The copper-wrapped IUD can stay in place and offer continuous protection for up to 12 years. An IUD may also be the best type of birth control for a teenage girl who is, or may become, sexually active. Also, contact your doctor if you notice other changes, such as chills, heavy bleeding or unusual vaginal discharge.
Some IUDs contain slow-release hormones that prevent ovulation. If you had unprotected sex and are worried about an unwanted pregnancy, you can request a copper IUD as emergency contraception. One distinct advantage of the IUD is that its contraceptive powers are completely and instantly reversible. You can ask them about how best to get pregnant, and devise a plan that bolsters your chance of conception.
About 20 mcg of this hormone is released every day when the device is first inserted. The rate drops to about 10 mcg per day after 5 years as it reaches expiration and must be removed or replaced. Liletta and Kyleena are two other IUDs that slowly release a low dose of hormones into your body.
Liletta contains 52 mg of levonorgestrel, and Kyleena contains Both release small amounts of levonorgestrel. Liletta was approved by the FDA in February Kyleena was approved in September Instead, it has mg of copper wire coiled around the vertical stem of the T-shape. It also has The copper produces an inflammatory reaction within your uterus. It creates a harmful environment for sperm.
This environment helps prevent the sperm from fertilizing an egg and may prevent an egg from attaching in your uterus. Mirena and Skyla have the same side effects. You may have changes in your period, such as increased menstrual bleeding, discomfort, or no period at all. You may also have:. All three devices can fall out or shift position. This can increase your risk of pregnancy.
They could also tear your uterus. In addition, all three can cause pelvic inflammatory disease , but this is rare. The dose of hormone, the ultimate effect on periods, the size of the device, and the amount of time that the device is approved for use varies. Mirena, 52mg LNG, can be used for up to 5 years. Amenorrhea related to a progesterone IUD is not a dangerous or bad thing for your uterus. As soon as the IUD is removed, the periods return. It was developed as a generic, less expensive alternative to Mirena.
It has gone through a slightly different FDA approval process and is therefore approved for 6 years of use instead of 5. It has all of the same benefits as Mirena. Kyleena, 19mg LNG, can be in place for up to 5 years. It was designed to fit more easily into the uterus of a woman who has never had a baby. Because it is a smaller device, there may also be less discomfort with insertion.
With the lower dose of hormone, however, there is a less profound impact on decreasing the bleeding with your period. Most women continue to have their period. Skyla, 13mg LNG, can be in place for up to 3 years. It is the lowest dose and shortest acting IUD. It is the same size as the Kyleena. Your doctor may just recommend you check the strings hanging from the bottom of the IUD once a month. Conditions like endometriosis and uterine fibroids can make your period a living hell, full of debilitating pain and excessive bleeding.
In that case, a hormonal IUD may help with that. This can also have the blessed effect of reducing period cramps, since prostaglandins , hormone-like chemicals that cause uterine cramping, actually come from cells in your uterine lining.
If you experience heavy or crappy periods, Dr. Streicher recommends opting for a hormonal IUD with a higher dose of progestin. Shepherd says. For some, it can actually make bleeding heavier and cause more cramps because the copper can have an irritating effect.
There are several reasons why your doctor might want to steer you away from birth control methods that contain estrogen, like the pill, the ring , and the patch, and towards a non-hormonal IUD or one that only uses progestin. Here are some of the most common reasons your doctor may advise against using BC with estrogen:. You currently have breast cancer. There are many types of breast cancer, including those that are estrogen-receptor positive. That means they need estrogen to grow, so taking an estrogen-containing form of birth control could stimulate them, Mary Jane Minkin , M.
Adding too much to your body via birth control could suppress milk supply, Dr. Minkin says, so a doctor will likely steer you in the direction of something like an IUD or the progestin-only minipill.
You have a history of blood clots. You have high blood pressure. Combination birth control can boost that risk even more because estrogen can raise blood pressure, Dr.
Minkin says. But they may also advise against estrogen in your birth control altogether.
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