INTRAUTERINE DEVICE INSERTION

Calgary IUD Clinic

IUD Clinic in Calgary

What Is An IUD?

An intrauterine device (IUD) can be a good option for many women, particularly those who are breast-feeding, or who cannot use estrogen-based methods because of cigarette smoking, migraine headaches, or hypertension. The IUD is a low-maintenance and reversible method of contraception. It works mainly by preventing the sperm from fertilizing the egg. It can stay in place for 3-5 years, depending on the IUD. There are two types of IUDs available in Canada (Copper and Hormonal). Contact our Calgary IUD Clinic for more information.

A COMPARISON

INFO & FACTS

Flexi-T / Liberte

Copper IUD
5-10 YEAR DURATION
  • $~80 Available at your local pharmacy
  • 0% Levonorgestrel
  • 99.2% - 99.4% Effective
  • 1 in 100 get pregnant
  • Does not contain estrogen
  • In some cases decreases the risk of getting endometrial cancer
  • May increase menstrual bleeding & cramping by 10% - 20%
  • Effective contraception up to 7 days after unprotected sex

Mirena©

Hormonal IUS
5 YEAR DURATION
  • $~370 Available at your local pharmacy
  • 52mg Levonorgestrel
  • 99.9% Effective
  • 2 in 1000 get pregnant
  • Does not contain estrogen
  • May decrease endometriosis and precancerous cells
  • Decreases menstrual bleeding, sometimes stopping completely
  • Not effective emergency contraception

Kyleena©

Hormonal IUS
5 YEAR DURATION
  • $~350 Available at your local pharmacy
  • 19.5mg Levonorgestrel
  • 99.5% Effective
  • 2 in 1000 get pregnant
  • Does not contain estrogen
  • May decrease endometriosis and precancerous cells
  • Decreases menstrual bleeding, sometimes stopping completely
  • Not effective emergency contraception

Jaydess©

Hormonal IUS
3 YEAR DURATION
  • $~350 Available at your local pharmacy
  • 13.5mg Levonorgestrel
  • 99.5% Effective
  • 2 in 1000 get pregnant
  • Does not contain estrogen
  • May decrease endometriosis and precancerous cells
  • Decreases menstrual bleeding, sometimes stopping completely
  • Not effective emergency contraception
PHASED OUT - 2019

IU DEVICES

MORE INFO

Is Our IUD Clinic Right For You?

If you’re not sure which IUD to choose, or whether you should even consider an IUD, you’re not alone. The physicians at our Calgary IUD Clinic will help provide you with the information you need to guide you, as well as assist you in gaining confidence in your contraceptive (birth control) decisions.

The Society of Obstetricians and Gynecologists of Canada (SOGC), as well as the American College of Obstetrics and Gynecology (ACOG), recommend IUDs as the first-line contraceptive choice for preventing pregnancy.

IUDs are quite simply, the most effective non-permanent method of birth control. Getting pregnant unexpectedly or at the wrong time in a woman’s life can be quite traumatic. Taking the big step towards effective contraception can allow you to focus on your personal and occupational goals, without any major surprises.

It is important to use a back-up form of birth control or remain abstinent for at least 2 weeks prior to getting your IUD. This helps ensure that you are not pregnant at the time of an IUD insertion. It is common practice to insert an IUD during your menstrual cycle as this will help facilitate insertion. It also serves as an added guarantee that you are not pregnant. However, an IUD can be inserted at our IUD clinic at any time during your cycle, provided you are not pregnant.
 
On the day of the procedure, you should take an anti-inflammatory medication such as ibuprofen (Advil, Motrin), or naproxen (Aleve) about 30-60 minutes before your procedure. If you are particularly anxious about the procedure, there are medicines that can help you stay calm. Please notify our staff about this so that we can make arrangements to administer this medicine prior to the procedure. Please try and bring a pad with you which you will need after the procedure. When you arrive at the office, we will have you read and sign a consent form.
 
It is important to notify the doctor if you are ill in any way, are suffering from any vaginal infections, or if you have irregular menstrual bleeding. These may need to be checked prior to inserting an IUD. Make sure you have all your questions answered before the IUD is inserted. Sometimes it is helpful to write questions down. You are welcome to bring a friend for support. You can ask for a separate consultation visit to discuss the IUD/IUS if you wish.

The IUD placement is a fairly straightforward procedure. First, a speculum is used to see the cervix in the same way that a pap smear is performed. During the procedure, most women feel a pinch and then some cramping which can last a few minutes. Once placed, the IUD strings are then cut leaving about 3-4 cm to hang outside the cervix. The appointment and procedure will take about 30 minutes.

Immediately after insertion, it is important not to insert anything into the vagina for 24 hours (i.e. no tampons, bathing, swimming, hot tub, or sexual intercourse). Now and then, you can check the strings yourself by putting your fingers inside your vagina. The strings and IUD should never be felt outside the vagina! It is OK if you can’t feel the strings, but if they seemed to have lengthened, call the office.
 
Possible side effects after insertion include irregular bleeding or spotting that can last a few weeks. Perforation of the uterus may occur at the time of insertion (but this is extremely rare). It may be expelled in 1% of women. The IUD does not protect against sexually transmitted infections. Please book a check-up at our IUD clinic if you experience any unusual pelvic symptoms and you think the IUD may have slipped, or if your partner is bothered by the strings. We will do our best to see you quickly if there is a concern.
 
Approximately 6 weeks after insertion, we expect you to book an appointment to check the IUD strings to ensure the IUD is in the appropriate position.

How Effective Are IUDs?

IUDs are the buzz right now, and for several good reasons.

  1. They are the most effective (>99%) of all the reversible contraceptive options available in Canada. Only permanent contraception (vasectomy, tubal ligation) is as effective.
  2. They are reversible. Once pulled, a woman’s fertility will resume immediately, though we counsel women to wait for their next cycle before attempting to conceive.
  3. They are forgettable. The pill, patch, ring, or injection methods rely on a woman’s memory. Forgetting to take/use the medication as prescribed can significantly reduce their effectiveness.
  4. They are long-acting. IUDs are effective for 3-5 years
  5. They are estrogen-free. Some women have medical conditions that prevent them from using estrogen-based treatments. IUDs are safe in these women.

If you need more information or would like to book an appointment, our staff would be happy to guide you. Our IUD clinic is associated with RAICE (Rapid Access IUD Centres of Excellence) and can see patients without a referral.

Have Any Questions or Concerns?