diaphragm? sponge? IUD?

Anonymous
I loved my Mirena and will get another one after this baby is born. Frankly don't care whether it's preventing implantation or fertilization or ovulation. I stopped getting my periods after about 6 months with it, so I assume it was probably the latter for me.
Anonymous
Anonymous wrote:
Anonymous wrote:SO - question for you IUD users - how did your doc tell you the IUD prevents pregnancy? I think the IUD is a great option, but I'm not sure I'm comfortable with how it works. On a personal level I'm not keen on the idea that an egg may have been fertilized but then is prevented from implanting - kind of like potentially having a tiny little abortion on a regular basis. (Pro-choice here, so this is not intended to be an anti-choice attack.) My doc gave me a bit of a fuzzy explanation on the mechanism, but more or less said "prevents implantation, and might interfere with fertilization, but we don't really know" and that's what I see on other literature as well. Anyone have better info?


That is the state-of-the-art info.


Okay - thanks.
Anonymous
I had the Mirena and HATED it! Love the convenience, but the hormones gave me serious anxiety that seemed to get worse as the year progressed. I never had any anxiety before. I had it removed (spring '09) and for SEVEN long weeks after that I was a complete basket case! I started looking into anti-anxiety medication because it was soo bad from sun up to sun down. I've been fine ever since. I started reading the Mirena forums after I started thinking that there might be a link and after I asked my OB who didn't think a link was probable. Admittedly, I should have done my due diligence beforehand.

I just had a tubal ligation. I'm almost forty and we already have three little ones (all under 7). Things went great and recovery was easier than I expected. I was at the hospital just a few hours and was home taking care of the kids alone the next day, still sore, but I didn't require any pain meds.


http://www.womens-health.com/boards/gynecology/7798-mirena-coil-side-effects-post140813.html

Good luck, OP whatever you choose.
Anonymous
Anonymous wrote:Got a Mirena two weeks ago. How much bleeding and for how long should I expect?


It's different for everyone. I remember bleeding/spotting for 2-3 weeks after insertion.
Anonymous
Mirena does NOT have estrogen in it!!! It only contains levonorgestrel, a type of progesterone. This is a very important distinction since some women aren't good candidates for estrogen-containing contraceptives (like women over 35 who smoke).

As one of the PPs said, Paragard is hormone-free and offers very reliable, reversible contraception for up to 10 years (Mirena for up to 5). Both IUDs have several mechanisms of action that prevent pregnancy, as another PP stated - just like oral contraceptives, the patch, and the ring.
Anonymous
I LOVE my Paraguard. Completely idiot-proof; nonhormonal; no maintenance; no mess. I found insertion to be only mildly uncomfortable. DEFINITELY go with it over a diaphragm, which I used for a couple years and which I found to be very inconvenient and messy.
Anonymous
If you are truly done with children then I would reccomend the IUD (Paragard) over the Diaphram. The Diaphram is pretty effective IF you use it correctly. You have to insert it properly (making sure the gel stays in place), you have to keep it in up to 6 hours after sex - in case where I had sex in the morning or in the middle of the day I found it really uncomfortable to walk around with it in.

The paragard is totally worry-free, your doctor puts it in and you forget about birthcontrol for 10 years.
Anonymous
Anonymous wrote:SO - question for you IUD users - how did your doc tell you the IUD prevents pregnancy? I think the IUD is a great option, but I'm not sure I'm comfortable with how it works. On a personal level I'm not keen on the idea that an egg may have been fertilized but then is prevented from implanting - kind of like potentially having a tiny little abortion on a regular basis. (Pro-choice here, so this is not intended to be an anti-choice attack.) My doc gave me a bit of a fuzzy explanation on the mechanism, but more or less said "prevents implantation, and might interfere with fertilization, but we don't really know" and that's what I see on other literature as well. Anyone have better info?



I am a former Paragard user (had two, both fell out and Dr. suggested not to try a third). I definately think that Pargard works by preventing implantation, not sure that i would consider that a tiny abortion but that is how it works.
Anonymous
Several of my friends from college got pregnant using a diaphram. A woman who worked in my mom's office, too.
I had one in college, but I used it in combination with condoms.
Anonymous
I spotted daily for six weeks after mirena insertion. Now every once in awhile i get a little spotting (after three months) - less than a panty liner worth.
Anonymous
Mirena here for 3 years, LOVE it! Was on the pill during high school and most of college, switched to the Nuva ring, then got the IUD when I got married. My insertion wasn't as comfortable as most (I have a slightly tilted uterus and the Dr. had to dialate me.... which I didn't know in advance, so that was fun!), but it's been 100% effective, my periods last 1-2 days a month, no PMS, no cramps... It's been fantastic!

I also didn't spot at all after my insertion, just had cramping for that day and mild ones the following day.
Anonymous
The copper in the Paragard also changes the environment in the uterus, making it inhospitable to sperm and/or affecting sperm mobility and motility - essentially reducing the likelihood that any sperm will make it out of the uterus and into the fallopian tubes, and thus preventing any chance of fertilization.

There are several possible ways that Paragard (and any kind of non-barrier contraceptive method) works to prevent pregnancy in a given month in a given woman. The best available evidence is that there is no *one* mechanism of action that definitively prevents pregnancy.

From Family Health International:

Some people incorrectly believe that the principal mechanism of action of IUDs is prevention of implantation of fertilized eggs.16 The existing evidence does not support the theory that the mechanism of action of IUDs includes the destruction of embryos in the uterus. The foreign body reaction induced by copper and inert IUDs is hostile to sperm and possibly eggs in the upper genital tract. Few sperm reach the site of fertilization in the fallopian tubes, and those that do are unlikely to be capable of fertilizing an egg. Eggs may be similarly impaired. Should fertilization occur, the chances for establishing a pregnancy likely decrease as the fertilized egg approaches the uterine cavity. Thus, the IUD appears to work at a much earlier stage of human reproduction than was previously thought; prevention of fertilization seems to be the dominant mode of action.

http://www.fhi.org/en/RH/Pubs/booksReports/methodaction.htm
Anonymous
Anonymous wrote:If you are truly done with children then I would reccomend the IUD (Paragard) over the Diaphram.


You don't have to be "truly done with children" -- I had a Mirena for the 3 years in between my kids. Got pregnant 2 months after I had it taken out. Mirena lasts UP TO 5 years and Paragard lasts UP TO 10 years, but both can be taken out at any time if you want to get pregnant (or for any other reason).

Here is what Planned Parenthood says re IUDs:
http://www.plannedparenthood.org/health-topics/birth-control/iud-4245.htm

How Does an IUD Work?
Both the ParaGard and the Mirena IUDs affect the way sperm move, preventing them from joining with an egg. If sperm cannot join with an egg, pregnancy cannot happen. Both types also alter the lining of the uterus. Some people say that this keeps a fertilized egg from attaching to the lining of the uterus. But there is no proof that this actually happens.

The progestin in the Mirena IUD helps prevent pregnancy. Progestin works by keeping a woman's ovaries from releasing eggs — ovulation. Pregnancy cannot happen if there is no egg to join with sperm. Progestin also prevents pregnancy by thickening a woman's cervical mucus. The mucus blocks sperm and keeps it from joining with an egg.
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