I.U.D. (Interuterine Device)

What is an IUD?

An IUD is a small plastic object which is inserted inside the uterus designed to prevent pregnancy. Two types are available One type contains copper and can be left in the uterus for up to 10 years. Alternately, there is an IUD which releases a small amount of progestin and must be replaced every year.

Although IUDs have been in use for over 30 years now, no one is quite certain why this device works. It is believed that the insertion of a foreign object causes a change in the lining of the uterus or it may simply impede the movement of the sperm through the uterus.

Is an IUD right for me?

An IUD might be right for you if:

• you are in a mutually monogomous relationship
• you have completed at least one full term pregnancy
• do not have a history of pelvic infections
• are looking for an effective, low maintenance form of birth control
• are finished having children

An IUD is NOT right for you if:

• you have more than one sexual partner
• your partner has more than one sexual partner
• have had a history of pelvic infections or STDs
• experience severe menstrual cramps
• have heavy periods
• want to have more children*

*Address fertility concerns with your physician.

How effective is the IUD?

The IUD is an extremely effective means of birth control (95 to 98%), although it does not provide protection from STDs.

How is the IUD used?

Before an IUD is placed in the uterus a gynecological exam and pap test should be done to test for infection. After this has been the doctor can proceed with the insertion. Usually the doctor will wait until menstruation before inserting the IUD. Once the IUD has been inserted then there is little care or maintenance. However, every week the woman should check for IUD strings. If the strings cannot be found, then the woman should return to the doctor.

Practical concerns with the IUD

The side effects of the IUD illustrate the limitations of the device. Possible side effects of an IUD include pelvic pain, cramping, painful or increased menstruation, unpleasant vaginal discharge and general malaise.

If you experience any of these symptoms, please visit your physician or health care professional immediately.