There are all kinds of different solutions for birth control now, and we’re doing a deep dive into everything about the IUD.

So first thing’s first…

What exactly is an IUD?

An IUD stands for an intrauterine device, it is a t-shaped device used for birth control.  It is used by inserting it into the uterus where it stays between three and ten  years to prevent pregnancy.

A healthcare professional inserts the IUD at the doctor’s office and helps you to decide on the type of IUD you want to use.

What types of IUDs exist?

Different IUDs last different amount of times.

There are copper IUDs that are non-hormonal, and there are hormonal IUDs that need about seven days to be effective after inserted.

The IUDs last for different amounts of years, so you might want to think about this when you get an IUD:

  • Skyla lasts for 3 years
  • Kyleena lasts for 5 years
  • Liletta and Mirena last for 6 years
  • ParaGard lasts for 10 years

How exactly do you get an IUD?

When you’re at the doctors office, you’ll make an appointment with your OBGYN and they’ll help you to decide on the type of IUD to use that’s best for your body and timing.

The doctor with first wash the cervix with an antiseptic solution and then slide a plastic tube containing an IUD through your vagina and into the uterus.  They will then push the IUD into the uterus with the help of a plunger and then remove the tube.  Once the tube is removed, there will just be two strings that dangle down from the cervix and into the vagina.

By having these strings hanging down into the vagina, they can help your doctor or you make sure that the IUD is still in the proper place, and they can help your doctor take out the IUD when it is time to remove the device.  The removal of the IUD should only be done by a doctor.

The insertion of the IUD can cause a bit of discomfort and pain, such as cramping and backaches, but it si a great long-term and effective birth control method.

You can have IUDs placed any time during your cycle, but it’s actually more comfortable to get it inserted when you’re on your period, as this is when your cervix is most open.

Who uses an IUD?

Healthy women can use an IUD.  They’re especially for women with just one partner and they protect against pregnancy, but they do not protect against STDs.

Will my periods change with an IUD?

It is normal with hormonal IUDs for women to have fewer cramps.  They also might have irregular spotting during the first few months of having the IUD in and eventually might have light periods or no periods at all.

The copper ParaGard might may your periods heavier and cramping worse.  These side effects generally go away after a few months, but the copper IUD is even more effective at preventing pregnancy.

IUDs are very safe and you’re very unlikely to get pregnant while using an IUD, but if you do, you are at risk for miscarriage or an ectopic pregnancy.  Let your doctor know immediately and they will help you.

If you have any questions or problems, be sure to ask your doctor about what is going on and get the help you need.

Can my partner feel the IUD?

Your partner shouldn’t be able to feel your IUD.  The only thing they might be able to feel are the strings of the IUD, and this shouldn’t cause any problems.

Can my IUD fall out?

It can fall out, but it is unlikely.

Your doctor will check your device during your regularly scheduled visits, but sometimes it might fall out if you are on your period.

You can also check periodically to see if you can feel the strings to make sure your IUD is in place.

If your IUD does fall out, you should contact your doctor to find out the next steps.

How much does an IUD cost?

IUDs should be free if you have insurance or Medicaid.  This is just for the device yourself but not necessarily for the doctor visit and insertion.  

If you want to get birth control and you don’t have insurance, you can go to health centers operated by Planned Parenthood and see how they can help you.

What if I want to get pregnant later?

If you want to get pregnant later on, the IUD will not affect your ability to have children.  If you’re ready to have children, you can ask your doctor to take out your IUD.

Your period and menstrual cycle should then return to normal as soon as the IUD is removed.

How does my doctor remove my IUD?

Do not take the IUD out yourself.

The doctor will take out the IUD in their office.  It only takes a few minutes and they just slowly pull the IUD out.

You may experience some bleeding and cramping, but it should go away within one to two days.

About the author

Alice Cash is the Marketing Manager for Jubilance by day and an award winning Theatre Director by night.  Leading the podcast Weekly Woman, she loves her candid conversations with women from all over the world about how they live and the amazing things they are doing to make a difference. Alice is also the editor of the bi-monthly newsletter the Jubilee, a blog dedicated to the power of female wellness especially concerning menstruation.  She’s worked in France creating theatre pieces and taught drama and filmmaking to women and children in Haiti.  She graduated from Georgetown University and holds two master degrees from NYU and The New School.  Alice has traveled to  40+ countries, including Tibet.  She is a New Yorker and can often be found in Central Park, searching out the best bubble tea, or directing a play, you never know where she’ll show up. @alicesadventuresinwonderworld
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