10) Copper Versus Hormonal IUD: What’s the Difference? (Talking IUC with Dr. D)
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- čas přidán 7. 07. 2024
- IMPORTANT 2023 UPDATE re: IUD DURATION OF USE- US FDA now approves 52mg levonorgestrel IUD (Mirena, Liletta) for 8 YEARS use for contraception. When treatment of heavy menstrual bleeding is the primary indication, best results are usually seen in the first 5 years. Kyleena (19.5mg) is still 5 years. See video #35 for info on copper IUD extended use.
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Dr. Kristina Dervaitis, an OB/Gyn in Newmarket, Ontario, answers your IUD questions:
What are the differences between the copper and the hormonal (levonorgestrel) IUD?
What are the similarities?
Please note: this channel is provided as a volunteer public health education initiative (not for profit, no industry support, the channel is not monetized with ads). Dr. Dervaitis received her MD in 2000 and completed her OB/Gyn residency training in 2005 at Western University.
For more information, I recommend the official sexual health website of the Society of Obstetricians and Gynaecologists of Canada: www.sexandu.ca
I was panicking and your videos helped me so very much. Thank you for helping women all over find comfort and an understanding.
I really appreciate you putting this together💗
The first copper IUD I had, I expelled. I live in the US and got an invoice about $1,200. I then had to pay for the exam in full and pay for a completely new copper IUD out-of-pocket as well. The US Healthcare System is messed up.
I am sorry to hear this. 😕
I am definitely so appreciative of our Canadian Universal Health Care System (both for my patients and my own family).... although the cost of the IUD itself is not covered for all under this health plan (for example, only up to age 25 in Ontario). Many Canadians need additional private drug plan insurance to pay for the IUD (or they must cover the cost out of pocket)- but at least the insertion and physician fees are covered.
-Dr. Dervaitis
this was so helpful in so many ways. thank you so much for posting this
This video was very informative and I found it extremely helpful! Thank you for posting!!!
Thank you so much! After speaking to my doctor I had so many questions I forgot to ask and this has helped sooooo much thank you!
To Haven Valentine-
Thanks so much for taking the time to comment. I am so happy to hear that you found my videos useful! 😊
All the best,
Dr. Dervaitis
Great explanation, thank you!
Thankyou for this great video!
Thank you so much for these IUD videos. They have been extremely helpful!
You’re welcome!😊 Glad you found them helpful!
-Dr. Dervaitis
Very informative, thanks.
Getting my Mirena IUD after my first baby was a great decision! I’ve had it in for about 6 months. No complaints, only the good side effect of having essentially no period while still ovulating. Thanks Dr. D for such informative videos that helped me make this decision about my birth control.
Hi Stephen-
It is not uncommon for the strings not to be visible- they are often just tucked into the cervical canal and can be retrieved using instruments that most gynaecologists have available in their offices. In this situation, the doctor may order an ultrasound to check on the location of the IUD, to ensure it is still in proper position. Please see also my video #13: IUD Removal FAQ.
-Dr. Dervaitis
Thank you ❤️this helped alot
I've been thinking about getting an IUD and I've ended up making myself anxious but your videos helped me relax a bit.
I'm a forgetful person so the pill definitely wouldn't be good and I'm just wanting a long term easy solution.
Y’all were being so mean - her glasses look awesome. Thank you for this amazing info!
Thanks for having my back! 🤣☺️
Thank you for this video!
I’ve had both. Recently got another copper IUD and already wishing I’d gone with a Mirena again... 🙄 Hopefully it’ll get better very soon... the pain and constant bleeding is awful, and not like my first copper IUD experience! Gotta love being female!
Thanks so much for this awesome series Dr D!! 💫💫
Hi! Did you switch from hormonal to copper iud? I’m on kyleena, wondering if I should switch to a copper one
@@raminaark1147 she said it is her second Copper IUD
@@raminaark1147 me too, if you switch let me know your experience
@@jamaicasfiercest girl my kyleena expires in like 2024. How’s ur experience so far? Did ur menstruation go away completely? I was told that was likely going to happen, that’s why I signed up for it 🤷♀️
Hello to my vlogger viewer in France :)
From what I can understand of your description of the bleeding, I think this sounds normal. There can be some light bleeding or spotting in between periods for the first few months after an IUD is inserted (whether copper or hormonal). If the bleeding gets heavier or doesn’t resolve within 3 months after insertion, I’d recommend that you see your doctor. I’d also recommend that you watch my video #7: “Is This Bleeding Normal?”
-Dr. Dervaitis
Dr. Kristina Dervaitis i have a question my wife had her non hormonal iud removal i would like to ask how long after could she conceive?also she is correctly a few days late on her pms
Hi again- I think I misunderstood your first comment. I think you are asking about when your wife should expect her next PERIOD (or menstrual cycle)? After a copper IUD is removed, her period should come at the usual time. It is possible to conceive right in the next cycle/month after an IUD removal (so if she is late for her period, she might want to consider taking a pregnancy test). Hope this helps!
-Dr. Dervaitis
I have a very bad experience with anything that even slightly messes with my hormones and doctors havent really figured out why. Antidepressants, birth control, even marijuana and some antibiotics make my body very on edge and I tingle as if my whole body is asleep, a similar sensation to when your hand falls asleep except everywhere including my face and neck and legs. Non hormonal is my only option and I hope it works without any problems!
Allot of girls at work and some friends have been talking about iuds and i have no clue what the difference was, let alone how an iud works. Now ill be going into the conversation with some actual knowledge! haha. Thanks for the video. very informative!
I got the 10 yr copper iud. My period is literally non existent. & if i do get my period it's just spotting. Its been 9 yrs now and still not really having barely any bleeding monthly. Idk guess like you said everyone is different. I love it! 🙌🏻💗
Thanks so much for your comment, so glad your IUD experience has been positive!
-Dr. D
Hi
Where did u get the copper iud for 10 years, one I got valid for 5 years only
Hi doc. I have inserted copper iud on this month 5. From last 3days I m having bleeding but not very heavy bleeding it’s very less amount of bleeding even the bleeding is less than my regular cycle. I had my last period on February 26. Is it ok ? And how long this bleeding will stay?? Thx in advance
Thank you for the very helpful video ❤
Glad it was helpful!
Thank you for your videos, you have helped me choose my contraception, by making the IUD insertion very not scary (it hurt a bit but I got through it easily!). So I've had a copper IUD for about 2 months now. It's been okay, but I was wondering if it's true that the side effects (cramping and heavier flow) do decrease over time. I can't find much in terms of studies to back this fact up, and people telling their experiences on reddit generally seem to have had horrendous experiences ! (I think it was you who mentioned the bias in the experiences you could find on the internet, and I appreciated this point a lot.
Hello-
There is definitely an initial “adjustment” period with regards to cramps and bleeding, usually by the third month patients have more of an idea about what their periods will be like long term.
Glad you found the videos helpful!
-Dr. Dervaitis
Hi Dr. D,
Which IUD would you recommend for a patient who has PCOS, is acne prone and has been using the hormonal contraceptive pill (Yaz+) to manage pcos symptoms (hormonal acne and regular periods) and birth control ?
Thanks Ashleigh
Hello-
Stay tuned for a future video about PCOS and IUD use. A critical part of treatment in PCOS is progesterone (there is usually an imbalance of too much estrogen and not enough progesterone due to lack of ovulation, and this is unhealthy for the uterus). So I would recommend the hormonal IUD (and not the copper) for a patient with PCOS. Although there is a small chance of acne, not having enough progesterone (long term) could lead to uterine pre-cancer (hyperplasia) or cancer, and so the benefits of progesterone outweigh the risk of acne in this scenario.
-Dr. Dervaitis
Hi Dr D, thank you for making this video, it’s very informative & easy to understand. I’m an ICU RN & I’m glad to see Drs like you share their knowledge. I’m 43, married, 2 kids, first period came at 10 y/o, my period has always been irregular, I was on the pills for many years, about 6 mos ago, I got off the pills ( was not sexually active) Recently got the Biote HRT, implanted a small amount of testosterone in me ( to help with depression & overall well being). I do have uterine fibroids & cervical cyst. Doc mentioned hysterectomy a while back, I’m considering getting an IUD. Given all the info, which IUD would be best for me? Also, how would I know if I’m in menopause period if I’m not having period being on IUD?
Hi Cathy-
First of all, thank you for watching and thank you so much for the work that you do as an ICU RN (I think it’s absolutely one of the most challenging areas of nursing out there and I have such tremendous respect for your field!)
Unfortunately I can’t give personalized medical advice over the internet. But generally speaking, I do tend to recommend the levonorgestrel IUD over the copper (because of the beneficial menstrual effects). For answers to questions about IUD use close to menopause, please see video #16.
All the best,
Dr. Dervaitis
love your glasses!
Hi! I got an IUD placed and I'm on my 3rd month with it. I noticed this month that it feels like I can feel more of the strings than before. Not by too much but is that anything to be worried about? I can't feel the device at all and my boyfriend can't feel any of it (strings or device).
Hi-
I’d recommend that you also watch video #27 (about checking IUD strings). Unfortunately, I can’t give personalized medical advice over the internet- if you are concerned about a possible change in the length of your IUD strings, I’d recommend that you see your doctor.
-Dr. Dervaitis
Please help me, Dr. Dervaitis, I would appreciate that so, so much.
I had the Nexplanon for 4 years. Thought I loved it, then I got a new doctor who mentioned that the chronic and daily UTI's and yeast infections that came about with ANY change to my diet, and the frequent ovarian cysts that appeared out of nowhere might be related to my birth control. I was drinking 2 liters of water a day and still having burning and an itchy bladder like a UTI, I cut out nearly all sugar and excess salt and seriously regulated my diet for healthy vagina with probiotics and the like and still had YIs, and I was having cyst pain so bad that I got multiple ultrasounds to figure out what was happening. I'd gone to doctors and doctors and doctors before for the UTIs and YIs, nothing showed on any STD or urine analysis, they'd give me something for the yeast infection but it would be back almost immediately, not once did anyone suggest it might be my birth control if they're happening in synchrony and chronically out of nowhere. Took the Nexplanon out and got the copper IUD put in because of a fear of hormonal affects on my body, three days later I felt like filtered water, and have not had a single UTI or yeast infection since, not one cyst pain, and I no longer need to do any of the crazy strict diets. It's been a year since removal.
Unfortunately, my symptoms of the copper IUD haven't quelled. I had no pain during insertion, no pain for four hours after, then got home after errands and hit the floor throwing up in pain that was so bad I couldn't speak. I was in bed for two days with those cramps, and they lasted another week after that at a manageable enough level that I could go back to work, but god they were awful. I really wanted this to work, I knew side effects could be bad but I was and am really concerned about hormones because of the past effects I've had on the implant, so I've been sticking it out for the last year to see if everything would even out. Before any birth control, I had heavy periods that lasted 4-5 days and nearly no side effects. On the Nexplanon, I had lighter periods that lasted 5-6 days and had the above mentioned side effects. Now on the IUD, I have heavy periods that last 7-9 days and I have cramps and back pain for the first time in my life, at high levels. I have intense poking in my uterus that shifts back and forth from one side to the other (this is not a cramp or a pinch, both of which I get as well, it's a deliberate poke in these two back and forth spots only, although I have been told that pain reception and feeling in that part of the body is very different than feeling elsewhere). The poking hurts regularly, makes my periods painful for the first time ever, and it makes sex very painful any time it's bumped. I've been told I'm not supposed to be able to feel it, but I can. I've been able to shift it to a more comfortable position before with my partner's hand inside of me pushing on it and me massaging my belly, but it always goes back into an uncomfortable place. Symptoms have been up and down the whole year, and they were relaxing recently, but now they're back even worse, and I'm unsure if it's worth keeping it in, but I'm also really nervous to switch to a hormonal one. I've been told the hormones are much more localized so they don't affect the body the same way, along with everything you mentioned, but because my side effects happened so close to that area of my body anyways, I'm very concerned that the lowered dosage will not make a huge difference to my system, and that if I do get averse side effects from the hormonal IUD, they will be worse than what I experience now and then I'll have to have the copper one put back in and go through the adjustment all over again, on top of the adjustment of coming off hormones.
Oh god, that is so long, I'm very sorry. I'm at a loss. I don't know what to do. Most things on the market that are reasonable for me have hormones. I might just go back to condoms. This sucks. Any advice or thoughts you have would be so much appreciated.
Hello-
Unfortunately I can’t give personalized medical advice over the internet. But generally speaking:
-The hormonal IUD (or any hormonal contraception) has no link to UTI’s
-There is not any consistent evidence linking hormonal contraceptives to yeast infections
-the IUD is designed so that the patient (and her partner) does not feel that it is there (there should not be any “poking” sensation).
-condoms have an 18% chance of pregnancy
Please also see video #10 about possible hormonal side effects, as well as video #11 (Copper vs. Hormonal IUD).
All the best,
Dr. Dervaitis
Hello Dr. Kristina, Thank you for this video.
I would like to get an IUD, is it okay if I have not already gotten pregnant before. I do not have any underlying medical conditions.
The IUD is considered “first line” (a number one pick) for all sexually actively women, regardless of whether they have ever had children (absolutely OK for women who have not had children...) As long as there are no other contraindications (there are very few absolute contraindications... see video #8) So for a person with no medical problems, an IUD would be an option to consider.
-Dr. Dervaitis
Hi doctor I found this video very helpful. I feel like the copper iud would be best since I received the epidural when giving birth I always deal with back pain, would it be possible that my back pain would get even stronger?
Hello-
Your back pain history should have absolutely no impact on which IUD you choose. With regards to helping women who have painful periods, generally the hormonal IUD is a better option compared to the copper IUD (copper often causes heavier, more painful periods, while hormonal usually decreases menstrual bleeding and cramping.)
-Dr. Dervaitis
My i u d string is remove. Only the string i got the string only the string it is okay? Or i need to the obgyne?
I have the copper iud it definitely does not have hormones my period does come longer days and heavier but what's the percentage of pregnancy with this IUD?
6-8/ 1000 (so,
I had really bad mood swings and was very emotional on the pill and the patch. Would these mood swings also potentially happen if I was on the hormonal IUD? I was looking at the copper IUD but already get quite heavy periods. Thanks in advance!
Please see
video #10
czcams.com/video/jy-cWbIwKvM/video.html
video #14
czcams.com/video/Kg1t1BJuyxc/video.html
-Dr. Dervaitis
The mirena coil piled me weight on, and my stomach and boobs were bloated and uncomfortable. A few days after I had it removed I had a very heavy period and I felt as though all this blood had been stored up in me the whole three years.
Sorry to hear this. The good thing about an IUD is that it can be removed at any time if your are unhappy with your experience. Please note that there is not a “build up” of blood with the hormonal IUD because it releases low doses of hormones that continually thin the lining of the uterus.
-Dr. Dervaitis
I love your glasses!
I started HRT for hot flashes 2 months ago. Patch and 12 days of progesterone pill. I felt great but gained 10 lbs. (My weight usually doesn't fluctuate). I got the mirena IUD 3 days ago and feel crampy, swollen breasts, lower back pain. Does this go away?
Also, does this cause weight gain? I was told the progesterone stays in your uterus only rather than the pill which travels throughout the body. If that is the case, why do some women get acne, or gain weight?
PS, I need those glasses!
Hi Linda-
No evidence of weight gain with the IUD ;(see video #10).
Unfortunately I can’t give personalized medical advice over the internet.
Please also watch video #3, I talk about what to expect after IUD insertion.
Thanks for the glasses comment 🤓(one viewer recently told me they were “hideous”! 😂)
All the best,
Dr. Dervaitis
@@dr.kristinadervaitis789 Well that viewer isn't cool. Lol- I love the vintage vibe!
I'll check the video out!
Thank you for this video! I’ve read that the Paragard copper IUD can cause copper toxicity, anxiety, brain fog and other symptoms. Is that a common possibility? And would it take a long time to conceive after having a hormonal IUD removed or can it cause infertility? I’m considering both of these but want to make sure that at least one has much more benefits than the other one.
Hello-
While there are anecdotal comments online that make reference to “copper toxicity” and the IUD, I have not read any scientific literature to support this theory.
Neither the copper or hormonal IUD have any impact on future fertility, a patient can try to conceive right in the next cycle after removal (Please see video #23 “When Can I Get Pregnant After an IUD is Removed”).
-Dr. Dervaitis
Should you be concerned if the Dr can't find the string. Iud mirena.
I originally had the copper IUD for four months, so 4 cycles, and all were extremely painful, heavy, and crampy. I’ve never even had painful periods or cramps before, I’ve always had light/medium periods, very easy and pain-free. Do you think I waited long enough to see if the pain would subside? Because I had heard that after the 3rd cycle your pain should lessen and mine didn’t. Part of me wonders if I had waited longer if it would have evened out. After I had it removed I became pregnant shortly after and terminated the pregnancy which was very traumatic for me so I never want to go through that again. So luckily now I’m on the Mirena. It’s only been 3 weeks so I can’t say how the effects are yet. But in your experience do you see the pain go away in the copper IUD? How long does it usually take and does the pain ever go way or just lessen? I just wonder if I had kept it longer if it would have been different but I was in a lot of pain.
This channel is not intended to provide personalized medical advice. Talk to your doctor.
-Dr. Dervaitis
Dr. Kristina one more question please. What is the rate of perforation of paragard? Is it less than mirena ?
Same rate whether copper or hormonal. (Still around 1/1000)
I am really enjoying the whole IUD series, thank you! I have a question. It has been a month since I got (non-hormonal) and I am on my period. It is my 8th day of bleeding and it does not seem to slow down. I was warned that my periods can get longer and bloodier, especially during the first few months as the IUD is adjusting. But what is the reason that the periods are so long? I was using the ring, and then I stopped about 3 months before getting the IUD .
Hello-
Thanks for watching!
Unfortunately I can’t give personalized medical advice over the internet. Please see video #7: “Is This Bleeding Normal” for more information.
czcams.com/video/KNI0uJSgLvs/video.html
-Dr. Dervaitis
Hey doc I have a question ! I’m currently on the mirena iud and I feel like it made me break out so bad , do you think the cooper with help me ?
Hi Maria-
Acne is an uncommon side effect of the IUD, but it is a possible hormonal effect. Switching to a copper IUD would avoid any potential hormonal side effects, but keep in mind that the copper IUD might cause an increase in menstrual bleeding and/or cramping.
-Dr. Dervaitis
I originally used mirena and had very very bad acne I switched to the copper and my acne cleared up almost immediately.
I’ve had Mirena for about 6 months now and I have noticed extreme hair loss I will be switching to a copper IUD will I have the same problem with copper IUD?
In large and well controlled studies, there has not been consistent evidence to show an association between Mirena and significant hair loss (although each patient is unique and there are anecdotal reports from individual patients...)
There is not any association between the (non-hormonal) copper IUD and hair loss.
-Dr. Dervaitis
Mines came out I had it for ten days ! 😫 i had the copper one I felt for my string and it was all the way out so I pulled it out .. I was really hoping it worked for me I’m not sure what to try next the depo made me bleed the whole time
Hi Alexis-
Sorry to hear this. If you haven’t already, watch my video #24 about IUD Expulsion. When you see your doctor, they will be able to tell you whether you’re able to try an IUD again in the future.
All the best,
-Dr. Dervaitis
Hey what would you recommend. I’ve been on yaz for 2.5months because I have rlly bad horomonal acne and it has rlly cleared it however it’s making me extremely depressed and anxious .I’m very worried if I come off it my acne will come back however I don’t want to feel this sad any longer . Would you recommend copper coil ? 💕
This channel is not intended to provide personalized medical advice, talk to your doctor. Speaking generally, the copper IUD does not impact acne.
-Dr. Dervaitis
I do have copper iud and every month during my period I’m thinking of changing it to the hormonal one due to my heavy bleeding and feeling super exhausted ( even In general I’m against hormone :/)
I'm an old school Paraguard user. I've only used the copper IUD for the past 20 years (yes, I changed it out at 10 yrs.) However, now I'm 37 and experiencing horrible migraines for the first 3 days of my period. Intense mood swings, heavy, painful bleeding that lasts several days longer than usual. I'm thinking about switching to Mirena but I am afraid of hormonal birth control. I tried depo and a mild dose pill in my younger years, they both made me crazy. I was mad all the time and gained 50 pounds. Do you think Mirena would be worth it? Also, do you know why at my age I would be suffering from period migraines all of the sudden?
No association between Mirena and weight gain. Mirena is considered first line management for heavy menstrual bleeding. For those who suffer migraines, Mirena is not likely to exacerbate the migraines (but may not eliminate them… many migraine symptoms are secondary to hormonal changes related to ovulation. Most women using the hormonal IUD still ovulate.)
-Dr. Dervaitis
Update: 2 months since having Mirena installed. Headaches have improved. Mood swings are about the same. Bleeding is much longer. I feel like I'm bleeding for 2 weeks straight, then a 2 week break. Then bleed for 2 weeks again. Deep cystic acne on the chin lately is also quite frustrating but I would take all of this over the migraines.
@xenagirl2037 I've had heavy 2 week periods for years noe with the copper IUD and I think I may have really low iron now. I am going to see my doctor in a few weeks and I am deciding to remove my copper iud
I'm getting mine mirena IUD come off implant 2019 to 2023
Does the paragard cause hair loss?
There is no evidence that the copper IUD causes hair loss (nor is there any evidence that the hormonal IUD causes hair loss).
-Dr. Dervaitis
I work Illinois USA. I want see you could I call you....?.what happens to fibroid size?
Dr I am 38 years old but i have a hectic pms before periods and my periods lasts three days to four days . While im on my pms my skin breaks out i get moody etc , then my period shows up all that moods go away or get better. Recently I went to do blood tests and yeah my dr told me my iron is not great and prescribed me iron meds, when ovalulate i get this aweful sharp dull lower back pain it can last for three days . Every year i go to my gynae we do pap smear nothing wrong is found. I dont like the moods while im on my pms
Which IUD ( copper or mirena hormonal) for my situation?
Thanks
PMS symptoms are related to hormone changes that occur secondary to ovulation. Neither type of IUD is designed to stop ovulation. The copper IUD May cause increased menstrual bleeding, which might lower a patient’s iron stores. This channel is not intended to provide personalized medical advice. Talk to your doctor.
-Dr. Dervaitis
If my paraguard fell out of place, down into the bottom of the cervix, should get a new copper iud out back in? I experience serious side effect of hormonal birth control (acne(BAD), depression, anxiety, mood swings, smoking cigarettes, being extremely fertile)
I have seen bad side effects with nexplanon, but I dont want to get pregnant with an iud
It fell out after my first period, had to get it removed after 1 month
Hi Dana-
Unfortunately I can’t give personalized medical advice advice over the internet. However, I’d recommend that you watch video #24 (“IUD Expulsion”) for answers to your questions about whether to try a copper IUD again.
-Dr. Dervaitis
Thanks !! I will watch!!
i am a little confused, so progesterone in normal menstrual cycle thickens the uterus wall in case of pregnancy and if there's no fertilized egg then the lining sheds and progesterone level drops. how, in IUD the same hormone does the opposite? how does it thins the lining of the uterus?
In the normal menstrual cycle it is estrogen, not progesterone, that thickens the uterine lining. Progesterone supports pregnancy via a different mechanism.
-Dr. Dervaitis
Is a lot of non painful clotting related to heavy menstrual flow side effect?
Copper IUD
Please see video #7 “Is This Bleeding Normal” -Dr. D
I heard that the copper IUD can stay in for up to 12 years is that true?
The longest acting copper IUD available in Canada is 10 years. I am not aware of a 12 year option. Some copper IUD’s are only effective 5 years (you need to know which specific IUD you had inserted).
-Dr. Dervaitis
I have hypothyroidism and am on medication for it. However, whenever I’m on any hormonal birth control it makes me symptomatic again. I tried a hormonal IUD, and though the hormones entering the bloodstream are low, it still made me symptomatic again. The non hormonal Copper IUD is the only BC that has worked for me! Thought I’d share just in case anyone else is going through this! There is still a good BC option :)
Glad that you found the option that works best for your situation. Thanks for sharing your experience!
-Dr. Dervaitis
Hello. I have hypothyroidism going on my second year. I know my hormonal IUD is adding to the situation and compound it. once burn out, i need medication. The estrogen is affecting the hyperthyroidism.
I will have to get it removed.
I also know two women who went with the copper IUD. My sister had two periods a month and my other friend had it have a 10 day cycle. What’s been your experience and what were your periods like before you got an IUD?
My periods were insanely heavy the first two days and intense amounts of pain. If I wasn’t pounding ibuprofen I want to be able to perform my work duties. Thanks so much with any insight you can share.
There is no estrogen in the hormonal IUD, it is progesterone only. Neither estrogen nor progesterone have an effect on thyroid function.
-Dr. Dervaitis
Dr. Kristina Dervaitis Thank you kindly.
i have hypothyroidism too thank you for sharing your experience
I have questions what if you was on Cooper IUD for two years come off it can you get pregnant again
I got blood clot but my Hemotolgist thinks is from hormones I was taking progesterone but I never had any problems I was on for years I have pcos insulin resistance they are not sure if what the hormones or vaccine I’m bleeding extremely heavy no I can’t get surgery because blood clot I just don’t know what else to do it he only thing that worked for me was depo shot but I can’t take that because they think that what caused my blood clot I just want to stop bleeding :/
Hello dr Christiana! Have you ever heard of women having copper toxicity with the copper iud?
There is no scientific study evidence to support the phenomenon that has been described as “copper toxicity” related to IUD use.
Hello Dr. Kristina Dervaitis,
I am going to start taking isotretinoin this month and I am currently taking birth control pills. Since I have to follow the IPledge program I am required to take two forms of birth control. I decided to choose the copper IUD since it doesn't have any hormones and the pills. My question is will I experience heavy bleeding from the copper IUD since I'm also going to be taking the pills? What symptoms may I experience from choosing to take hormonal and nonhormonal birth control at the same time? What symptoms may be ruled out from taking the pill (hormonal birth control) and having the copper IUD (non-hormonal)?
Hello-
This is a unique scenario, and difficult to predict an individual response. I’m not able to provide personalized medical advice over the internet, but can say generally that it’s possible that being on the birth control pill may offset some of the heavier bleeding and cramping that some patients experience with a copper IUD.
I would recommend that you pose these questions to your doctor.
-Dr. Dervaitis
Question about the copper iud, is it effective immediately upon insertion?
Yes, the copper IUD is effective immediately upon insertion. -Dr. D
I had the marina to but copper is better
They told me to come in on a day to get my arm implant removed,would I get it removed that day when I went??
Hi Selena-
I don’t understand your question- are you asking if an IUD would be inserted on the day of implant removal, or whether they would remove the implant at your scheduled appointment? ??
-Dr. Dervaitis
Dr. Kristina Dervaitis would they remove the implant the day they have me scheduled for me to come in for removal
@@selenaandshawn5513 Yeah.
What about breast feeding ? Would the hormonal IUD significantly effect milk production?
No. Please see this video about Breastfeeding & Contraception:
czcams.com/video/yKKXUcb7OyA/video.html
What can be used for mensural migraine with mirena 😫😫😫
This channel is not intended to provide personalized medical advice. Talk to your doctor.
-Dr. Dervaitis
Hi Dr. D, I have a question about libido. I am suffering from extremely low sex drive that is affecting my relationship and my self esteem. I am set to have the Liletta hormonal IUD inserted. Will it help me with low libido? I have been on estrogen/progesterone oral BC for 6 years and my doctor recommended to move to the IUD. I am only 22. Thank you!
Hello-
There is not any evidence that either the birth control pill or the hormonal IUD affects libido. There is no evidence to suggest that changing to the Liletta IUD will worsen your libido (but I cannot comment as to whether you would notice any improvement, given the info above).
-Dr. Dervaitis
Most hormonal contraception does indeed cause a change in sex drive. It varies from person to person. There's always evidence of that, and that's one of the many reasons why a lot of women choose the Copper IUD, since it has no hormones. Every OB I've been too confirmed this.
Richelle, I don’t understand the comment “there’s ALWAYS evidence of that”. Is there a study or guideline to which you are referring?
Contraception is about choice, and each patient may have a different experience with different contraception options. It is your right to choose what you feel is best for you.
-Dr. Dervaitis
Hello there i have a question , is it true that iud won't work in overweight patients.
FALSE- the IUD has the same theoretical efficacy in each patient, regardless of their weight.
-Dr. Dervaitis
@@dr.kristinadervaitis789 Thankyou for replying back, my doctor tells me that the IUD won't work for me that or pills nothing but tubal ligation because of my weight, i keep telling her , i don't want tubal ligation. She keeps telling me that's the only thing that will work me.
Are hormonal iuds safe for patients with blood deficiencies like Protein C, Protein S, and Factor V?
I tried the paragard in February, but unfortunately it expelled. I’m considering trying paragard again, but I think the heavy bleeding and cramping is what led to it expelling the first time.
Progesterone containing IUD’s are absolutely OK for patients with thrombophilias or a higher risk of blood clots (it is estrogen, not progesterone, that we need to avoid in those patients...) Progesterone and levonorgestrel has NOT been associated with an increased risk of blood clots.
(Yes, heavy bleeding is a potential risk factor for expulsion).
-Dr. Dervaitis
Dr. Kristina Dervaitis Thank you so much! Your content has been super helpful and informative. 🙏🏽☺️
What if the uterine lining is thick can I still get iud also is it safe to get iud when your on blood thinners
Yes- in particular, a hormone containing IUD may help to thin the lining of the uterus. Yes, IUD’s are safe while taking blood thinners. Because blood thinners can increase bleeding, I usually prescribe the hormonal IUD to women on blood thinners (the copper IUD might increase bleeding further). Even if they’ve had a blood clot, I am comfortable prescribing the progesterone only IUD (there is no consistent evidence directly linking progesterone only contraception to blood clots, it is predominantly estrogen that is the concern with regards to clotting).
-Dr. Dervaitis
@@dr.kristinadervaitis789 thank you for information definitely will be calling my obgyn back
I had a period whole time with my arm implant and I just got it removed Monday and I’m on it rn so when most likely I could get pregnant??
It’s possible to get pregnant even within the first month after removal of the implant.
-Dr. Dervaitis
Just had my 4th baby 4 months ago. 3 c sections and 1 successful Vbac. I’m terrified for my insertion. Is it true if you’ve given birth , insertion isn’t felt so badly as the cervix is stretched out. Thanks for this awesome
Channel
Yes, cramping/discomfort with insertion tends to be less if the patient has had a previous vaginal delivery. Glad you found the videos helpful!
-Dr. Dervaitis
Wait u had 3 section then a vbac after please tell me if this is possible as I dream of a vbac I’ve had 2 c section
I have been diagnosed with IIH and am on the mirena progesterone, my research shows it might be a trigger to my symptoms, so I would like to change over to the iud-no hormones due to my diagnosis, what's your thoughts please?
Thank you
Hello-
There is not any consistent evidence to link IIH with the hormonal IUD (I have reviewed the literature and also contacted the manufacturers for further insight into this matter- again, no consistent evidence). Also, there is no physiologic mechanism to explain this association (estrogen can be associated with hypertension but not progesterone). There is often confusion amongst other health care providers who warn against “hormonal” contraception in this scenario- when really the concern is estrogen and not progesterone. If you feel more comfortable using a non-hormonal IUD, it can be replaced with a copper IUD at any time. Please note that this channel is not intended to provide personalized medical advice, I’d recommend that you talk to your doctor.
-Dr. Dervaitis
@@dr.kristinadervaitis789 thank you for the reply,means a lot,I just want to leave it in as its worked so well for me, especially the bleeding side of things.i still have 3years left on the mirena.i will just take it a day at a time.
Thank you again.x
Hello .
I got copper IUD few months ago.and from last couple of weeks I am experiencing headaches almost every day. Sometimes I even wake up with a headache. Can you please let me know if it is related to my copper IUD?
Hello-
Everyone’s experience with an IUD is unique. There is no scientific evidence to support a causal link between a copper (non-hormonal) IUD and headaches. I have heard “anecdotal” reports (ie case reports) from patients online, but I don’t have any scientific mechanism to explain this. I would recommend that you see your doctor to rule out any other causes for the headaches.
Remember, an IUD can be removed at any time. One possibility would be to switch to a hormonal IUD (to see if you are still having the headaches).
-Dr. Dervaitis
Dr. Kristina Dervaitis ,
Thank you for getting back to me. ❤️❤️
I will definitely go and check with my family doctor .
@@mahnazfrahmand8342 Trust your body NOT some money making doctors or big pharma. Copper can cause toxicity which results in headaches. What no one in the medical industry will tell you is that a headache is caused by your blood vessels narrowing due to toxins circulating in your blood stream to try to protect your brain. Do NOT take pain killers as these in turn deplete your glutathione in your liver which is the master detox chemical your body uses, further destroying your bodies ability to excrete the toxins that pharmaceuticals bombard our poor liver, kidneys etc with, eventually leading to cancer and death.
I’ve had paragard for a month now, and I too have suffered from headaches everyday. It started with headaches and backaches, now it’s severe anxiety and depression. Just look into some reviews and chats , there are others who are experiencing the same things. I’ve noticed doctors always give you the company line, but there is no way we are all experiencing similar effects and there not be a connection.
If you are not happy with your IUD experience, remember that it can be removed at ANY TIME.
-Dr. Dervaitis
Will *
Doc can i still use condom while i have iud??will condom be pierced??
No risk for condom perforation with IUD use. Condom use is still important for prevention of sexually transmitted infections. For pregnancy prevention, the IUD has a less than 1% chance of pregnancy (for patients who find that degree of risk unacceptable, they may choose to use condoms concurrently as extra protection).
-Dr. Dervaitis
Can your partner feel the strings doing intercourse? I've heard so many stories from ppl saying their spouses could feel them and I was like a sharp poke.
Mine did. I went back to my provider and she shortened my strings which resolved the issue.
Usually the strings should not be felt by either you or your partner. As mentioned, it is possible to trim the strings if they are a problem.
-Dr. Dervaitis
I don't think it is healthy to cease the menstrual cycle with the Mirena coil.
As a physician, I find it interesting when individuals make bold statements about health without any evidence to support their claim. The cessation of menstruation is secondary to the progestin thinking the lining of the uterus- there is no build up, there is no alteration of normal hormone cycles (ovulation still occurs). This thinning is shown to decrease risk of uterine cancer. This thinning is used to TREAT early pre-cancer and cancer of the uterus. As a gynecologist, I can say that there is nothing unhealthy about this phenomenon (which actually PROMOTES uterine health).
-Dr. Dervaitis
I have had my copper iud for almost 3 years. My period is very heavy now and last almost 2 weeks. 😔 I also get very very painful cramps and I want to get it removed but I no longer have health insurance.
Hi,I got my iud last August and I have normal menstruation following month,but after 3 months I got spothing for 4days and no regular menstration.is there any posible to get pregnant?thank u.
Hello-
If it is a hormonal IUD, there is a 20-30% chance that you will stop having a menstrual cycle (it can take a few months for this to happen) and so not having a period may just be a normal side effect. Having said that, there is also a 2/1000 chance of pregnancy with the hormonal IUD, and so if it is the first time you have missed a period, it is a good thing to rule out pregnancy (either with an at home test, or see your doctor).
-Dr. Dervaitis
I am a 25 year old female that has a four year old, three-year-old, and one and a half year old. My husband and I don't want any other children and I've found in the past that hormonal contraceptives have affected my psyche, so I chose to go with the copper IUD. My youngest is about 17 months and I got my copper IUD about 15 months ago, every time PMS hits I'm suffering with severe cramps/ diarrhea and when my period Hits, it's even worse. Is this normal? Just last night was the last day of my menstrual cycle and I was debating whether or not I should go in to urgent care because the cramps were so bad. Is this not the birth control for me? Any women that have any advice, I really need it!
I am, again, sorry to hear this.
I’d recommend that you watch video #10, #11, #14 and perhaps #20.
-Dr. Dervaitis
If you and your husband don't want anymore children, then just get your tubes tied.
@@richrosegold610 I should have clarified, we don't want children for at least the next six years, then we want to have more be it biologically or through adoption. I don't feel like getting my tubes tied at 25 is right for me at this point in time.
I disagree Richelle. Watch video #15 to understand why.
-Dr. Dervaitis
Can you change your birth control?
Hi I love your videos! So I’ve been on the Morena now for about 8 years ( had it inserted twice). But I have developed ALOT of problems like depression, low libido, vaginal dryness, and hormone imbalance. I am currently doing hormone pellets and taking Addyi for libido and estrogen vaginally for the dryness. I feel like it’s to much! I just want my body to be normal again but I don’t want to get pregnant. Would you recommend the Kyleena?
Hello-
Unfortunately I can’t give personalized medical advice over the internet, and so I can’t comment on your specific situation. Generally speaking: if a patient is interested in lower hormone exposure, one strategy might be to change from Mirena to a lower dose levonorgestrel IUD (like Kyleena) or to a non-hormonal copper IUD.
-Dr. Dervaitis
Thank you for the great information! Please email me I have several questions
This channel is not intended to provide personalized medical advice. Talk to your doctor.
-Dr. Dervaitis
@@dr.kristinadervaitis789 I know I had a stroke from birth control and I wrote a book and write a blog about choosing the right birth control and wanted some help advising my readers
non hormonal iud and birth controls would solve that issue.
I pay for my copper IUD 500.00
Why does the Mirena cause intercranial hypertension and a build up of cerebrospinal fluid in the brain? This is not mentioned in the warnings on the leaflet? I collapsed due to the increased pressure in my skull as a result of this build up of fluid, Bayer is guilty of not fully informing me. I wouldnt have used the Mirena if I had any idea this could occur as it has been devastating and changed my life for the worst I dont want others to suffer the same consequences of what, for me, was meant to be a great solution to my heavy periods. Levononorgestrol appears to be the culprit which isnt flagged up by Bayer in any form!! Interested in how this is justified by a huge pharmaceutical company. Any ideas and comments welcomed. Please, if you need to use Mirena do it with great care and do your research thoroughly , I regret trusting my Doctor and Bayer even more!
Take care and stay safe
Thankyou, Rachel
Rachel,
In my experience as a contraception expert, I have never heard of this complication as a result of Mirena, nor any other progestin only contraception method. There is no scientific evidence or known physiologic mechanism to support that the Mirena has caused this. I say this based not just on my personal practice experience, but also my extensive knowledge of the existing evidence.
I’d recommend that you watch video 29, in which I discuss the scientific criteria for establishment of causation.
Best wishes to you in your ongoing treatment and recovery.
-Dr. Dervaitis
Omg I get severe migraine for days on my cycle. For the past 5 years it’s debilitating help
I just wanna say.... Thank you. I feel like every online resource about IUDs, BC, etc is really fearmongering and just tells stories about all the horrible things that'll happen... Makes them sound like torture devices! I just wanna be able to have sex with my boyfriend and not worry about babies
You are most welcome! Glad you found the videos helpful! -Dr. D
Perfectly describe too much insighfull.
I will buy you a new and different design of glasses.
Lol- I hardly ever wear these glasses!(And don’t worry, I already have other pairs of glasses to wear- check out all of my other videos to see for yourself!)
🤓Dr. D
@@dr.kristinadervaitis789 you still pretty, i was only kidding. thank you for your videos.
I tuned in because I could not believe the ridiculousness of her glasses. Good God.
That’s great that my eyewear lead to your education! Music to my ears! 🙌🤓🥸😎
Wtf is up with the glasses 🤓 lol
Get outta here sissy this channel is for females
Actually, both male and female partners should educate themselves about contraception, so I’m happy to see male viewers watching my channel! And less happy about non-productive criticism/ commentary (...but that’s the internet for you!) Thanks for “defending” me though!😊
The glasses are hideous
Good thing this channel is intended to be about providing education about IUD’s and not about fashion! Thanks for watching, I hope you found the information you were looking for.
🤓-Dr. Dervaitis
@@dr.kristinadervaitis789 LOL EXACTLY! People are insane.