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Home Publications Columns Ask Your Doctor

Ask Your Doctor: INTRAUTERINE DEVICE

February 4, 2019
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Intrauterine device (IUD), also referred to as the coil, loop or intrauterine system, is one form of birth control that is available in Anguilla. IUD is not for everyone, but today’s IUDs are considered both effective and safe for most women.

What is an IUD?
The IUD is a type of long-acting reversible contraception. An IUD is placed inside the uterus(womb). It prevents pregnancy by stopping sperm from reaching the fertilizing eggs. Two types of IUDs are available in Anguilla. Mirena is one type. It releases small amounts of the hormone progestin (levonorgestrel) into the body. It is the same hormone used in many birth control pills. These types of IUDs tend to make your period lighter and may be a good option if you have heavy periods. The other type of IUD available in Anguilla is called the copper T IUD. It is hormone-free. The copper triggers your immune system to prevent pregnancy.

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Some facts about the IUD
• When inserted correctly, IUDs are more than 99% effective.
• An IUD works as soon as it is put in, and lasts for 5 to 10 years depending on the type.
• It can be put in at any time during your menstrual cycle, as long as you are not pregnant. Most women find it easier to have it inserted on the last day of their menstrual period.
• It can be taken out at any time by a specially trained doctor or nurse. It is then possible to get pregnant straight away.
• Menstrual periods can be heavier, longer or more painful in the first 3 to 6 months after an IUD is put in. This dose not happen with Mirena.
• There is a small risk that your body may push out the IUD or it may move. Your doctor or nurse will teach you how to check that it is in place.
• It can be uncomfortable when the IUD is put in, but painkillers can help.
• It may not be suitable if you have had previous pelvic infections.
• It does not protect against sexually transmitted infections (STIs), so you may need to use condoms as well.
• There is a very small chance that you can become pregnant with an IUD (less than one percent). If so, contact your gynaecologist immediately as there is a slight chance that it might be an ectopic pregnancy.

Putting in an IUD
This can be done in the doctor’s office. A big concern for women considering an IUD is the insertion process and the pain involved. … Generally, however, women can expect to feel cramping or sharp pains during or after the procedure. Using an over the counter analgesic is usually sufficient to control this pain. Before insertion, the healthcare provider would provide counselling, explain the insertion process and answer any of your questions.

Removing an IUD
Your IUD can be removed at any time by a trained doctor or nurse.
If you are not having another IUD put in, and you do not want to get pregnant, use additional contraceptions such as condoms, for 7 days before you have it removed.

Conclusion
The intrauterine device (IUD) is a very effective method of birth control. It is a small, plastic, T-shaped device that contains copper or hormones. The doctor inserts the IUD into your uterus. It is important to have regular medical check-ups after having the IUD inserted. If you have any concerns please contact your healthcare provider.

Ask Your Dr is a health education column and is not a substitute for medical advice from your physician. The reader should consult his or her physician for specific information concerning specific medical conditions. While all reasonable efforts have been made to ensure that all information presented is accurate, as research and development in the medical field are ongoing, it is possible that new findings may supersede some data presented.
Dr Brett Hodge MB BS DGO MRCOG is an obstetrician/Gynaecologist and Family Doctor with over thirty-six years in clinical practice. Dr Brett Hodge has a medical practice in The Johnson Building in The Valley (Tel: 264 497 5928).

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