WOMEN’S HEALTH WEDNESDAY

The intrauterine device or IUD is a long term contraceptive option. There are two types: 

• Copper IUD. Brand name in the US: Paragard. Hormone free. Works by impairing the mobility of the sperm and making it difficult for a fertilized egg to implant. Needs to be replaced after 10 years. May cause a heavier period. 
• Hormonal IUD (often called intrauterine system). Brand name in the US: Mirena. Works by thickening the cervix mucous and thins the lining of the uterus, as well as a low dose of progesterone inhibiting ovulation. Needs to be replaced after 5 years. May decrease period flow. 

The IUD is placed by a gynecologist during an in-office procedure. Both forms can be removed whenever the woman chooses, resulting in immediate return to fertility. There is a 1% chance conception may occur with either. The device usually costs $600-700 but is often covered by insurance (I believe including Medicaid, which sort of surprised me!) It’s important to note that an IUD is not recommended for a woman who has not carried a pregnancy to term. This is because certain changes in the cervix occur during pregnancy that prevent the device from being expelled from the body. In addition, it’s important that patients understand that just like any hormonal birth control, there is no protection against STDs.

WOMEN’S HEALTH WEDNESDAY

Health benefits and risks associated with the Birth Control Pill:

Benefits

Reduced risk of ovarian, endometrial (aka uterus) and colorectal cancers and anemia. Improves pelvic inflammatory disease, dysmenorrhea (painful menstruation), PMS and acne. Reduces symptoms of polycystic ovarian syndrome. Protects against vaginal dryness, future ectopic pregnancy, and menopause-related painful intercourse.

Risks

Increases risk of blood clot developing (especially in smokers), risk of developing gallstones or high blood pressure. The jury is still out on decrease of libido, increase risk of breast cancer and depression - there are studies both supporting and debunking these theories.

Additional Benefit: No babies (for the time being)