to any type of IUD.
Both IUD types stop sperm movement and prevent pregnancies. The sperm is stopped from meeting the egg, which can then become an embryo. All of them are highly effective birth control methods on their own.
If you remove the IUD, then your fertility can be back to normal, and women can get pregnant. Most can be used and kept in the uterus for a good number of years. There are a few brands that have a life of three years, but most have it from 5-10 years.
For those years, the users can be free from the stress of an unwanted pregnancy. One can remove IUD anytime. Women who are not satisfied with the side effects or may want to have children again can go to the doctor for the removal, even before the expiry date.
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Kyleena Iud: New Low Dose Hormonal Contraception
Exciting news ladies! Kyleena is new, low dose hormonal IUD and it will be available after the 1st March 2020. Whoo hoo! This is a major development in womens health care.
Some of you will be familiar with the Mirena IUD this has been available since 2000 and has been very helpful as a long acting, reliable contraceptive method as well as managing heavy, painful periods. It is also a safe option for hormone replacement therapy. Around the world, we have seen a significant reduction in the need for hysterectomy as a way of managing heavy periods.
If Avoiding Infection Is Most Important To You
You can get any of the five IUDs! They all have a very low risk of causing pelvic infections. Recent research suggests that its actually the process of having the IUD placed that slightly increases infection risk, and this risk only increases in the short term. In fact, hormonal IUDs may actually protect you from pelvic inflammatory disease by making your cervical mucus thicker and harder for bacteria to get through. However, if you have an undiagnosed STI when you get an IUD placed, you are at a higher risk of PID, so your provider may recommend that you get tested for STIs when getting an IUD.
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What Is The Minipill
The minipill is a type of oral contraceptive that contains pills that only have progestin.
None of the pills in the pack have any estrogen. The dose of progestin varies and is dependent on the formulation used in the birth control pill.
A minipill package consists of 28 pills, all of which contain the hormone progestin. It doesnt contain any placebo pills.
To maximize the minipills effectiveness, youll need to take the pill at the same time every day.
If you miss a dose even by as little as 3 hours youll need to use a backup method of birth control for at least 2 days to be on the safe side.
Theres a new FDA-approved progestin-only pill called Slynd. It can be taken within a 24-hour period and still not be considered a missed dose, unlike the current progestin-only pill.
Because this pill is so new, there may currently be limited information and access. To learn more about Slynd, talk to your doctor.
They Are Highly Effective
The IUD is one of the most effective types of birth control currently on the market. The pregnancy rate for IUD users is less than one percent. In fact, its as effective as tubal ligationgetting your tubes tied. For this reason, its often recommended as an alternative to tubal ligation since it has the benefit of being easily reversible.
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What Are The Pros Of The Copper Iud Compared To Hormonal Iuds
Lets start with the good stuff: The major pros of the copper IUD are that it is long-acting, it doesnt require you to remember to do anything every day, week, or month, and its non-hormonal for those who want or need to avoid hormones due to side effects or health concerns, Kelly Culwell, MD, a board-certified ob-gyn in Sacramento, California, tells SELF.
Not having to remember to take a pill every day is a big benefit of both types of IUDs. The copper and hormonal IUDs are similar in terms of the way they are inserted, and they dont require you to remember to do anythingsometimes called a set it and forget it method, so they are both good options for people who cant remember to take a pill every day, Dr. Culwell says.
Plus, IUDs are tiny, so you and your partner will not feel it during sex. . The doctor will shorten the strings once the IUD is in place, allowing your health-care provider to periodically check to make sure its still there, should any issues arise.)
With that said, lets jump into the specific benefits of the copper IUD compared to hormonal IUDs:
When it comes to long-lasting birth control, the copper IUD comes out on top. According to the Mayo Clinic, its considered a long-acting method to prevent pregnancy for up to 10 years.