Does Effectiveness Vary Among The Different Iuds
Effectiveness does vary slightly among all the currently available IUDs however, they all have an effectiveness rating of above 99% .
Good quality trials have reported the following:
- Paragard IUD: chances of pregnancy 0.8%
- Mirena IUD: chances of pregnancy 0.2%
- Skyla IUD: chances of pregnancy 0.4%
- Copper T 380A: chances of pregnancy 0.6%
- LNG-IUC: chances of pregnancy 0.2%.
Is It Possible To Get Pregnant With An Iud
The IUD is considered a highly effective form of birth control. Still, there is a very small risk for unwanted pregnancy, and it is possible to become pregnant with an IUD. The failure rate of IUDs may be as low as 0.02%, meaning pregnancy could happen in about 1 out of every 5,000 people with an IUD.
Chances Of Getting Pregnant With An Iud
For starters, youll want to take a deep breath before you take that pregnancy test. Like we said, the chances of pregnancy with an IUD are remarkably low ICYDK, they work by blocking and/or damaging sperm, preventing fertilization, and theyre more than 99% effective at doing so. But pregnancy with an IUD can be potentially very risky, which is why youll want to make a little calendar note for when its time to have yours replaced or removed.
IUDs may have different expiration dates, and it is important to check with the manufacturer and your provider, says Brauer. Most of the levonorgestrel-releasing IUDs last for 3-5 years, whereas the copper IUDs can last for up to 10 years. Of course, if you feel like something isnt right, even before the expiration date, make sure to call your doctor.
And while rare, there are things that can go wrong with an IUD, she says. The most common reasons for failure are a shifted or poorly placed IUD , expulsion of an IUD, unidentified pregnancy at time of IUD placement, or an expired IUD.
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Myth: Sexual Desire And Sexual Pleasure
Fact: It might make you more relaxed about unintended pregnancies and enjoy sex even more!
There is no reason why an IUD should negatively affect sexual pleasure. On the contrary, being free from fear of pregnancy may allow both partners, especially the woman, to enjoy their sexual life.
There is no reason why an IUD should cause discomfort or pain during sexual intercourse unless the woman is already having cramps, which sometimes occur during the first few weeks after insertion. Sexual intercourse cannot displace an IUD.
Sometimes a man can feel the strings if they are too long. If this bothers him, cutting the strings shorter should solve the problem. Sometimes a man can also feel discomfort if the strings are cut too short. To remedy the problem, the provider can cut them even shorter so they are not coming out of the cervical canal. The woman should be told beforehand, however, that this will mean she may not be able to feel the strings to check her IUD, and removing her IUD may be more difficult. Alternatively, she can have the IUD replaced with a new one and the strings cut to the correct length. The strings should be cut so that 3 centimeters hang out of the cervix. A man may feel discomfort during sex if the IUD has started to come out through the cervix. If a woman suspects this, she should see a doctor or nurse immediately. Proper counselling of the male partner may be appropriate.
What Risks Are Associated With The Kyleena Iud
Serious risks while using Kyleena are very rare but possible. These include:
- Ectopic pregnancy. If you do become pregnant while using Kyleena, theres a slight risk of ectopic pregnancy.
- Pelvic inflammatory disease . A small number of IUD users develop PID. Your risk is higher if you have an STI or other genital infection at the time of insertion.
- Infection. Theres a risk of serious infection or sepsis following insertion.
- Expulsion. Theres a slight risk that the Kyleena IUD any IUD for that matter could shift out of place. Having the IUD inserted immediately after delivery or a second-trimester abortion increases the risk.
- Perforation. During insertion, theres a very low risk of perforation of the uterine wall or cervix. Were talking less than 0.1 percent, based on clinical trials.
- STIs. IUDs dont protect against STIs. A 2017 study also found that people using long-acting reversible contraception , like IUDs, were half as likely to use condoms consistently and had double the incidence of STIs.
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Is Kyleena Or Mirena More Effective
Studies are not available comparing Kyleena to Mirena. Looking at each drug individually, Kyleenas information states that the Kyleena IUD is over 99% effective at preventing pregnancy for each year of use. Over five years, it is 98.5% effective.
Mirena states similar informationit is over 99% effective at preventing pregnancy for each year of use, as well as over 99% effective over the five years.
Each IUD works as an effective method of contraception. They are appropriate for long-term use, up to five years for one IUD. Also, unlike birth control pills, you dont have to remember to take it every day.
These IUDs are also reversible contraception, meaning that when the IUD is removed, you can get pregnant. Most patients are able to get pregnant within 12 months after IUD removal. Only your healthcare provider can determine which medication is better for you, taking into account your medical history.
People Who Should Not Get Kyleena
Some people cannot get Kyleena or other types of IUDs, including people who:
- Are pregnant or think they could be pregnant
- Have a condition that affects the shape of their uterus
- Have acute pelvic inflammatory disease or a history of PID
- Have cancer of the uterus or cervix, or suspect they may
- Have breast cancer, or suspect they may
- Have uterine bleeding or an undiagnosed uterine condition
While discussing IUDs with your provider, let them know if you have had an infection in your reproductive tract within the last three months.
You also need to tell your provider if you have had an infection that occurred before, during, or after an abortion , or postpartum endometritis .
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Myth: Problems After Removal
Some couples do not want to use the IUD because they incorrectly believe that the IUD will cause infertility, ectopic pregnancy, or miscarriage.
Fact: no increased risk of infertility
Good studies find no increased risk of infertility among women who have used IUDs, including young women and women with no children. Whether or not a woman has an IUD, however, if she develops pelvic inflammatory disease and it is not treated, there is some chance that she will become infertile. PID can permanently damage the lining of the fallopian tubes and may partially or totally block one or both tubes enough to cause infertility.
Fact: no increased risk of ectopic pregnancy or miscarriage after removal
Because any pregnancy among IUD users is rare, ectopic pregnancy among IUD users is even rarer. An IUD does not increase a womans overall risk of ectopic pregnancy. In fact, an IUD users risk of an ectopic pregnancy is much lower than the risk to a woman who is not using any method of contraception. In the unlikely event of pregnancy in an IUD user, 6 to 8 in every 100 of these pregnancies is ectopic. Thus, the great majority of pregnancies after IUD failure are not ectopic. Still, ectopic pregnancy can be life-threatening, so a provider should be aware that ectopic pregnancy is possible if an IUD fails.
IUDs do not cause miscarriages after they have been removed. If correct insertion technique is used, the use of an IUD will not cause any difficulty in future pregnancies.
Drug Interactions Of Kyleena Vs Mirena
Drug interaction studies have not been conducted with Kyleena or Mirena, which both contain LNG. However, drugs that induce enzymes that process LNG may decrease LNG levels, making the IUD less effective. On the other hand, drugs that inhibit enzymes that process LNG may increase LNG levels, causing more side effects. Due to the local effect of the medication , the drug interactions may not be clinically relevant. Ask your healthcare provider if there are any drug interactions with medicines you take.
The manufacturer of both Kyleena and Mirena recommends that any drug prescribed along with one of these IUDs should be checked for potential drug interactions with LNG.
This is not a full list of drug interactions. Consult your healthcare provider for medical advice.
| Drug |
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Warnings Of Kyleena And Mirena
Because both Kyleena and Mirena contain the same ingredient, levonorgestrel, warnings are the same.
- Kyleena or Mirena should not be used in patients:
- Who are pregnant or suspected to be pregnant
- With uterine problems, such as fibroids
- Who have acute pelvic inflammatory disease , a history of PID, or who are susceptible to pelvic infections
- With uterine or cervical neoplasia
- Who have breast cancer or other progestin-sensitive cancer
- With uterine bleeding of unknown cause
- Who have untreated cervical or vaginal infections
- With liver disease or tumor
- Who currently have an IUD inserted
- Who are hypersensitive to the ingredients
How Effective Is Kyleena For Contraception
Reversible, long-acting contraception like the Kyleena IUD is over 99% effective. This means that out of every 100 people who use the Kyleena IUD in one year, less than 1 will become pregnant with typical use as well as with perfect use. The rate over five years is 98.6%.
Most pregnancies in people using Kyleena happen because the device came out without them realizing it.
The chance of pregnancy is very low while using Kyleena, but it can still happen. If you become pregnant while your Kyleena IUD is still in place, contact your provider as soon as you realize that youre pregnant. There are risks of getting pregnant with an IUD in place.
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How Is It Taken Out
The hormonal IUD can stay in for 5 years but it can be taken out sooner. Your doctor or Family Planning NSW clinic can take it out. The clinician will remove the IUD by gently pulling on the string. This only takes a couple of minutes. Some people find it uncomfortable and some do not feel much at all. If you want another hormonal IUD, the old one can be taken out and a new one put in at the same visit.
Before Taking This Medicine
Kyleena can increase your risk of developing a serious pelvic infection, which may threaten your life or your future ability to have children. Ask your doctor about this risk.
Do not use Kyleena during pregnancy. If left in place during pregnancy, the IUD could cause severe infection, miscarriage, premature birth, or death of the mother. The hormone in Kyleena may also cause unwanted effects in a female newborn.
Tell your doctor right away if you become pregnant. If you continue the pregnancy, watch for signs such as fever, chills, cramps, vaginal bleeding or discharge.
You should not use Kyleena if you are allergic to levonorgestrel, silicone, silica, silver, barium, iron oxide, or polyethylene, or if you have:
-
abnormal vaginal bleeding that has not been checked by a doctor
-
an untreated or uncontrolled pelvic infection
-
endometriosis or a serious pelvic infection following a pregnancy or abortion in the past 3 months
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pelvic inflammatory disease , unless you had a normal pregnancy after the infection was treated and cleared
-
uterine fibroid tumors or conditions that affect the shape of the uterus
-
past or present cancer of the breast, cervix, or uterus
-
liver disease or liver tumor
-
a condition that weakens your immune system, such as AIDS, leukemia, or IV drug abuse
-
if you have another intrauterine device in place
-
if you had an abortion or miscarriage in the past 6 weeks or
-
if you gave birth to a baby in the past 6 weeks.
Tell your doctor if you have ever had:
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What Should You Do If You Get Pregnant With An Iud
Youll want to contact your ob-gyn ASAP, Dr. Minkin says. Our first step will be for us to determine if it is a pregnancy inside the uterus or ectopic, and we will utilize an ultrasound to help us do so, Dr. Aagaard says. Next, we will look to see if the IUD is still in place and if we can see and grasp the strings when doing a speculum exam.
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First A Quick Primer On How An Iud Works
An IUD, or intrauterine device, is a small, T-shaped piece of flexible plastic thats inserted into a womans uterus through a quick procedure. The insertion process feels different for everyone. For some women, especially those whove already given birth, insertion is a minor annoyance.
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For others, however, it can be rather painful, especially if the doctor needs to call in tools like dilators to further open up your cervix in order to get the IUD placed in the proper spot. The good news, though, is that the worst discomfort should be over in a matter of minutes. But you might experience cramping or spotting for three to six months after insertion, according to Planned Parenthood.
A hormonal IUD, like the Mirena, works to prevent pregnancy by releasing the hormone progestin, which thickens the mucus in the cervix to stop sperm from fertilizing an egg. It also keeps the lining of the uterus thin so its not a hospitable environment for fertilization, explains Sherry A. Ross, MD, ob-gyn and author of She-ology: The Definitive Guide to Womens Intimate Health. Period.
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How Should I Use Kyleena
Kyleena is placed by your healthcare provider during an in-office visit.
You may experience pain, bleeding or dizziness during and after placement. If your symptoms do not pass within 30 minutes after placement, Kyleena may not have been placed correctly. Your healthcare provider will examine you to see if Kyleena needs to be removed or replaced.
Should I check that Kyleena is in place?
How soon after placement of Kyleena should I return to my healthcare provider?
Can I use tampons with Kyleena?
Yes, tampons may be used with Kyleena.
What if I become pregnant while using Kyleena?
If possible, also do a urine pregnancy test. If you get pregnant while using Kyleena, you may have an ectopic pregnancy. This means that the pregnancy is not in the uterus. Unusual vaginal bleeding or abdominal pain may be a sign of ectopic pregnancy.
Ectopic pregnancy is a medical emergency that often requires surgery. Ectopic pregnancy can cause internal bleeding, infertility, and even death.
How will Kyleena change my periods?
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Can People Who Have Not Had Kids Get It
A long time ago, doctors would not let women who had not had children get an IUD, for various reasons. Thankfully, weve caught up with the times now. Yes, women with no children can get the Kyleena IUD, as well as other IUDs as well.
Its a non-surgical method of preventing pregnancy long-term, so its a better option than, say, surgery or anything with a long recovery time for a busy woman who has to get back to their daily routine quickly.
There are some doctors who will still not write a prescription for a women who has not had children an IUD, but if that happens, keep searching, because for every doctor that wont, theres at least 1 that will. More and more doctors are recognizing that this is a womans choice as to if they want kids or not, so they arent interfering nearly as much as they used to.
Talk to the doctor, theyre usually more than willing to help.
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Getting Pregnant After Removing An Iud
Although getting pregnant with an IUD is rare, its easier to conceive after you remove the device.
If you have decided to try to conceive, give your OB-GYN a call to have your IUD removed, and get busy trying. Some doctors recommend waiting three months to give your body time to bounce back to its usual menstrual cycle. This will help you get a sense of ovulation and fertility cycles. But according to Dr. Perez, theres no medical need to wait: You can ovulate and get pregnant the next month!
Coverage And Cost Comparison Of Kyleena Vs Mirena
Because your healthcare provider administers Kyleena or Mirena in the office, he or she will provide the device. You will not typically visit a pharmacy for Kyleena or Mirena. Therefore, your healthcare provider will submit Kyleena or Mirena to your medical insurance.
The out-of-pocket price of one Kyleena IUD is approximately $1,400. You can ask your healthcare provider if they will accept a SingleCare coupon, bringing the price down to about $1,037.
The out-of-pocket price of a Mirena IUD is about $1,300. You can ask your healthcare provider if you can use your SingleCare coupon, reducing the cost to approximately $1,037.
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