ISO recommendation for GYN for 15 yo for IUD

[Anonymous]

DD has painful periods and her pediatrician recommended we look into getting her an IUD. Have any of you had good experiences with providers in the area? We are in Arlington but willing to travel.

[Anonymous]

VHC OBGYN is excellent - My favorite Drs. are

Dr. Light
Dr. Rohn
Dr, Sommer
Dr. Owen

They have all had a great relationship with my teen in various situations

Good Luck!

[Anonymous]

Did the dr. say why IUD over BCP?

IUDs are great, I had one, but boy are they painful in insertion. And if any issues if you have it removed, you've just spent a lot of money.

[Anonymous]

I would consider continuous bcp first, especially because DD still lives with you so any concerns about taking it consistently can be alleviated with alarms and reminders.

Everyone responds to IUDs differently and they don’t necessarily improve all aspects of painful periods, plus they can make bleeding unpredictable. Continuous bcp would be better in my opinion because they can more easily be switched should one kind not be effective, and they don’t require painful insertion or removal. IUDs don’t change hormones so I’m not sure which aspects of a painful period might be improved. And a hormonal IUD might improve a painful period but also might make it worse and can take far longer for them to create consistency/improvement of periods.

You may want to find a gynecologist who specializes in adolescents and has more experience in this specific area than a pediatrician.

-dysmenorrhea sufferer and continuous bcp fan

[Anonymous]

Anonymous wrote:I would consider continuous bcp first, especially because DD still lives with you so any concerns about taking it consistently can be alleviated with alarms and reminders.

Everyone responds to IUDs differently and they don’t necessarily improve all aspects of painful periods, plus they can make bleeding unpredictable. Continuous bcp would be better in my opinion because they can more easily be switched should one kind not be effective, and they don’t require painful insertion or removal. IUDs don’t change hormones so I’m not sure which aspects of a painful period might be improved. And a hormonal IUD might improve a painful period but also might make it worse and can take far longer for them to create consistency/improvement of periods.

You may want to find a gynecologist who specializes in adolescents and has more experience in this specific area than a pediatrician.

-dysmenorrhea sufferer and continuous bcp fan

Not sure which IUD the op is considering (might be Luna?) but some like Luna and Mirena do have hormones. I have a Mirena and I get NO periods. I was very skeptical but did poorly on various BCPs and Paragard IUD, had such heavy periods and debilitating cramps. Having no periods at all is so liberating. I only wish I did this sooner. Insertion to me was beyond painful and I'd ask for some serious painkillers next time.

[Anonymous]

Capital Women’s Care

[Anonymous]

Ask for pain meds before. It hurt like a b_tch. Also you have cramping after. I still had bleeding after for a few months until doctor told me to take advil (not sure why it worked but it stopped the bleeding)

[Anonymous]

Anonymous wrote:VHC OBGYN is excellent - My favorite Drs. are

Dr. Light
Dr. Rohn
Dr, Sommer
Dr. Owen

They have all had a great relationship with my teen in various situations

Good Luck!

wow thank you!

[Anonymous]

My first insertion was medication free and all I felt was pressure and it was uncomfortable. I’ve read that some women have a very difficult time with it and feel a lot of pain.

My second one was with anesthesia and it was obviously pain-free. See if any doctor performs it with anesthesia for a teenager I would highly recommend that route.

[Anonymous]

We don't live in the DMV anymore, but my daughter had a great experience with Planned Parenthood in Falls Church.

DD has had a great experience on Kyleena.

[Anonymous]

Anonymous wrote:Capital Women’s Care

Ask what sort of sedation / pain control they can offer. Don't just do it with a motrin.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Capital Women’s Care

Ask what sort of sedation / pain control they can offer. Don't just do it with a motrin.

This is OP. I had extreme pain with my IUD insertion the first time. I couldn't handle it and I went home without an IUD. They tried again and that time gave me misoprostil or something like that to dilate my cervix, and it worked but the dilation I experienced from the drug was still painful. I will do my best to ensure the office is good at pain management before making the appointment for DD.

[Anonymous]

Anonymous wrote:I would consider continuous bcp first, especially because DD still lives with you so any concerns about taking it consistently can be alleviated with alarms and reminders.

Everyone responds to IUDs differently and they don’t necessarily improve all aspects of painful periods, plus they can make bleeding unpredictable. Continuous bcp would be better in my opinion because they can more easily be switched should one kind not be effective, and they don’t require painful insertion or removal. IUDs don’t change hormones so I’m not sure which aspects of a painful period might be improved. And a hormonal IUD might improve a painful period but also might make it worse and can take far longer for them to create consistency/improvement of periods.

You may want to find a gynecologist who specializes in adolescents and has more experience in this specific area than a pediatrician.

-dysmenorrhea sufferer and continuous bcp fan

I definitely don't want to do bcp. DD has ADHD and forgets her meds ALL the time and it's bad enough trying to ensure she takes it. Also DD has done a lot of research and wants the Mirena, despite the potential downsides.

[Anonymous]

I spent my teens and twenties trying every birth control/continuous pills etc. I wanted an iud but my gynecologist would give one before having a baby. So glad I finally got one. It’s changed my life

[Anonymous]

Ask for some kind of anesthesia. Her cervix is tight and closed. Will not be an easy procedure. You need to make it clear to the Dr that if she says to stop, the procedure is done. A bad experience like this is how people carry medical anxiety with them the rest of their lives