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The IUD: pros and cons

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The IUD: pros and cons
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Growing in popularity, the IUD is gradually catching up on the pill in terms of prevalence of use among women. Although it is often recommended for women who have already had children, it now appears to be appealing to women of all ages and profiles. So what do you need to know before discussing it with your doctor? Here is a whistle stop tour….

The intra-uterine device (IUD), also called the coil, is inserted into the uterus by a gynaecologist. It is in the shape of a T. 

One end has a type of wire that comes out of the cervix and protrudes slightly into the vagina. Measuring around 3 centimeters long, it verifies the presence and correct positioning of the IUD. The doctor can also pull downwards on it in order to remove it as required.

There are two types of IUD:

  • The copper IUD: this is the most common type. It allows you to maintain your menstrual cycle and therefore have periods every month. It can stay in the uterus for up to 10 years, and is relatively cheap.
  • The progestin (hormonal) IUD: this is often suggested if the copper IUD doesn’t suit the woman. By continuously diffusing a low quantity of hormones (like with a contraceptive implant), it can make some women’s periods disappear. It lasts a little less long than the copper coil (lasting 3 to 5 years) and costs more.
stérilet contraceptif couple Docteur Tamalou
© Jurban / Pixabay

Advantages of the IUD

  • It is cheap and reliable: IUDs have an extremely long life, contrary to the pill. Furthermore, it is effective, and there are no more worries about forgetting your contraception, or taking it at the wrong time.
  • It allows your fertility to return to normal: it is simple to remove and your fertility quickly returns to normal (within three days).
  • There are no health risks: studies have shown that the IUD does not cause stroke or cancer.

Possible side effects

  • In can lead to heavier periods: certain women notice that their periods become heavier after inserting an IUD. Sometimes, this is accompanied by stomach cramps.
  • It can lead to acne and/or weight gain: depending on the hormones contained in the device, mild weight gain or a temporary breakout of spots can occur. These symptoms tend to disappear over time.
  • The patients can feel the wire: doctors see this as a good thing, as they recommend using the wire to regularly ensure that the IUD is still in place.

However, be aware that there are a few contra-indications. If you have a malformation of the uterus, cancer of the uterus, or if you have just given birth, an IUD is not suitable. In such cases, speak to your gynaecologist.

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Contraceptive implant: pros, cons and risks

The contraceptive pill: what are the health risks?