Intrauterine Devices (IUDs)

IUDs, or intrauterine devices, are an increasingly popular option for birth control. This category includes questions about Mirena, Paragard, and other IUDs or coils.

1,286 Questions
Intrauterine Devices (IUDs)

How effective is the IUD?

The IUD is very effective, but it is possible to get pregnant while using one for birth control. Effectiveness depends upon the actual type of IUD, whether it is copper or hormonal (e.g. Paragard). The theoretical effectiveness of IUDs is quite high:

  • When using the hormonal IUD, about 2 out of 1,000 women become pregnant in the first year.
  • When using the copper IUD, about 6 out of 1,000 women become pregnant in the first year.

A 2012 study published in the New England Journal of Medicine showed that over a period of three years, 9.4% of women using birth control pills, patches, or vaginal rings became pregnant accidentally, compared to just 0.9% of women who opted for IUDs or implants.

Most pregnancies that occur with IUD use happen because the IUD is pushed out of (expelled from) the uterus unnoticed. IUDs are most likely to come out

  • in the first few months of IUD use
  • after being inserted just after childbirth
  • in women who have not had a baby before.
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Intrauterine Devices (IUDs)

When can you get pregnant after stopping the IUD?

It is possible to become pregnant immediately after removal of an IUD. Even with mirena coils which contain small amounts of progesterone, the contraceptive won't work as soon as the IUD is removed.

Once your IUD is removed you can become pregnant immediately, it has no residual contraceptive effect.

85% of couples will get pregnant within the year, just as the rate if no IUD had been used.

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Pregnancy Tests
Intrauterine Devices (IUDs)

Does the IUD affect the accuracy of a pregnancy test?

Your IUD does not affect pregnancy testing. A pregnancy test measures the presence of a hormone called hCG in your urine. Some IUDs [eg the Mirena coil] release hormones, but these will not affect your hCG levels and so have no effect on pregnancy tests.

If you have an IUD and get a positive pregnancy test result it is very important that you see your doctor immediately. This is because if you get pregnant with an IUD in-situ you have an increased risk of ectopic pregnancy (where the embryo implants in the Fallopian tubes instead of the uterus). Complications of ectopic pregnancy can be fatal, so your doctor will want to do an urgent ultrasound scan to ensure that you do have one. This is very rare - the risk of pregnancy with an IUD is very low (less than 1 in 1000), and the risk of ectopic pregnancy is lower still, but it is still important to have this checked by a doctor.

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Intrauterine Devices (IUDs)

How much does an IUD cost?

It varies by type of IUD, and if you have insurance, what type and if it's covered by that. I have Blue Cross Blue Shield, and it is covered through that, but I'd call yours to make sure. The true cost of my Mirena IUD was around $1100, but the cost to me was about $25. That's because 1) it was covered in my insurance, and 2) my doctor did it during a regular check-up visit.

Another thing to consider is the cost of an IUD versus the cost of the Pill over the course of the 5 or 10 years you have it. I was paying around $25/mon for the Pill, which works out to 300/yr or 1500 over 5 years. So even if I didn't have insurance, the cost of the Mirena would still have been less than the cost of my Pill. Also, IUDs are generally more effective than the Pill because they're considered "idiot proof" - you can't "forget" to take something that's inside you. That was really important to me, but you could be much better than I was at remembering your Pill.
The sticker price for the Paragard IUD is around $800/900. but with insurance, you may just need to pay a normal copay. Family planning centers provide IUDs on a sliding scale fee if they participate with Title X.
About $400
At our local sliding-scale family planning office, the full price is about $1000, and the sliding scale fees (based on income per state regulation) range from $0 to $500. There are insurance programs in NY to help pay for contraception for women who qualify. Insurance may cover contraception if your employer has purchased that coverage in your plan.

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Intrauterine Devices (IUDs)

What is an IUD?

An IUD - IntraUterine Device is a birth control device (form of contraception) that a health care provider places in your uterus. The IUD can stay in place for 5 to 12 years depending on the type.

The ParaGard IUD contains copper. It is effective for 12 years, it has no drugs the copper prevents an embryo from implanting.

Mirena is made of plastic and gives you a constant low dose of hormones, similar to the BCP or NuvaRing. It prevents pregnancy by suppressing ovulation and making cervical mucus thick.
It's short for "inter-uterine device" a form of birth control where the IUD is inserted into your uterus.

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Intrauterine Devices (IUDs)

When can you get pregnant after stopping Mirena?

After removal of the IUS, normal fertility is regained after a few months, with a near normal 80% of women able to conceive within 12 months.

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Intrauterine Devices (IUDs)

Does HIP insurance cover the IUD?

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Birth Control
Articles of Confederation
Intrauterine Devices (IUDs)

How effective is mirena?

BC pills are 98% effective without a condom.

Mirena is 99% effective without a condom. Mirena is one of the most effective methods of birth control out there right now.

Not to 'ninja' this question, but I had the same question, and I wanted to clarify, are these numbers implying that the male can ejaculate in the female without a condom and maintain that level of effectiveness at preventing pregnancy (as you would with a condom), or are you not supposed to ejaculate in the female? Sorry if that sounds lewd, but my wife and I use the Mirena, and are genuinely trying to find out if I'm supposed to be able to ejaculate in her and have a 99% chance of preventing pregnancy, or if the intended use does not allow me to ejaculate in her and keep that 99% effectiveness? Thanks.

Yes, you can ejaculate in your wife while she is on the Mirena. That's the whole point of getting it and yes it's still 99% effective.

These percentages are for sexually active women - hopefully a woman who is non-sexually active has 100% chance of not becoming pregnant! A sexually active woman who is correctly using an effective method of BC (BCP, IUD, Depo shot, patch, ring, implant) whose partner always uses a condom has just about 100% chance of not becoming pregnant.

The Mirena works in two ways - the IUD itself alters the lining of the uterus. Next by constantly emitting a low dosage of hormones similar to those in some BCPs - cervical mucus is thick and sticky so inhospitable to sperm, the hormones also prevents the ovary from releasing eggs - no ovulation - no pregnancy.

Women who have an IUD should use a condom if they are not in a monogamous, committed relationship - having multiple partners (or having a partner who has multiple partners) increases the risk of infection that could lead to sterility.
I have been on it for 4 years now....and no pregnancy. The periods are few and far between which raises a concern to me. I do not think that it is healthy to have a period once every 4 or 5 months. The duration of it is 5 years and I am in my 4th years, so I would say that the odds are in the favor of the label description.
Mirena is an IUD or Intrauterine Device. It is a birth control alternative. No form of birth control can guarantee to be 100% effective.

See related links for more information.
Like any form of contraception there is a very small chance you can get pregnant with a Mirena coil, I understand the risk is about 1 in 1000 women using this type of contraception will get pregnant in a year. If you do get pregnant using the coil you should seek medical advice immediately as there is a chance that the baby can be harmed by the coil.
I can personally attest to getting pregnant with the Mirena. I had the Mirena in place for almost 4 years and I recently found out I was pregnant. The removal of the IUD was successful but I still ran into complications after 7 weeks the doctor could not detect a heartbeat. Last week because the sack would not pass naturally, I had to have a D and C to remove the sack. Though this may be a horror story for me, I have read about successful pregnancies while getting pregnant with a IUD. I am now faced with what form of birth control to take when I return to my follow up appointment, but I will say I am actually considering another IUD.
Unlikely but possible if the IUD has moved without your knowledge, however you are supposed to check the threads frequently to prevent this. More effective than the pill.
Yes, it has happened to me twice. Both ended in miscarriages
can you get pregnant while on Mirena?
Mirena is an IUD or Intrauterine Device. It is a birth control alternative. No form of birth control can guarantee to be 100% effective.

See related links for more information.
Like any form of contraception there is a very small chance you can get pregnant with a Mirena coil, I understand the risk is about 1 in 1000 women using this type of contraception will get pregnant in a year. If you do get pregnant using the coil you should seek medical advice immediately as there is a chance that the baby can be harmed by the coil.
I can personally attest to getting pregnant with the Mirena. I had the Mirena in place for almost 4 years and I recently found out I was pregnant. The removal of the IUD was successful but I still ran into complications after 7 weeks the doctor could not detect a heartbeat. Last week because the sack would not pass naturally, I had to have a D and C to remove the sack. Though this may be a horror story for me, I have read about successful pregnancies while getting pregnant with a IUD. I am now faced with what form of birth control to take when I return to my follow up appointment, but I will say I am actually considering another IUD.
Unlikely but possible if the IUD has moved without your knowledge, however you are supposed to check the threads frequently to prevent this. More effective than the pill.
Yes, it has happened to me twice. Both ended in miscarriages
Yes you can, I am 5 weeks pregnant with it in place.
No birth control is 100% effective. There's always a chance that you may get pregnant.
IUDs are one of the most effective forms of birth control available. Better than 99% effective, or less than 1 out of 100 women will get pregnant each year if they use the ParaGard or the Mirena IUD.

The IUD doesn't protect against sexually transmitted infections. Using a condom along with the IUD will reduce the risk of infection.

If you have an IUD and believe you maybe pregnant you should schedule an appointment with your health care provider as soon as possible.
Yes. It is less likely, significantly less likely, but it can happen. This can happen if it is not working properly, if it is not inserted properly, or there is a defect. Also, nothing is 100% perfect, so there is still a chance that you can get pregnant.

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Intrauterine Devices (IUDs)

If you are already pregnant when an IUD is placed will it hurt the baby?

No Physician should place an IUD while you are pregnant. If you have had one placed and you think you are pregnant, you should notify your physician immediately. There is a very good chance that you will have a miscarriage if you leave an IUD in place.

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Intrauterine Devices (IUDs)

What if you can't feel the IUD strings?

The most common reason that a woman doesn't feel the strings is that they are tucked just inside the cervical opening, or are high in the vagina. However, because missing strings could mean a missing IUD, a woman who can't feel the IUD strings should consider emergency contraception if she's had intercourse in the last five days, and should use a back up method of birth control until she's confirmed that the IUD is still in place. Your health care provider can do an exam and, if necessary, a very brief ultrasound to confirm the location of the IUD.

It may have fallen out and you are then not protected from pregnancy. Go to the doctor and get checked, you should have an annual check anyway.

It may be that your IUD has become displaced or fallen out. I suggest you ask for a scan to see what has happened as you may not be protected at all from pregnancy.

Go and see your doctor immediately because if you are pregnant, the IUD needs removing immediately because it can harm the baby

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Amoxicillin
Intrauterine Devices (IUDs)

Does amoxicillin affect mirena?

No. Amoxicillin will not interact poorly with the Mirena IUD. There are medications that should not be taken, so be sure to tell a doctor about the IUD before getting a prescription.

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Birth Control
Spotting While Pregnant
Menstruation
Intrauterine Devices (IUDs)

Does an IUD cause you to miss your period?

It depends on the IUD. I was on Mirena and I missed several periods, I can't tell you about other makes.

I have a IUD for thre and a half years. I havn't had a single period.

It depends whether you get a hormonal or non-hormonal IUD. I have an IUD that is non hormonal, and just contains copper. This causes a hostile environment for sperm (as copper kills sperm) without affecting my ovulation or other hormonal patterns. Hormonal IUD's are available which repress ovulation and some can also create a mucus plug which aids in preventing sperm from getting past the cervix. Nice to know we have options :)

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Swimming Pools
Tampons
Intrauterine Devices (IUDs)

How long is too long to leave the solar cover on?

The swimming pool should be able to "breathe" -- letting the fumes from the addition of chemicals to "gas off" to open air. This should be done at least once a week or when you add chemicals to the pool. The cover should be removed for most of the that day. And note, you should NEVER try to swim under the cover while it is covering the pool.

K

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Intrauterine Devices (IUDs)

What can cause Bleeding after intercourse with an IUD?

Bleeding after intercourse (post-coital bleeding in doctor talk) can occur for several reasons. When you have an IUD, however, bleeding after intercourse may mean that the IUD has moved from the top of the uterus to the lower part, which may render it ineffective. Any woman with bleeding after sex should be checked by her health care provider; for a woman with an IUD, it's especially important that she use a back up method of birth control until she can confirm with her health care provider that the IUD is in place.

Infection is one of the most common. Anything from a yeast infection to a sexually transmitted disease like gonorrhea or chlamydia can irritate the cervix to the point where trauma from sex can lead to bleeding. Benign polyps of the cervix (small projections of tissue) may also bleed. Cancer caevix : Abnormal cervical cells, are also more easily irritated and may bleed with intercourse. IUCD : Women who use an IUD or diaphragm may experience such bleeding from irritation and friction. Vaginal Tear:Sometimes the bleeding is not from the cervix, but rather from a tear in the vagina; tears can happen with vigorous sex or if you are dry. For repeated bleeding after intercourse you need to see a gynecologist. The exam should include a Pap smear for abnormal cervical cells, unless you have had the test within the last couple of months. Infections need to be ruled out by examination and culture. Polyps can be detected and removed. If a tear is found, usually lubricants or changes in style of intercourse will be recommended. In any case, you must not ignore bleeding after intercourse, especially if it happens repeatedly.

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Medical Insurance
Intrauterine Devices (IUDs)

How do you get your insurance company to cover removing an embedded IUD and what could happen to you if it is never removed?

Not sure about the first part of the question, but embedded IUDs can be a dangerous problem. It can put you at higher risk for uterine perforation and secondary infection such as pelvic inflammatory disease (PID). Embedding occurs when the uterine tissue starts to grow around the IUD; they should only be removed by a medical professional. I would find it strange that an insurance company would refuse to cover something that could lead to a serious medical complication down the line (maybe because it is associated with an elective procedure, i.e. contraception?), but I would consult the call line of your local OB/GYN clinic to be sure.

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Intrauterine Devices (IUDs)

What are the symptoms of pregnancy on the IUD?

Generally the same as when you don't have an IUD. However, some women may not get a period or may have a really light period when they have an IUD and so could look for other signs such as breast tenderness, increase in appetite and fatigue etc. Get a test and check it out!

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Intrauterine Devices (IUDs)

When does the IUD become effective?

They start working immediately if that's your question. If you mean how long they work for, Mirena is up to 5 years and the copper wire type can last up to 10 years.
The ParaGard IUD is effective immediately.

The Mirena IUD is effective immediately if inserted within seven days after the start of your period.

If you have Mirena inserted at any other time during your cycle, use another method of birth control like a condom or spermicide during the first week after insertion.

Protection begins after seven days.
Now
You can have sex right away. Use a condom for the first week (7 days) after getting Mirena.
2weeks

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Ancient History
Elizabeth II
Jose Rizal
Intrauterine Devices (IUDs)

Who was the governor of campania during the herculonius period?

Bill

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Alcoholism
Care of Fish
Intrauterine Devices (IUDs)

What affect does alcohol have on fish?

Could be FATAL depending on how much was administered.

AnswerJust two effects that I know of. One, it will kill them, in sufficient concentration. Two, it will pickle or preserve them. I can't help but wonder why this question was asked, but it's probably better that I don't know. AnswerWell I don't really know but I believe m

ostly that it's fatal.

Answer

well my mom puts a half cap full of bleach to clean the bowl to kill the bacteria in it but she does this for her betta hope this helps I cant think of a another answer.........never use bleach around fish besides bacteria in a fish tank is necessary to break down poop

Answerwell if you mean the onemy dad drinks it might get drunk.:) ha! -sammi
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Pregnancy
Pregnancy Symptoms
Women's Health
Intrauterine Devices (IUDs)

Is gaging out of nowhere a sign of pregnancy?

Although you may experience gagging, due to a heightened sense of smell, during pregnancy, it is not necessarily a sign of pregnancy. Your symptoms of pregnancy will usually appear anywhere from the first week of your expected period to 1-2 weeks after your first week of expected period. Your first signs of pregnancy most commonly include: * missed period * tender/swollen breasts * change in color of the breasts * fatigue * nausea/vomiting * increased sense of smell Here is a link to a website that will calculate the probability of your pregnancy: http://www.thepregnancytest.com/

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Intrauterine Devices (IUDs)

Is it normal to have your period just after an IUD was put in by a doctor?

Yes it is normal. The tissues inside are very fragile. If you should have excessive bleeding at any given time while you have the IUD in, please see your doctor as soon as possible. You may not be able to use this method of contraceptive. Good luck Marcy

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Intrauterine Devices (IUDs)

Are there any emotional side effects from Mirena?

Yes there are known emotional and sexual side effects from the Mrena IUD. Including but not limited to IRRITABILITY, depression, loss of sex drive, nightmares, fits or rage, panic....the list goes on. The manufacturer does not make a point to adress these serious issues in the pamphlet from four years ago maybe it has changed. but this is a new IUD relatively new so just google "Mirena Side Effects" and just like every other drug it seems is out there...everywhere BUT the manufacturers site gives you the real story on the side effects some of those associated with Mirena have no doubt ended friendships and relationships for the user.

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Intrauterine Devices (IUDs)

What are the signs of pregnancy if an IUD is in place?

Just the same as if it was not in place. Absence of periods, breast tenderness, nausea and tiredness.
If the IUD is still in place then there should not be a chance of getting pregnant.
Positive pregnancy test
They are the same as any pregnancy, breast tenderness, nausea, vomiting, period stopping, headaches and fatigue.
Positive pregnancy test
Same as normal: Headaches Dizziness Light cramping Light spotting around when period should be Feeling sick/actually being sick Exhausted Sore/tender breasts Needing to pee more Emotional and moody
They're the same as any pregnancy symptoms.

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Intrauterine Devices (IUDs)

What happens if you get pregnant while using the paragard IUD?

More than likely, your doctor will remove the IUD before you go any further with the pregnancy. Many women find that it gets too high into the uterus to be removed, so it stays in for the duration of the pregnancy. The risks might be that if it does not end in miscarriage then the baby will have illnesses throughout its life, but many women report healthy babies in this kind of situation.

what should i do if i got pregnant and miscarried? lawsuit?

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Menstruation
NuvaRing
Intrauterine Devices (IUDs)

If you are bleeding for almost a month is that normal?

no - please see a doctor. It may be nothing serious, it happened to my friend and she had some cyst issues that went away eventually but the anxiety is bad for you and you need to find out what's going on with your body. Even if its nothing major - its a sign you are stressed and need to pay attention to your emotions and your overall wellbeing. Be nice to yourself.

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