1. What are IUDs?
The intrauterine device (IUD) is a small T-shaped object that is inserted through the cervix and placed in the uterus to prevent pregnancy.
2. What are the types of IUDs?
Two types of IUDs are available
- Copper bearing IUDs
- T shaped piece of having copper wire wound around the stem.
- The device is made up of T shaped polyethylene plastic
- Hormone releasing IUDs
The hormonal one releases the hormone progesterone from the IUD.
3. How is it placed in the uterus?
A specifically trained health care provider inserts it into a woman’s uterus through her vagina and cervix. Almost all types of IUDs have one or two strings, or threads, tied to them. The strings hang through the cervix into the upper part of the vagina. It is not noticeable during the intercourse.
4. How Does It Work?
IUDs Work primarily by causing a chemical change that damages sperm and egg before they can meet.
The copper-coated IUD primarily prevents pregnancy by not allowing the sperm to fertilize the egg. It may also make it harder for a fertilized egg to implant in the uterus.
When an IUD is coated with progesterone, it works in a similar way. However, it may also thicken the cervical mucus, which prevents sperm from entering the uterus and possibly prevents ovulation (the release of an egg during the monthly cycle).
5. What are the advantages of IUDs?
- Prevents pregnancy very effectively
- Does not require any intervention after inserted. Long term contraception is guaranteed.
- The copper IUD is suitable for women who cannot use a hormonal method of birth control such as the Oral Pill or Injectable Contraceptives
- IUD provides long-term form of birth control to a maximum of 12 yrs
- Does not act as a barrier method (threads does not have any interference during intercourse )
6. What are the disadvantages of IUD ?
- IUDs at times can come out of place and therefore should be checked regularly to be sure it is in place.
- The IUD does not protect against STD’S. A condom must always be used along with the IUD to protect against STDs and
- Clients can experience side effects with changes in bleeding patterns, especially in the first 3 to 6 months. The bleeding changes may present like :
- Prolonged and heavy monthly bleeding
- Irregular bleeding
- More cramps and pain during monthly bleeding
7. How do you Remove the Intrauterine Device?
Removing an IUD is a simple and short procedure. It can be done at any time of the month with the help of the doctor.
8. Can the IUD travel from the woman’s uterus to other parts of her body, such as her heart or her brain?
The IUD never travels to the heart, brain, or any other part of the body outside the abdomen. The IUD normally stays within the uterus like a seed within a shell. Rarely, the IUD may come through the wall of the uterus into the abdominal cavity. This is most often due to a mistake during insertion. If it is discovered within 6 weeks or so after insertion or if it is causing symptoms at any time, the IUD will need to be removed by laparoscopic or laparotomic surgery. However, usually, the out-of-place IUD causes no problems and can be left where it is. The woman will need another contraceptive method.
9. Does the IUD make a woman infertile?
No. A woman can become pregnant once the IUD is removed just as quickly as a woman who has never used an IUD. Good studies find no increased risk of infertility among women who have used IUDs. Whether or not a woman has an IUD, however, if she develops PID and it is not treated, there is some chance that she will become infertile.
10. Can a woman who has never had a baby use an IUD?
Yes. A woman who has not had children generally can use an IUD, but she should understand that the IUD is more likely to come out because her uterus may be smaller than the uterus of a woman who has given birth.