27 May 2008

Copper & mirena IUDs

Copper IUD
Named after the contraceptive substance released, the copper IUD is highly effective at preventing pregnancy. Intrauterine devices (IUDs) are a reversible method of birth control. The copper IUD is a T-shaped plastic frame with two threads attached. It's inserted into the uterus to prevent pregnancy. Once in place, it inhibits fertilization, as the IUD impedes the sperm's journey to the fallopian tubes. If fertilization occurs, the device prevents the embryo from attaching to the uterine wall. ParaGard also slowly releases copper, which inactivates the sperm in the cervical mucus.


Copper IUD costs about $200 for 3 years usage

Common side effects associated with the copper IUD are increased vaginal bleeding and menstrual pain. Taking nonsteroidal anti-inflammatory drugs (Advil, Motrin, others) helps with these symptoms. Some women may also experience a pelvic infection within the first three weeks of placement, as the insertion process may introduce bacteria into the uterus.

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Mirena IUD

The hormonal IUD (Mirena) is a T-shaped plastic frame with thread attached. The device is inserted into the uterus and can remain in place for up to five years. It prevents pregnancy in a few different ways. The IUD frame contains a progestin called levonorgestrel, which inhibits sperm motility and makes the uterine lining thin and unsuitable for a pregnancy. The shape of the IUD impedes the sperm's journey to the fallopian tubes, inhibiting fertilization. If fertilization occurs, the device prevents the embryo from attaching to the uterine wall.

Unlike the copper IUD, the hormonal IUD decreases the amount of menstrual blood flow and menstrual cramping. The major side effect of hormonal IUD use is abnormal vaginal bleeding. Some women have unpredictable, light menstrual flow, while many may have no flow at all. Most women report discomfort and cramping during and after IUD insertion. Rarely, IUD users may experience a pelvic infection within the first three weeks of placement, as the insertion process can introduce bacteria into the uterus. The Mirena hormonal IUD will cost about $600 for 5 years usage at my gynae clinic.

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After comparing both of this, I think I would opt for the mirena IUD as it offer less side effects but it's so much expensive as compared to the copper one. Damn it for safe sex.

10 comments:

Joselyn/JiaYi said...

I used to have a patient complaining after insertion of Mirena... ended up my patient took it out after 1 month of insertion due to severe pain during mensuration....

Consider it thoroughly... Most probably after giving birth I'll put IUCD instead of Mirena...

Joselyn/JiaYi said...

GP also have insertion of IUCD or Mirena usually cheaper than Specialist too...

May be you could go to Ming Jia...

Insertion is usually after the first few days of mensuration too...

zcatz said...

I am still considering, will discuss with boy first. Hmm...

Anonymous said...

Just saw on your blog that you were considering Mirena IUD. So, did u go for it?

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