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Contraceptives: All about IUDs.

There are two types of IUDs Hormonal IUD (mirena).Non – hormonal (paragard/copper IUD).1. Hormonal IUD( mirena ).Mirena is a hormonal intrauterine device that can provide long term birth control (contraception).The device is T shaped plastic that is inserted into the uterus , where it releases a type of hormone progestin.To prevent pregnancy it;1. Thickens mucus in the cervix to stop sperm from reaching or fertilizing the ova.2. Thins the lining of the uterus and partially suppresses ovulation.

It prevents pregnancy upto 5 years after insertion.It can also help with painful or heavy periods.
Advantages of hormonal IUD.It is more than 99% effective at preventing pregnancy.2. Women do not have to worry about remembering to take a pill.3. It lasts upto 5 years.4. Women can still breast feed.5. Uses lower doses of hormones as compared to other birth control methods.6. It reduces or stops menstruation flow in women who do not want periods or suffer from excessive bleeding.

Paragard ( non hormonal IUD/copper IUD). It is an intrauterine device that can provide long term birth control.It is a T shaped device that is plastic with copper wire coiled around it.The IUD produces an inflammatory reaction that is toxic to sperms and eggs (ova) preventing pregnancy.It can prevent pregnancy upto 10 years after insertion.
Advantages of copper IUD.1. Does not interrupt sex.2. Prevents pregnancy upto 10 years.3. Can be removed any time.4. Can be used with breastfeeding mothers.5. Does not have hormone related side effects.6. It can be used as an emergency contraception if inserted within 5 days after having unprotected sex.
Side effects of copper IUD.1. Bleeding between periods.2. Cramps.3. Severe menstrual pain and heavy bleeding.

Insertion of IUDs.Your doctor will insert a speculum into your vagina and clean the vagina with an antiseptic solution. Next your doctor will fold down the IUD horizontal arms and place the device with an applicator tube. The tube is inserted into your cervical canal and IUD carefully placed in the uterus then the applicator is removed. The doctor will then trim the strings so that they do not hang low into the vagina.During insertion you may experience;1. Dizziness.2. Fainting.3. Nausea.Your doctor will suggest you lay down until the side effects subside.
Removal of IUD.The health care provider will use forceps to gently pull the device strings. Light bleeding and cramping are common.

How much does it cost?The initial medical examination, the IUD, the insertion and follow up can cost around ksh. 2500- 3000.

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