IUD Risks Reviewed and IUDs Contrasted

Making a decision regarding which IUD to get is not necessarily easy. Prior experience, plans for pregnancy, and the decision to control your periods or not are some of the more common consideration. Side effect profiles of both IUDs are extremely favorable, but understanding some of the side effects may help you decide which IUD to get. The most common side effects of the Mirena IUD have to do with uterine or menstrual bleeding. Almost 25% of women will report no periods, and almost 25% have been shown to have spotting between their periods or bleeding between their periods. Almost 50 % of Mirena patients will also report a change in their menstrual cycle, for ParaGard IUD users the rates are similar early on, but menstrual cycles tend to normalize for the ParaGard users over time. The newest pill on the market, Skyla, a three year medicated IUD, has less a chance that periods will stop over time, and generally the side effects are the same as with the Mirena IUD which has the same hormones. Around 1/10 women will also report either abdominal or pelvic pain and about that same percent of women report ovarian cysts. The cysts women have when on their Mirena IUD tend to not produce symptoms, but for those women who do get symptoms they are likely to get pain with intercourse, or pelvic pain. More serious complications have to do with infections, with the IUD being embedded in the uterus or the cervix, or the IUD perforating through to the abdominal cavity. The serious complications of the IUD being embedded in the wall or perforating the wall are quite uncommon. But anyone having IUD problems needs to have the IUD position in the uterus checked. Pelvic examinations and pelvic ultrasounds are the two most important ways we at Women's Health Practice recommend to check the placement of your IUD.

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