IUD Insertion

Everywoman's mural form our original location

Why come to us for an IUD?

  • Our doctors are highly skilled and have put in thousands of IUDs. Research shows that IUD insertions are safer and more comfortable with experienced doctors.
  • We can help you decide what IUD is best for you, based on the most up-to-date medical research.
  • We use local anesthetic to reduce discomfort with IUD insertions.
  • We do on-site ultrasounds before and after each insertion to ensure that the IUD is correctly placed.
  • We are usually able to help even if you have challenging or complicated IUD insertion issues.
  • We do sexually transmitted infection testing at same time as IUD insertions and pap testing if you are due.
  • We are able to insert IUDs at any time during your cycle (you do not need to be on your period at the time of insertion).

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 1/100 pregnancies per year (compared to 8/100 with pills and 15/100 with condoms)
What are the side effects?
Periods may be heavier, longer, and more painful by 20-50% for most people. After 3-4 months they usually get lighter
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 progestin)
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?
The most effective birth control available. Only about 2/1000 pregnancies each year
What are the side effects?
There may be irregular spotting at first for up to 3-6 months. Periods usually get lighter (less bleeding and cramping). Often periods stop completely, and this is considered safe. A few users will experience hormonal side effects such as headache, moodiness, breast tenderness, bloating and acne
What are its advantages?
Can be used as a treatment for heavy and/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 – even more effective and safer than tubal ligation (having your tubes tied) and reversible.

Jaydess and Kyleena IUDs

What does it cost and how long does it last?
Jaydess: around $325 for up to 3 years
Kyleena: around $400 for up to 5 years
What is it made of?
Made of plastic containing a slow release of a hormone called levonorgestrel (a type of progestin)
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 1/100 pregnancies per year
What are the side effects?
There may be irregular bleeding at first for up to 3-6 months.  Periods usually get lighter (less bleeding and cramping). Occasionally periods stop completely, and this is considered safe. A few users will experience hormonal side effects such as headache, moodiness, breast tenderness, bloating and acne
What are its advantages?
Can be used by people 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 hormonal IUD 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. If you have an IUD inserted at the time of an aspiration (surgical) abortion, it is done during the procedure and there is usually very little discomfort. 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. You may or may not 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. These are used by a health care provider 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/Kyleena 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 with an IUD, risks are rare, but you should see a doctor as soon as possible.

Some health care providers have out of date information about IUDs – if someone 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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