IUD Clinic

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IUD clinic is provided by Dr. Katayoon Akhavein weekly at Marine Drive Medical Clinic.

 

The intrauterine device (IUD) is a safe, highly efficient, reversible and long-acting contraception. It is the most used reversible contraception because of its high efficacy, safety, ease of use, and cost-effectiveness. All IUDs have a plastic frame and release either copper, or progestin to enhance the contraceptive action of the device.

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An intrauterine device (IUD) is a type of birth control. It is a small,   T-shaped device that a doctor puts in the uterus by going through the vagina and cervix. These devices are made of flexible plastic and have 2 thin plastic strings that hang out of the cervix. They are very small – a little more than 1 inch (2.5 cm) in width and length.

IUD is one of the safest, most effective methods for preventing pregnancy. It is a very good choice for women or teens.


Some women use IUDs for reasons other than birth control. For example, one type of IUD (Mirena) can be used to treat heavy, painful periods.

The benefits of using an IUD include:

  • IUDs are very effective. Fewer than 1 in 100 women who use these devices get pregnant during the first year of using them.

  • There is no need to remember to do anything or take any birth control medicine.

  • Compared to the other methods, IUDs have fewer side effects.

  • IUDs do not contain estrogen, a hormone that some women can't or don't want to take.

  • If the woman decides she wants to get pregnant, she can have the IUD taken out.

  • If a woman uses an IUD for several years, it costs less overall than many other types of birth control.

  • There is evidence that using an IUD lowers the risk of getting cervical cancer.

 

 


Types of IUDs:

Two types of IUDs are available in Canada, non-hormonal and hormone-releasing IUDs.
 

● Non-hormonal IUD:


Copper IUD – The copper IUD is a T-shaped device that releases copper.


The contraceptive action of copper IUDs can be improved by the addition of silver or nickel. It is believed that up to 20% of women might have some sensitivity to nickel. Sterling silver is hypoallergenic, and this makes adding silver instead of nickel to copper IUD an ideal combination for contraception.


Copper IUDs consist of different types, which protect against pregnancy from 3 to 10 years, depending on the type (Liberte UT, Liberte TT, Mona Lisa, Flexi T).

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● Hormonal IUDs:

The Hormonal IUDs are T-shaped devices that release progestin (Levonorgestrel). There are two hormonal IUDs available in Canada, which release a varying amount of progestin hormone.

Mirena IUD (52 mg LNG IUD): This IUD has an initial progestin release rate of approximately 20 mcg/day, which declines to an average release of 10 mcg/day at five years and it is approved for five years of use.

Kyleena IUD (19.5 mg LNG IUD): The initial hormone release rate is 17.5 mcg/day, which declines to 7.4 mcg/day at five years, is approved for five years of use. 

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Mirena

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Kyleena

Non-hormonal IUDs vs. Hormonal IUDs:

● The cost of a copper IUD is $90 - $100 and is not covered by the extended health benefit. The cost of a Hormonal IUD is $400 - $500 and the extended health plans usually cover the most part of the cost depending on your plan.

● Copper IUD usually makes the periods heavier or longer. In contrast, hormonal IUD usually makes the periods lighter and less painful, in fact about 20-30% of women stop getting a period at all, but this is not harmful and does not need to be treated. regular periods return when the device is taken out. It is good to remember that after insertion of hormonal IUD the women might get irregular vaginal spotting that can last about 3 to 6 months.

● Copper IUD can be used for emergency contraception (EC) when inserted within 120 hours (5 days) of unprotected intercourse. When used as an EC method, the copper IUD has a <0.1 percent pregnancy rate. The device can then be left in place to provide ongoing contraception.

● Copper IUD does not provide protection against upper genital tract infections. Copper IUD users have a greater risk of pelvic inflammatory disease (PID) if exposed to sexually transmitted infections (STIs). The difference in risk of PID is related to progestin release in hormonal IUDs. However, dual method use with condoms provides excellent protection against the transmission of STIs.

The Facts about IUDs:

● IUD won’t affect your future fertility.

● An IUD does not protect you against "sexually transmitted diseases" or "STDs." But you and your partner can use a condom to prevent spreading infections.

●There is a small chance the IUD will come out during the first year of insertion. If this happens, you will need a new IUD. If you see your IUD in your underwear, on your pad, or in the toilet, inform your doctor.

●The initial cost is higher than the cost of other methods. But, there are no more costs after it is inserted.

●Only a doctor can insert or remove an IUD.

● Removal of an IUD might cause a brief mild cramping, since the T shape is flexible and can be easily bent while passing out of the cervix.

 

Which type of IUD is best for me? Your doctor can help you choose the right IUD for you.

 

Copper IUD might be a good choice if you:

● Want or need to avoid hormones.

● Want to avoid big changes in your period, such as not having any periods or bleeding or spotting when you might not expect it.

 

Hormonal IUD might be a good choice if you:

● Have heavy, painful periods. These IUDs can make your periods lighter and less painful.

● If you are sensitive to copper or nickel.

 

Does it hurt to have an IUD put in?

You will likely feel some discomfort and cramping during and after IUD insertion. Women who have not had a baby often feel more cramping than women who have had a baby. The cramps generally gets better within 1 or 2 days, but some women experience more and longer duration of pain over the following 5 to 7 days. Over-the-counter pain medicines like ibuprofen (Advil, Motrin) or naproxen (Aleve) can help cramps go away faster.

 

After the IUD is in place, you should not be able to feel it.

 

After the IUD insertion, your doctor asks you to have a follow up appointment within the next month after your next period, and every 1 to 2 years thereafter.

You should contact your doctor earlier if:

● You have severe lower abdominal pain that does not get better with an adequate dose of Advil or Aleve.

● You have heavy vaginal bleeding or unexplained fever.

● You think your IUD might have moved or fallen out.

● You had sex with someone who might have an STD, or you think you have an STD.

Location & Contact Details

Tel: +1 778 340 9171

Email: info@mdmedicalclinic.com

102-1061 Marine Dr, North Vancouver, BC V7P 1S6