Types of IUDs

The Way to Choose the Right IUD

January 21, 2018

IUDs (intrauterine devices) are Powerful, Long-lasting, and reversible birth control options, and there are five FDA-approved brands available on the market:

  • Mirena
  • Liletta
  • Skyla
  • Kyleena
  • ParaGard

You may be wondering that IUD is ideal for you. This is a decision that requires a cautious and thoughtful conversation with your physician, and knowing the fundamentals about the different IUDs before you’ve got this conversation can be hugely helpful.

Overview of this IUDS

All four of those IUDs are highly effective birth control methods. They’re”T-shaped” apparatus that must be inserted into your uterus and eliminated from your uterus by a skilled doctor.

The main distinction among the IUDs is that among them–the copper IUD, called the ParaGard–doesn’t discharge a hormone. 

Copper IUD

ParaGard is the sole hormone-free IUD and is made up of polyethylene wrapped with aluminum wire. How does ParaGard work to avoid pregnancy? Experts think there are a number of different mechanisms, including: 

  • Inhibition of sperm movement and viability (sperm do not reside )
  • Change in rate of the egg until it matches the sperm
  • Damage to the egg
  • Impairs implantation of a fertilized egg

Of all the IUDs, the ParaGard can be used the longest, for up to 10 years. In terms of side effects, women choosing the ParaGard should know that it may cause heavy and long periods with more cramping than normal, especially in the first several menstrual cycles.

Although, it is important to be aware that because the copper IUD is hormone-free, it will not change a woman’s menstrual cycle, therefore she will continue to have regularly scheduled intervals.

Levonorgestrel IUDs

There are four levonorgestrel IUDS: Mirena, Liletta, Skyla, and Kyleena. Such as the ParaGard, they’re T-shaped, but unlike the ParaGard, they have a polydimethylsiloxane sleeve that contains levonorgestrel (a progestin) on the stem.

These hormone IUDs work by thickening cervical mucus (making it difficult for sperm to travel), thinning the lining of the uterus which impairs implantation, and preventing the binding of the sperm into the egg. 

  • The Mirena originally releases 20mcg of levonorgestrel each day and can be FDA approved for up to 5 decades. Notice that as time Continues, the levonorgestrel IUDs release less and less hormone, but they are still just as effective.  
  • Liletta initially releases 18.6mcg every day of both levonorgestrel and is approved for three decades of usage. 
  • Skyla, also called”Mirena’s little sister,” originally releases 14mcg of levonorgestrel a day and may be used up to 3 years. 
  • Kyleena was FDA-approved in September 2016 and offers the best of two worlds, a 5-year time-frame (like Mirena) however a more compact size and less hormone (such as Skyla). Specifically, Kyleena originally releases 17.5mcg of levonorgestrel a day.

Because these four IUDs contain progestin, you might experience changes in your menstrual flow. For instance, you might be more likely to place for your first few months and have shorter and lighter periods. Your period may also stop completely. 

Other side effects may include hormone-related symptoms such as:

  • Headaches
  • Nausea
  • Breast tenderness
  • Depression
  • Reduced libido
  • Hair loss
  • Ovarian cysts

Selecting the Right IUD

One of the best ways to pick between IUDs is to determine whether you want to use a hormonal birth control method. In case you cannot or choose not to be vulnerable to hormones, the ParaGard IUD may be the obvious best option.

Remember, however, the endocrine in Mirena, Skyla, Liletta, and Kyleena is just released locally (to the uterus), therefore it does not have exactly the same kind of broad effect because the hormones found in birth control pills.

Additional factors that can help you Pick the right IUD include:

  • Length of pregnancy coverage (3 years versus 5 years versus 10 years)
  • Quantity of hormone
  • Side effects (for example, some women experience significant, painful menstrual bleeding in the first six months or so using all the copper IUD)

The size of the IUD can also affect your decision. Skyla and Kyleena are a little bit smaller than Mirena, Liletta, and also the ParaGard. Therefore, Skyla and Kyleena’s smaller dimensions may create these IUDs simpler and less painful to insert.

Their smaller size might also be tolerated by women that have a uterus that is smaller, for example young teenagers and perimenopausal women. 

A Word From Verywell

No matter which IUD you pick, you can get the piece of mind that five are among the most effective forms of birth control procedures. In reality, they are as powerful as permanent procedures, such as vasectomies and tubal ligation.

Additional despite common misconceptions, IUDs are safe forms of contraception for nulliparous women; those are women who have never given birth before. IUDs also don’t affect your odds of becoming pregnant after having it removed. 

It needs to be said, that IUDs do not protect women from sexually transmitted infection. In addition, having an IUD insertion, there is a risk of expulsion (the IUD falling out) or disease, although these events are rare. 

All in all, these IUDs are extremely effective forms of birth control, and they supply long-term protection. After picking their IUD, many women are extremely satisfied with their choice.