Contraception
Contraceptive Methods
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Intrauterine Contraceptive Device (The Copper IUD)
The IUD is a small, T-shaped device with a copper wire. Inserted into the uterus, the copper wire changes the chemistry in the uterus and destroys sperm.
Benefits
The copper IUD provides up to 5 years of contraception, and has no negative impact on future fertility once removed. It fails in only 1 of 100 users per year. The IUD should not alter the timing of your periods. Women who use an IUD have a lower rate of ectopic pregnancy (pregnancy that develops in the fallopian tube) than women who do not use any birth control. However, if pregnancy should occur, it is important to see your health care provider immediately, because there is a significant chance the pregnancy is in the fallopian tube, which is a dangerous medical condition.
The copper IUD may be a good choice for you if:
- You are at low risk for contracting a sexually transmitted infection (STI)
- You are looking for a long-term, reliable method of contraception
- You have had failure with other methods in the past (can not remember to take the pill)
- You are breastfeeding (it has no effect on breast milk)
- You have completed your family but do not want a tubal ligation
- You have problems with hormonal methods of contraception
Disadvantages
The copper IUD does not protect against sexually transmitted infections (STIs) or HIV. Condoms should be used to protect against STIs or HIV.
Women who use the copper IUD, may find that their periods get heavier or more crampy. Complications associated with the IUD are rare but may occur. Possible complications of inserting an IUD include irregular bleeding or spotting, perforating the uterus (making a small hole in the uterus), infection, or expulsion (the IUD falls out).
Where to find it
You will need a prescription to get a copper IUD. A health care provider must insert the IUD, usually in the office or family planning clinic. During your first visit, you will have a physical exam, take a sexually transmitted infection test and discuss your medical history. You may need to book a second visit to have the IUD inserted. Your health care provider will insert the IUD into the uterus through the cervix (opening of the uterus). The copper IUD costs from $60-$100.
Troubleshooting
You should contact your health care provider if any of the following occur:
- You cannot feel the IUD threads
- You or your partner can feel the lower end of the IUD
- You think that you are pregnant
- You experience persistent abdominal pain, fever, or unusual vaginal discharge
- You or your partner feel pain or discomfort during intercourse
- You experience a sudden change in your menstrual periods
- You wish to have the device removed or you want to get pregnant.
Last Modified: October 26, 2006
