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Writer's pictureJulie El-Haddad

Understanding IUDs: A Guide to Long-Term Contraception

Discover the world of IUDs—Intrauterine Devices—an effective contraceptive option. Learn about the benefits, potential risks, insertion and removal processes, and explore the different types available in Canada. Empower yourself with insights into this choice for reproductive health.


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Let's explore the world of IUDs—Intrauterine Devices—an effective and versatile contraceptive option that can transform your reproductive health.

Understanding IUDs

IUDs are small, T-shaped devices placed in the uterus to provide long-term contraception. They offer a range of benefits and considerations, catering to different lifestyles and preferences.


Benefits of IUDs

  1. Long-Lasting Protection: Depending on the type, IUDs can provide protection for 3 to 10 years, offering convenience and peace of mind.

  2. Highly Effective: IUDs are among the most reliable birth control methods, with a failure rate of less than 1%.

  3. Hormonal and Non-Hormonal Options: There are both hormonal and non-hormonal IUDs available, catering to diverse needs.

Potential Risks

  1. Initial Discomfort: Some individuals may experience mild discomfort during insertion, which typically subsides quickly.

  2. Changes in Menstrual Patterns: Hormonal IUDs might cause changes in menstrual flow or even absence of periods, which can vary among individuals. Non-hormonal copper IUDs can make menstrual flow heavier and irregular.

  3. Expulsion and Perforation: While rare, IUDs might be expelled from the uterus or cause perforation. Regular check-ups help identify any issues.

  4. Ectopic Pregnancy: Even if the failure rate is very low, the chance of an ectopic pregnancy, or a pregnancy that is outside of the uterus where it is not typically viable, is high.

Insertion and Removal

Inserting the IUD requires a referral to an experience physician who has the resources to do this minor procedure. First, a speculum (like the one used for a Pap test) is inserted. The cervix is clamped (usually the most painful part), and the uterus is measured by inserting a small plastic or metal stick into the uterus. Once the depth is confirmed to be adequate, the IUD is inserted which can cause some cramping similar to a strong menstrual cramp.


IUD removal is straightforward and done during a regular clinic visit with your general practitioner. A healthcare provider gently pulls the IUD's strings, and it slides out. It involves very few risks and minimal discomfort.


Types Available in Canada


Hormonal IUDs: These include Mirena (levonorgestrel) and Kyleena (lower-dose levonorgestrel).

Copper IUD (Non-Hormonal): Brands include Flexi-T, Mona Lisa, and Nova-T, releasing no hormones.


Empower Yourself

Understanding IUDs empowers you to make informed choices about your reproductive health. Consult our healthcare experts to determine if an IUD aligns with your lifestyle and needs.


Disclaimer: This guide is for informational purposes and doesn't replace professional medical advice. Consult our healthcare professionals for personalized guidance on contraceptive options.

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