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FACT OR FICTION /

IUD IOU

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Is there really a set of rules for getting an IUD? Hmmm. Sounds unlikely.

I have to say, I have gone to a couple of doctors already and while they may not exactly say "No", they are extremely hessitant to insert an IUD on someone who has not had any kids and who is relatively young (someone in her twenties - which is old enough to in my mind to know). I never understood the hesitation from doctors ESPECIALLY if it can be taken out at any time. But I've been turned down a couple of times already.

2011-06-24 18:14:52 UTC

BedsideReader

I'm sorry to hear that you are having such a hard time. I am currently 23 with no children and I use the Paraguard IUD as my birth control method. My gynecologist was very supportive of my decision to switch to the IUD. (She did ask if I planned to use it for long enough for it to be cost effective.)  When I had it inserted the doctor and nurse were both very respectful and did not act as if it was odd that I was young and/or nulliparous. 

2011-07-06 22:33:40 UTC

Guest

Wow i find that hard to believe.. i went and asked my doctor once and said it was my preference to have and iud inserted and if they didnt want to do it then refer me to a gyno that will :) and they did it for me :) alot of sexual health clinics will insert them too if u have the script or have someone willing to write you one so i hope u can find someone to do it there the best thing in the world!!  25year old 

2011-07-25 20:46:11 UTC

BesideFan

The Mirena website says "Mirena is recommended for women who have had a child." I went to the FDA's website and it says the same thing. Here's the link to the pdf on the FDA website: http://www.accessdata.fda.gov/drugsatfda_docs/label/2009/021225s027lbl.pdf 

2011-09-27 21:07:02 UTC

But...

Thanks for your comment. You’re right about Mirena’s and the FDA’s recommendations, but our medical advisors agree that it is actually totally safe to prescribe IUDs for women who’ve never had children and The American Congress of Obstetricians and Gynecologists—an association whose members make up 90% of doctors specializing in women’s health in the U.S.—agrees. You can learn more about their recent statement on IUDs here: http://bedsider.org/features/134.

2011-09-29 19:45:39 UTC

Bedsider Staff

i had the nonhormonal iud in and it came out on its own after only having it in for 6 months i was in agony for 3 weks and knowone knew why i went to the dr had hr said i had had a miscarrage with an iud so in fack it had failed to work i will never get another one again

2011-11-02 02:07:15 UTC

Angie

I turned 18 less than six months ago. I've been on the birth control pill since I was 15 and I wanted to do something long term once I turned 18 so that I could make sure I had time to finish up with college and other goals before having kids. I didn't have any problems at all with remembering to take the pill, or issues with side effects. I've decided on an IUD because realistically I probably won't take the pill every single day exactly as I am supposed to for the next five years. So I made an appointment to get the Mirena IUD next week with planned parenthood. They knew how old I was and they didn't even flinch. The FDA is actually starting to move in a direction where they realize pretty much any woman can safely have an IUD, and that actually it's very good for young girls because of how low maintenance it is. It just originally was meant for women who already had kids because of how long term it is. But these days women are waiting longer and longer to have children, so it's prefect. Hopefully people will start to be more open to these more reliable forms of birth control for young girls. Think about the impact that it could have on issues like teen pregnancy. If you are young and are having issues getting a doctor to insert one for you, just make an appointment with planned parenthood. They're the best. They realistically encourage young women to take control of their sex lives, as opposed to not having them like some of the more old fashioned institutions.

2011-11-03 21:47:51 UTC

linsey

I'm going in this week to get mine put in. During the consult with the doctor at an ob/gyn medical group, after barraging her with numerous questions I had about the two IUDs she said the only reason they recommend it for women who have already had kids is because their cervixes and uteruses have already been stretched so it's easier. The doctor said she's done the procedure for a number of women who have never had kids and has only had a few cases where she could put an IUD in a patient. She said it was only because their uteruses were too small for it to fit. Hopefully that won't be the case for me, but she says the only way to see is to try. 23-yr-old

2011-11-15 05:54:28 UTC

guest

I was told by my Dr. that she wouldn't give me an IUD, not because of me having no kids or being in my 20's, but because I was not in a committed relationship and therefore the risk of infection (STI) is higher. She said getting an STI with an IUD is dangerous.  

2011-11-24 05:49:04 UTC

wms3

Just DIY it

2011-11-26 04:22:53 UTC

John doe

I had a pretty horrendous experience with the Paragard IUD, and I think it was mostly because my uterus is small.  I'm 5'1", weight 110 lbs, was 22 at the time of insertion and have never had children.  The insertion was horribly painful and took about a week to recover from. Anything but the gentlest of sexual maneuvers was painful, periods were longer, heavier, and more painful, and I also suspect that it was the cause of this mysterious come-and-go back pain that hung around for most of the time before and after periods.  The thing made me miserable, and the day I finally got the damn thing removed a year and a half of BS was a very happy day.

2011-12-09 23:25:08 UTC

Abbey

I got my IUD when I was 16 before I had even had sex!

2012-02-14 06:57:28 UTC

Michelle

It's not exactly a set of rules, but the IUD isn't advised unless you're monogamous, as it increases the risk of pelvic inflammatory disease.  Having had a baby makes your uterus more flexible and less likely that the IUD will be expelled.  I got this quote from Mirena's website: Some serious but uncommon side effects of Mirena include: Pelvic inflammatory disease (PID). Use of Mirena and other IUDs has been associated with an increased risk of PID. The percentage of women who develop PID while using Mirena is less than 1%. The risk is highest shortly after placement—especially within the first 20 days—and if you have a vaginal infection at the time of placement. After the first 20 days, the risk of PID is reduced.PID is an infection of the uterus and other organs of the upper reproductive system. It is caused by bacterial infections that are usually sexually transmitted, such as gonorrhea or chlamydia, that travel beyond the vagina and cervix into the uterus and other organs in the reproductive system. The risk of PID is greater if you or your partner have sex with multiple partners. If not treated quickly and appropriately, PID can lead to serious problems, including infertility, ectopic pregnancy or constant pelvic pain. Serious cases of PID may require surgery. A hysterectomy (removal of the uterus) is sometimes needed. In rare cases, infections that start as PID can even cause death.1 Reference:1.Pelvic inflammatory disease—CDC fact sheet. Centers for Disease Control and Prevention Web site. http://cdc.gov/STD/PID/stdfact-pid.htm. Accessed May 13, 2011.

2012-02-28 17:25:03 UTC

Andrea

really? i've been wanting to get one for some time now, because i think they're the safest method there is, but i'm worry that it my hurt too much because i'm still a virgin. How was it for you?

2012-08-17 03:20:54 UTC

cecilia

I think the IUD is very safe and to respond specifically to a few concerns expressed here: 1. Remember that sites like the FDA and people like doctors are hyper paranoid about litigation and so frequently give advice that is more conservative than necessary. The concerns about IUDs for nulliparous women (those who have not had children) primarily stem from concerns that if there were a problem -rare- that caused infertility prior to a woman bearing children, this would be irreversible and very hard for a woman who wanted to later bear children. Second, it is also true that the cervix of a woman who has had children is a little more open, allowing for easier insertion. More cramping may occur during insertion because dilating rods must be used to open the cervix to about 1/2 cm-1 cm (not much). Take a few ibuprofen before hand and bring a trusted friend along to provide support during the insertion. Remember to breathe and relax - you are not being hurt, so no need for alarm (fear usually makes the perception of pain worse). 2. As for the virgin who expressed concern - no need. The IUD doesn't go in the vagina, of course. An insertion does require a speculum to be in the vagina for the duration of the insertion (usually 10-15 minutes), so you'd need to be comfortable with that. The cervix of a virgin is technically no different from that of a non-virgin - it's only different once a woman has had children. 3. As for the whole PID thing and being in a non-monogamous relationship, the solution is simple: use a condom, too! Most women already do this if not monogamous, so just do it with an IUD! The concern here is that if a woman did contract a bacterial infection, the strings of the IUD and the slightly more open cervix could increase the chances of the infection making its way up into the uterus. But guess what? IUD or no, if a woman gets a bacterial infection, has symptoms, doesn't pay attention to or notice those symptoms and doesn't get treated, her chances of getting PID are increased almost equally. So, the short answer to this concern is: use condoms, know your partners, be smart, and get tested often. Done. The IUD, especially the Paragard is an excellent choice for women who have long-term goals that don't include childbearing in the near future. As the young woman who commented on her reasons for getting an IUD so eloquently put it, an IUD allows women to take control of their lives. Remember, this concept still terrifies a lot of people, oddly enough. So ignore them. Take charge of your own life, and have children only if and when you are completely ready to nurture them physically, emotionally, socially and financially! :)

2012-10-05 01:46:00 UTC

Gina

I'm 18, and I have the mirena. I've never had kids, and i am a thriving college student. The mirena was the best thing I had for birth control. I was on the pill first, but I couldn't remember to take it everyday. and i dont want kids until after college.

2012-11-24 07:56:51 UTC

Sakiah Washington

Just fyi I had a Mirena for several year, and I mean several because it took countless attempts to remove, resulting in a surgical procedure to remove. It was successful, and luckily it wasn't embedded or punctured my uterus so I am thankful. If you get it just make sure they know what they are doing. I got it done at Planned Parenthood and many say do an ultrasound guided insertion, because people like me with a tilt to their uterus shouldn't even get them. The nurse didn't check, just shoved it in and I was in blinding pain for days. It is really nice not having a period ( I didn't have one for five years ) but not worth it IMO. Not to mention Paragard has cases of copper toxicity. Just make sure you read everything....

2013-12-12 02:45:58 UTC

Angie L.

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