IUDs

Everywoman's mural form our original location

General IUD Information
IUDs (inter-uterine devices) are very effective, convenient, long acting, and have very high satisfaction rates compared to other methods. They don’t require remembering anything (like taking a pill every day) and are safe for women who cannot use birth control containing estrogen. They can be removed at any time by a doctor if you do not like them or want to get pregnant. IUDs are rapidly reversible, meaning that fertility will return very quickly after removal. Copper IUDs are the mostly effective method of emergency contraception and can be inserted up to seven days after unprotected sex.

You can use our online booking request form to request an appointment for an IUD insertion at our clinic.

iud Copper IUD on the left, Mirena on the right

Copper IUD

What does it cost and how long does it last?
It costs $75 for up to 5 years or $90 for up to 10 years.
What is it made of?
It contains plastic and copper.
How does it work?
It prevents fertilization of an egg and/or changes the lining so that it’s less likely for a fertilized egg to attach to the uterus.
How effective is it?
About 1 in a 100 women will get pregnant each year (compared to 8 in a 100 with pills and 15 per 100 with condoms).
What are the side effects?
Periods may be heavier, longer, and more painful by 20-50% for most women, but after 3-4 months, they usually get easier.
What are its advantages?
Over 99% effective at preventing pregnancy as emergency contraception (Plan B is only 50-60%) if used within seven days of unprotected sex

After a copper IUD insertion: you can expect your regular period to come at its usual time. Your period is likely to be heavier and longer, especially in the first three to four months. We recommend you take ibuprofen (Advil) all the way through your period for these first months to reduce cramping and bleeding. You may also have some cramping and/or on and off bleeding, spotting or brown discharge outside of your period in the first few months.

Mirena IUD

What does it cost and how long does it last?
Mirena  costs around $400 and lasts for up to 7 years (we sell them here for  $400).  Extended medical plans, social assistance and First Nations Status often pay part or all of the cost. If you have coverage, please bring your health plan or status card with you or confirm coverage ahead of time.
What is it made of?
Made of plastic containing a slow release of a hormone called levonorgestrel (a type of progesterone).
How does it work?
It thickens the cervical mucous to prevent fertilization of the egg and changes the uterus lining making a fertilized egg less likely to attach.
How effective is it?
Only about 1-2 women in 1000 get pregnant each year making this the most effective birth control available.
What are the side effects?
There may be irregular bleeding in the first four months. Periods usually get lighter (less bleeding and cramping). Some women’s periods stop completely, and this is considered safe. A few women will experience hormonal side effects such as headache, moodiness, breast tenderness, bloating or acne.
What are its advantages?
Can be used as a treatment for heavy or painful periods. It releases a small amount of only one of the hormones in birth control pills, patches and rings, so there is less chance of negative hormonal side effects. It is the most effective birth control for women – even more effective and safer than tubal ligation (having your tubes tied) and it’s reversible should you want to be pregnant.

Jaydess IUD

What does it cost and how long does it last?
We sell Jaydess for $325.
What is it made of?
Made of plastic containing a slow release of a hormone called levonorgestrel (a type of progesterone).
How does it work?
It thickens the cervical mucous to prevent fertilization of the egg and changes the uterus lining making a fertilized egg less likely to attach.
How effective is it?
Less than 1 woman in 100 get pregnant each year making this a highly effective form of birth control.
What are the side effects?
There is usually irregular bleeding in the first 3-6 months. Periods usually get lighter (less bleeding and cramping). A few women’s periods stop completely, and this is considered safe. A few  will experience hormonal side effects such as headache, moodiness, breast tenderness, bloating or acne.
What are its advantages?
Can be used by women with heavy or painful periods. Releases a small amount of only one of the hormones in pills/patches/rings, so there is less chance of negative hormonal side effects.

After Mirena or Jaydess insertion: You can expect to have some cramping and spotting (on and off bleeding or brown discharge) in the first few months, especially in the first two weeks and sometimes lasting as long as six months. Take ibuprofen or acetaminophen for the cramps. Usually after the first three months, your period will get much lighter than normal and sometimes stop completely (this is considered safe).

COVERAGE:  The insertion and removal of an IUD is covered by MSP, but the cost of the IUD is not. Sometimes IUDs are covered through social assistance, First Nations status, or extended health plans.

idu

INSERTION: The IUD is inserted inside your uterus. The doctor puts some freezing into your cervix, measures the size of your uterus and inserts the IUD. You may have a pinching feeling and a sharp cramping pain for a few minutes. It helps to take some ibuprofen (Advil) before your appointment. Some women may feel some dizziness, sweating and/or nausea after the insertion. You may have some bleeding as well; please bring a pad with you. You will be asked to rest for at least 10 minutes after the insertion to ensure that you are OK to leave.

FOLLOW UP: IUDs have soft strings that hang through the cervix for the doctor to remove the IUD. After your period (or every month), you can check to see if you are able to feel the strings of the IUD by putting your finger inside to the top of your vagina. If you can’t feel the string, the string feels shorter or longer than the last time you checked, or if you feel any hard plastic, then get your IUD checked by a doctor.

You may want to check the strings more often during the first six weeks. This is because there is a small chance of the IUD coming out (expulsion). If this happens, it is most likely to happen in the first six weeks. If it is expelled and we find out before six weeks have passed, the drug company may replace it. If your Mirena/Jaydess comes out in the first six weeks and you notice it happening, keep the IUD and call us right away.

It is also recommended to have the IUD checked by a doctor every year or at any time you are feeling that something has changed.

RISKS AND WHAT TO WATCH FOR: In addition to the very small chance of pregnancy or expulsion, there is a very rare chance – significantly  less than one in 1,000 –  of perforation (the IUD going into the wall of the uterus), which will usually heal after about two weeks with no long term side effects. This may sometimes require laparoscopic removal of the IUD. There is also an extremely small increased risk of infection in the first three weeks following insertion. If you have fever or chills, a smelly discharge from your vagina, or unusual lower abdominal (belly) pain that does not feel like cramps, see a doctor or call the clinic to make a follow up appointment.

If you become pregnant, see a doctor. They will take the IUD out whether you decide to keep the pregnancy or not. You will need to be checked for an ectopic pregnancy (a pregnancy in the fallopian tube, sometimes known as a “tubal” pregnancy). IUDs do not cause ectopic pregnancy, but they may not prevent them as well as they prevent normal pregnancies.

Some doctors have out of date information about IUDs – if a doctor advises you to remove your IUD or warns you of risks or side effects, you may want to call us at Everywoman’s Health Centre (604-322-6692)or the Sex Sense Line (604-731-7803 or 1-800-SEX-SENSE) to verify that what they are telling you is accurate.

To contact our clinic call 604-322-6692 from 9:30 am to 4:00 pm from Monday to Friday.
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