IUD

The IUD is a little, t-shaped piece of plastic that gets put in the uterus and mess with the way sperm can move which prevents fertilization (sperm and egg meeting). Sounds a little odd, but it works like a charm. There are five kinds: LILETTA, Mirena, ParaGard (non-hormonal), Skyla and Kyleena. They offer years of protection—between three and ten , depending on the type.. They are also reversible, so if the user decides to get pregnant later, they simply need to have it removed. Previously, IUDs were only recommended for people who had previously had a pregnancy, but that is no longer the case. A person does not need to have previously experienced pregnancy in order to use an IUD. Talk to your health care provider to learn more and remember, any birth control decision such as the IUD should be a fully informed decision free of coercion.

IUD

IUDs are long lasting and won’t interrupt the moment – and are either hormonal or non-hormonal.

LILETTA
This small and flexible plastic IUD releases a small amount of the synthetic hormone, progestin, which thickens the cervical mucus to create a barrier that sperm cannot penetrate. LILETTA has been through the largest IUD trial ever conducted in the U.S. and a recent study shows it works for up to five years, if you want to use it that long. Your periods may become lighter using this method.

MIRENA
This plastic IUD releases a small amount of the synthetic hormone progestin, which thickens the cervical mucus to create a barrier that sperm cannot penetrate. It lasts for five years if you want to use it that long, and for some may lead to lighter or no periods.

PARAGARD
This IUD is made of plastic and a small amount of natural, safe copper. It’s 100% hormone-free and doesn’t alter your periods. ParaGard releases copper ions that kill sperm. It provides pregnancy prevention for up to 10 years, if you want to use it that long, so be sure and talk to your provider about the timing.

SKYLA
This plastic IUD is the smallest one available. It releases a small amount of the synthetic hormone, progestin, which thickens the cervical mucus to create a barrier that sperm cannot penetrate. It works for up to 3 years, if you want to use it that long.

KYLEENA
Kyleena is a small plastic IUD that releases a continuous low dose of progestin. It is a little smaller than some other IUDs and having it placed may be a little more comfortable for some when compared to other IUDs. It works for up to 5 years, if you want to use it that long.

GET IT AND FORGET IT
If you’re a busy person who doesn’t want to worry about remembering birth control, the IUD just may be for you. Once it’s in, you’re good to go for years, but remember, it does not protect against sexually transmitted infections.

HANDS FREE
No packages or prescriptions to pick up at the pharmacy, so there’s nothing that could get lost or forgotten.

TOTAL PRIVACY
No one can tell when you have an IUD. (Some partners say they can feel the string, but that can be adjusted.) There’s no tell-tale packaging, and nothing you need to do just before you have sex.

SAFE AND SOUND
Most experts agree, if you’re healthy, you’re probably a good candidate for the IUD. That’s true even if you’re young, haven’t ever been pregnant, or haven’t had kids yet.

THE PREGNANCY QUESTION
You should return to fertility (fancy way of saying you should go back to being able to get pregnant) very quickly after you have the IUD removed. Which is great if you want to have a baby. But if you’re not ready to get pregnant as soon as you have an IUD taken out, be sure to protect yourself with an alternate method.

IF YOU WANT TO GET AN IUD,
the first thing you’ll need to do is talk with your doctor. They will ask you a bunch of questions about your medical history and your lifestyle, then give you an exam to make sure the IUD is right for you.
You can get the IUD inserted any time of the month. Some doctors like to insert it during your period, but any time is fine as long as you can be sure you’re not pregnant.
It’s pretty common to feel some cramps when the IUD is inserted, but they’ll go away with rest or pain medication. Some people might feel dizzy, too. Once the IUD is in, you’ll notice a little string that hangs down into your vagina by inserting one to two clean fingers into the vagina. That’s there so that the IUD can be removed later. (The strings don’t hang out of the vagina like a tampon, though.)
After it’s in, there’s really not much you have to do other than check the string ends from time to time to make sure it’s in place. Here’s how:

  • Wash your hands, then sit or squat down.

  • Put your finger in your vagina until you touch your cervix, which will feel firm and rubbery like the tip of your nose.

  • Feel for the strings. If you find them, congrats! Your IUD is good to go. But if you feel the hard part of the IUD against your cervix, you may need to have it adjusted or replaced by your doctor.

  • Don’t tug on the strings! If you do, the IUD could move out of place.

  • If you don’t feel comfortable checking for the strings, you can let your doctor do that the month after insertion, and then yearly after that.

There are positive and negative things to say about each and every method. And everyone’s different—so what you experience may not be the same as what your friend experiences.

THE POSITIVE
Positive “side effects”? You bet. There are actually lots of things about birth control that are good for your body as well as your sex life.

  • Easy to use

  • Doesn’t interrupt the heat of the moment

  • Super long-lasting protection without much effort – and you can decide how long lasting it can be

  • The ParaGard brand of IUD doesn’t change your hormone levels

  • The LILETTA and Mirena brand of IUD may reduce cramps and make your period much, much lighter. Some people will experience a stop in their period completely.



THE NEGATIVE
Everyone worries about negative side effects, but for many people, they’re not a problem. Most people adjust to having an IUD pretty quickly, so give yourself time. If things do not improve be sure to talk to your healthcare provider.

THE MOST COMMON COMPLAINTS:

  • Spotting between periods (especially during the first few months after you get an IUD)

  • Increased period flow (for users of the ParaGard brand)

  • Cramps and backaches

  • IUD slipping out

  • Infection


OTHER STUFF TO WATCH OUT FOR:
If you still feel uncomfortable after three months, switch methods and stay protected. You’re worth it.
*For a very small number of people there are risks of serious side effects.

WE’RE HERE TO GET THIS METHOD WORKING BETTER FOR YOU.
And if it still doesn’t feel right, we’ve got ideas for other methods. Just remember: If you change methods, make sure you’re protected during your switch.

MY PERIODS ARE HEAVIER AND/OR MY CRAMPS ARE WORSE.
If this is the case, you’re probably using a copper IUD (ParaGard). Sometimes things get better if you just give it a couple months. You can also take ibuprofen the first few days of your period.

Still not working?
If you like the ease of using an IUD, but find that the side effects don’t get better with time or painkillers, you could try switching to a hormonal IUD (Mirena) or to the implant.

MY PARTNER CAN FEEL THE STRING.
If your partner can feel the strings, you can have the strings cut shorter. Just ask your health care provider. Also, the strings usually get softer over time.

I WANT TO GET PREGNANT.
This one is easy. If you’re ready to get pregnant, just have your IUD removed. The hormones in your body should go back to normal quickly and you can start trying right away. If you had the copper IUD (ParaGard), no need to wait on hormones to rebalance.

Effectiveness

It’s one of the most effective methods.


Perfect Use

99%


Typical Use

99%


Side Effects

Spotting and irregular or heavy bleeding may occur in the first 3-6 months, but then periods may be come shorter or even stop.


Effort

Inserted once and lasts for years.


How do I get it?

You need to see a doctor for insertion. Find your local health center here.