What is an IUD and how does it work?
An IUD (the acronym for “intrauterine device”) is a very popular form of birth control because it is safe, effective, and convenient.
To get an IUD, you will need to be examined by your doctor to determine which size and type of device are best for your body and to have a discussion about all the various options available. Together you and your Viva Eve doctor will pick an IUD that works for you and your unique circumstances.
An IUD is a small, T-shaped device made of plastic that will be inserted into your uterus to prevent pregnancy. There are two basic types of IUDs to choose from:
- A copper or non-hormonal IUD that physically prevents sperm from reaching an egg. The copper in these devices is a natural preventative that deters sperm. ParaGard makes these IUDs.
- A hormonal IUD releases a hormone that makes pregnancy impossible. The FDA has approved four brands: Mirena, Kyleena, Liletta, and Skyla.
When you decide between a copper IUD vs. hormonal IUD, the important thing to consider is whether you want to maintain your menstrual cycle or whether you feel comfortable with a reduced or nonexistent period.
The difference between the hormonal IUDs include:
- Mirena releases the highest levels of hormones. When using this IUD, you may find that your periods stop altogether.
- Kyleena uses slightly fewer hormones than Mirena, but you can leave it in just as long. Because of the lower hormone levels, you tend to maintain your menstrual cycle.
- Liletta delivers nearly the same amount of hormones as Mirena. It is intended to be used for up to 4 years.
- Skyla releases the least amount of daily hormones and is slightly smaller in size. Your menstrual cycle is more likely to be maintained. Like Liletta, Skyla IUDs need to be replaced in three to four years.
The IUD Insertion Procedure – Our Approach
At Viva Eve, your comfort and well-being is always our top priority. We understand that the thought of IUD insertion can be daunting for many, we’re proud to offer anesthesia and a range of pain management options to ensure that your experience is as comfortable as possible.
What we offer:
- Local anesthesia for numbing the area.
- Oral medications to reduce anxiety and discomfort.
- Conscious sedation for a more relaxed experience.
We believe that caring for your reproductive health shouldn’t come at the expense of your comfort. Our goal is to make every procedure, including IUD insertion, a smooth and pain-free experience tailored to your needs.
Please note: Some anesthesia options may involve an additional out-of-pocket cost. Our team will discuss all available options and any associated fees with you before your procedure.
What happens during the procedure?
To insert the IUD, the doctor will fold the arms of the IUD and place the IUD into a small tube. The tube will be inserted through your cervix and positioned properly in your uterus. Once in place, the arms of the IUD will open back up, and the applicator tube will be removed. A small string hangs from the IUD into the top of your vagina, but you and your sexual partners will not feel it. The string enables the device to be easily removed or replaced
When it is time to remove your IUD your Viva Eve Ob/Gyn will also do it in our office.
Facts & Statistic
IUD effectiveness is 99% at all times.
The pill has a 99 percent effectiveness rate only when used correctly.
You can use an IUD longer than the pill with fewer side effects.
IUD offers many benefits with minimal risks
Benefits
- IUDs are considered one of the most effective modes of birth control
- IUDs are safe to use; IUD side effects are minimal
- IUD insertion is done in your gynecologist’s office
- The device can be removed easily
- It does not impact your long-term fertility
- You may have an IUD inserted at any time during your menstrual cycle.
Risks
The risks are of course minimal when the IUD insertion is done by Viva Eve’s expert gynecologists.
- The biggest potential risk occurs when the IUD is put in place. It could cause a perforation of your vagina or uterus wall.
- Infection is another risk during the insertion procedure. An untreated IUD infection can impact your fertility, so get any infections treated immediately.
- It is important to notify your doctor if you have heavy bleeding or cramps that are not controlled by over-the-counter pain medications following your IUD insertion. If you have concerns about the position of your IUD, it is important to notify your doctor.
FAQs
Yes. Patients who prefer not to be awake during their IUD insertion may elect to have the procedure performed under anesthesia. This is an optional, self-pay service for eligible patients.
Patients who elect anesthesia will have their IUD insertion performed at our preferred surgical center, Gramercy Surgery, rather than in one of our office locations. Your care team will review the location, scheduling process, and any pre-procedure instructions with you in advance.
Anesthesia for IUD insertion is available as a self-pay service for $1,000.
If your IUD insertion is being performed as part of another surgical procedure (such as a hysteroscopy), there is no separate anesthesia fee beyond your applicable in-network cost share.
An anesthesia provider will administer medication through an intravenous (IV) line to help you sleep comfortably throughout the procedure. Your anesthesia team will review your medical history beforehand and monitor you closely before, during, and after the procedure.
Yes. Patients who choose this service receive anesthesia so they remain comfortable and do not experience the procedure while it is being performed.
Patients who may benefit include those who:
- Have experienced significant pain during previous IUD insertions
- Have anxiety surrounding gynecologic procedures
- Have difficulty tolerating pelvic exams
- Have a history of trauma
- Require additional gynecologic procedures performed at the same time
Your provider will discuss whether anesthesia is appropriate based on your medical history.
Most patients who are medically appropriate may elect this option, but eligibility is determined by your provider and anesthesia team after reviewing your medical history.
If you elect anesthesia, your care team will provide detailed instructions before your procedure. These may include:
- When to stop eating and drinking
- Whether someone should accompany you home
- Which medications you should or should not take beforehand
- When to arrive at the surgery center
Following these instructions helps ensure your procedure is performed safely.
Yes. Because anesthesia can temporarily affect your alertness and coordination, you’ll need a responsible adult to drive you home after your procedure.
Although the IUD insertion itself typically takes only a few minutes, you should expect to spend several hours at the surgery center to allow time for check-in, anesthesia preparation, recovery, and discharge.
All patients return home the same day. You may experience mild cramping or spotting after your IUD insertion, and your provider will review what to expect during recovery before you leave.
