Healthy Living
Monday, November 30, 2009
IUD 4 Me? Y Not?
partner
Dr. Kate,
I am 25 and have never had children, nor do I ever want them.
I was on the pill from age 17-23, and never found one that didn't make
me emotional, spotty, bloated...you know the drill. I'm really not a
fan of introducing hormones to my body, but at the same time I do
appreciate knowing when my period will occur. I asked both my doctor in
England and my gyno here in America about tubal ligation and the IUD.
Both of them said the exact same thing--no one will perform the surgery
on me until I have children, and ditto with inserting the coil. I've
read in your previous posts that, in fact, it is not necessary for a
woman to have had children if she wants the coil. So why did both
doctors say the same thing?
Childless By Choice
Dear CBC,
Consider this the first in a series of why even well-meaning doctors can be full of crap. The
IUD first
got a bad rap in the 1970s and has never really recovered--despite
mounds of evidence that the IUD is very safe and effective, even for
women who haven't had children. If there's a
Planned Parenthood in
your area, head there; their docs are up to date about offering women
the full range of
contraceptive choices. Since the IUD is about as
effective as a tubal ligation (99+ percent), I like to call the IUD
"reversible sterilization."
Tying your tubes, unfortunately, is a different situation. Most
gynos will not sterilize a woman who has no children unless she has a
serious medical condition where pregnancy could threaten her life. This
thinking sounds totally paternalistic, I know, but it comes from a good
place. "Tubal reversal"--an attempt to heal the gaps in the fallopian
tubes--only works about half the time, costs roughly $10,000, and isn't
covered by insurance. Given the availability of other great (and
reversible) birth control methods, most gynos will just say no to a
tubal for you.
Have any of you had a hard time getting birth control from your gyno because of
their philosophical reasoning?
Related Links from Daily Bedpost and Glamour:
[photo credit: Getty Images]
Related: wellness, tubal ligation, iud, gynocologists, birth control pills, avoiding pregnancy, advice
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Posted by Gemini613 Tue Jul 1, 2008 8:20am PDT
I've had two IUD's. The first after my first child, which was the "Old Coil Kind" after 4+ years I had it removed and got pregenant instantly. The second I have now it's a Mirena, I love it much better than the "Old Coil Kind". You should research it on the internet and/or ask your doctor about it, http://www.mirena-us.com/index.jsp.
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Posted by Rae Tue Jul 1, 2008 9:16am PDT
I've personally never been denied birth control due to the doctor's morals/thoughts on it, but my friend at work was denied an IUD and the Ring because her doctor "just doesn't do that." There wasn't any kind of reason offered other than he "just doesn't do that." He was willing to refer her to a doc that would, but she'd been seeing this doc for years, through the birth of her only child! Now she can't rely on him for the bc that she wants? I just think that's wrong.
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Posted by __A_YAHOO_USER__ Tue Jul 1, 2008 9:22am PDT
I've been on almost every pill, and unfortunately I got pregant twice on Yaz. Let's just say I made switch after the 2nd miscarriage. I swithed to a generic, but I started to feel extremely emotional and weepy alllllll the time. Plus, I was extremely scared about getting pregnant again. (The pill is only 92% effective against pregnancy.) I talked with my doctor about an IUD. I want have children one day; I just don't want them now. I'm not ready for it, and I'm ONLY 21. My doctor suggested Mirena, and I talked to several friends who have Mirena. I heard only good things about it, so I went ahead and scheduled to have it put in. It's good for up to 5 years, which is perfect for me. I would like to start having children when I'm 26 or 27. It's 99% effective against pregnancy, and that's what I was most impressed about. I still find myself a bit weepy at times and emotional, but my gynocologist said that would diminish after a few months, and that my period may only be a day or two or I could quite possibly not have one at all! Well, that sounded great, but I do like the idea of knowing I will have a period just to have that relief that I am definitely NOT pregnant and my IUD is working correctly. The only problems I've had with it thus far was about 2 weeks of spotting, and occasionally I would cramp really bad from it moving some. I've had my Mirena for a month now, and the past two weeks I've not had any spotting or cramping or discomfort. I would HIGLY recommend the Mirena. Who knows...You MIGHT change your mind about having kids one day. My cousin had the Assure procedure done, and she seemed to enjoy it. That is a PERMANENT birth control method which cannot be undone. She's already had two children and does not want more. Make sure you think a long while about your options because there are MANY out there. You just have to take the time to figure out what is right for YOU. Good luck!
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Posted by Tabbs Tue Jul 1, 2008 11:05am PDT
I also use Mirena, this is my second time.
After the birth of my second child I was sure I didn't want anymore kids.
My Doctor suggested I try Mirena, it would last 5 years and if I still wanted to have my tubes tied, I could do it then.
I met my husband and we have a son.
You have a lot of life to live and maybe things will change for you in a few years. I think this would be a great way to go now.
No pain, no period, long term benefits.... I LOVE IT!!
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Posted by YamairaD Tue Jul 1, 2008 11:06am PDT
I'm 23 and I've had the copper IUD for about two months. I can honestly say that if your trying to avoid mood swings and cramps the IUD will not help at all it might in fact worsen them. Also, if you if for any reason you contact any STD you symptoms might be worse than average. In the other hand, I know exactly what your going through. I don't have kids either and my gynecologist was very resistant to give me the prescription. Since I expected the worst I went in there well informed and with a straight face I told her my reasons and that I am completely convinced that I don't want to have kids for a really long time. When she saw that I knew that she had no grounds to deny me the IUD she gave me the prescription. Hope I could help.
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Posted by Gussuq Tue Jul 1, 2008 11:34am PDT
I had the copper IUD, and I had a serious love/hate relationship with it. I loved the benefits of not having to take a pill everyday or the patch or all the other forms of BC I've tried, and it was completely effective! Loved it! Except my "monthly" got worse, a lot worse, it was painful! But, I've never had any children, and I've known tons of gals that had no problems with it what-so-ever. I haven't had much luck with any other forms of BC and are considering getting the Mirena, but I'm afraid my "monthly" will get worse again...
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Posted by ambi Tue Jul 1, 2008 11:39am PDT
Well I have an implanton. It's a little shot that they put in your arm, that has a tube of hormones in it. It is good for 3 years. It's a semi permanent solution. And I love it.
I also asked for an IUD and was DENIED. Which i think is beyond rediculous, they spouted off about how they really only prefer that people that are married get them. because it's like a licence to have unpretected sex... and People get STD's. BS.
I gave her a crazy look and walked out the door.
Give me the facts! not some crazy idea you made up in your head.
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Posted by ambi Tue Jul 1, 2008 11:40am PDT
Oh and I have no periods on Implanton!
None. Ever.
Love it
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Posted by Belinda Tue Jul 1, 2008 1:03pm PDT
I am also 25 and don't want kids ever. My husband has had a vasectomy. I have really long, heavy periods (3 weeks!) and was going to get an endometrial ablation to stop the periods. I went through all the tests to make sure there was no medical cause for such bleeding and all came back negative. But then my doctor decided she did not feel comfortable doing the ablation and instead insisted on a D&C with the Mirena. I have had mine 9 months now and HATE it!! While it has shortened my periods to 11-12 days (still ridiculously long), it has made me break out like crazy on my face and back. I have to see a dermatologist now to try to help, but she said until the Mirena comes out, I will continue to have this problem. I am meeting with my gynecologist in a couple weeks to see if they will reconsider. Otherwise, I will find another doctor that will do it.
I find it extremely insulting when people insist I will change my mind about kids. I don't try to convince people that want kids that they will change their mind and I really wish people would respect other womens' decision to not have kids. It's not for everyone and not having children does not make us some sort of alien or mutant. It's a personal decision that doctors need to respect and treat you accordingly.
If you really do not want kids, that is your right and I would suggest getting a second or third or more opinions until you find a doctor that understands that parenthood is not for everyone.
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Posted by Neni Tue Jul 1, 2008 1:05pm PDT
Are you married or in a long term relationship? If that's the case, then why doesn't HE get fixed or something? Why is it you that has to put your body at risk? I have four children and am happily married. I had the IUD put in about six months ago and have not had any issues, unlike all the pills and what not that were nightmares. I was told the same by my doctor and was denied the procedure becuase I was too young. That was two children ago... I would keep looking around, there has to be a way around the system to get you an IUD. Good luck!
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