Intrauterine devices are devices (IUD) that can be placed directly into the uterus by a skilled NYC gynecologist to prevent unplanned pregnancies. IUDs are one of the most efficient forms of birth control providing a greater than 99% success rate, which means less than 1% of women with IUDs correctly in place will become pregnant. Additionally, IUDs are placed in the office in only a few minutes, generally experiencing only mild discomfort during the small procedure.
Gynecologist of Manhattan Women’s Health & Wellness offer comprehensive Obstetrics & Gynecology care in NYC for women of all ages. At our obgyn clinic we provide a full range of gynecology services, from annual check-ups and routine pap smears to IUD insertions and removals, and gyn procedures, surgeries performed in our office or in the hospital. Our state of the art gynecology NYC facility equipped with the latest obgyn equipment.
Types of IUDs
then first searching for IUDs online, it may seem quite daunting at how many different IUDs exist in the US, with even more IUDs outside of the US. However, all of the IUDs generally follow two basic types. Hormonal, or non hormonal i.e., the presence of a medication within the IUD that is slowly emitted into the uterus as it sits inside.
- Hormonal IUD. This includes many of the IUDs people are familiar with, such as Liletta, Kyleena, Skyla, or Mirena. These are small, usually quarter sized pieces of soft flexible plastic with a string attached, that go directly into the uterus where they can stay for several years, depending which IUD you have chosen. The hormonal IUDs generally contain one hormone called progesterone, that helps thicken cervical mucus to prevent sperm from entering the uterus and meeting with an egg. They also slow down contractions of the fallopian tubes which may prevent an egg from even reaching the uterus. In some cases, they may even prevent the egg from ever leaving the ovary (ovulation). The benefits of progestin based IUDs is that they generally reduce how much you bleed on your menses and many women have no bleeding on their menses after a few months
- Copper IUD. These are also quite popular as they generally have a longer lifespan within the uterus. They also contain zero hormone, so this may be advantageous to women who have allergies or are sensitive to progestins. They prevent pregnancy by creating an environment unsuitable for fertilization and sperm. The copper IUD must be placed in the perfect part of the uterus for it to work successfully.
Risk of IUDs
IUDs are more than 99% effective at preventing pregnancy
IUDs are generally considered to be extremely low risk during placement, maintenance, and during removal. During placement, the risk of infection, perforation (poking a hole through the uterus and the iud going inside the abdomen which would require a small surgery to remove), or pain, can all occur. Luckily, these are all very rare, and there are ways your gynecologist can mitigate these risk, such as using an ultrasound during the placement of the IUD.
Progestin based IUDs may help if you have heavy periods
After placement, the biggest side effect of an IUD is changes in how you bleed. You may initially note spotting when you are not on your period, but as time goes on, you should experience less and less bleeding during your menses, with some women not having any bleeding at all. This is more noticed with the hormonal IUD vs the copper IUD. Cramping may also occur in a similar pattern.
The IUD is quite easily removed so if you experience any of these, you and your midtown gynecologist can discuss whether you wish to remove the IUD
Important Reminder: This information is only intended to provide gynecology guidance, not definitive medical advice. Please consult OBGYN doctor about your specific condition. Only a trained, experienced gynecologist or certified gynecology specialist can determine an accurate diagnosis and proper treatment.
Have questions about Intrauterine Devices? Schedule an appointment with the best OBGYN in Manhattan, Dr. Fernando Mariz by calling our office today
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