The IUD is hands-down my favorite type of birth control. I’m not a medical doctor, but I frequently recommend that my clients talk to their OB/GYNs about using an IUD.

For some reason, IUDs are not as popular or well-known in the US as in other parts of the world. It’s time for more American women to learn about this fantastic birth control option.

What it is

The IUD, Intra Uterine Device, is an incredibly safe and effective form of birth control. IUDs are small, T-shaped devices that are implanted in the uterus and left there for 3-12 years (depending on the type).

There are three kinds of IUDs available in the US: ParaGard, Mirena, and Skyla.

ParaGard is made out of copper, and is completely hormone-free. It can be left in the body for 12 years.

 

Mirena contains a low dosage of hormones that very gradually get released into the body. It is effective for five years.

 

Skyla also contains a low dosage of hormones. It can stay implanted for 3 years.

 

How it works

A doctor has to implant the IUD. You’ll be asked to remove your clothes and prop up your legs, just like when you’re getting a PAP smear.

The doctor will insert a long, thin device into your vaginal canal, and you’ll feel a bit of pressure as the IUD is released into your uterus. Some women may experience cramping. You’ll be told to take it easy for the rest of the day.

There are two strings attached to the end of the IUD. If you insert your fingers into your vaginal canal, you may be able to feel the strings with your fingers.

Your IUD should not come out on its own, but it’s a good idea to check once a month to see if you can feel the strings inside of you.

If you have a male partner, he might be able to feel the strings coming into contact with his penis. This should not cause pain or discomfort, but the strings should soften up in a few months.

IUDs are over 99% effective, so there’s an extremely low chance of getting pregnant.

The IUD remains in place until you’re ready to remove it or the IUD expires. Your doctor has to take it out for you.

 

Why you should consider one

There are a ton of reasons why IUDs are such a wonderful option:

IUDs are the longest lasting method of birth control.

They require no effort whatsoever. There’s no pill to remember to take, no condom to put on, no diaphragm to insert. Because of this, many couples find that IUDs help make sex feel more spontaneous.

IUDs are the most effective method of birth control available.

ParaGard is completely hormone-free.

You can get pregnant immediately after removing your IUD, unlike birth control pills, which can lower your chances of pregnancy for up to six months after you stop taking the pills.

Mirena and Skyla can shorten the duration of your period and lessen your menstrual flow.

 

Potential downsides

They don’t prevent against STIs. You’ll still need to use condoms if you want to decrease your chance of infection.

Insertion can be painful. Some women – but not all – experience mild to moderate cramping.

The ParaGard can make your periods a bit heavier and longer, but this typically only lasts for a few months after insertion.

They are expensive. IUDs are often covered by insurance, so check with your provider.

 

All pros and cons considered, I whole-heartedly recommend considering the IUD as your method of birth control!