26) “Can You Get Pregnant While Using an IUD? (IUD Failure) What Happens Then? (Viewer Question)
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- čas přidán 5. 06. 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, a gynecologist in Newmarket, Ontario (Canada) answers your questions about intrauterine contraception.
Can you get pregnant while using an IUD? (ie, what is the failure rate of an IUD?)
What happens next?
Key messages covered in this video:
-IUD failure rate compared to failure rates of other contraceptive options
-risk of tubal and intrauterine pregnancy with IUD failure
-possible reasons for IUD failure
-(brief outline) treatment options for tubal pregnancy
-management options for intrauterine pregnancy with IUD in place (termination versus continuing pregnancy)
-possible signs of pregnancy to watch for
-possible risks when continuing with an intrauterine pregnancy with an IUD in place
-future contraception after an IUD failure
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.
I appreciate how in depth you go into this topic .
Thanks for your comment . I realize that some of my videos are quite long and very specific, but I try to give the same level of information that I would to my own patient that might be in this situation.
All the best,
Dr. Dervaitis
Thank you so much for this video! I found out I was pregnant Saturday and I can’t get in until Monday so this has answered a lot of my questions
Your videos are so assuring and calming. Thank you.
You are so welcome!! Glad you found the videos helpful!
-Dr. Dervaitis
Hahaha rare. But I feel like crying now. Just found out that I'm pregnant with iud.
Thank you so much for this informative video
So sorry to hear about your situation. I’m glad you found the video informative.
-Dr. Dervaitis
Was it ectopic? I just found out as well and it’s a regular pregnancy so I’m getting this IUD taken out ASAP. I’m 6 weeks
I hope all is fine with you & your baby im very worried for my wife 😔
I Got Pregnant On Iud I'm 5 To 6 Week The Iud Is No Where To Be Found 😢😢
Hello dr. Dervaitis,
I have watched a few of your videos since my copper coil was put in place and I must say THANK YOU!! Unfortunately the dr who did this did not explain anything prior during or what to do following up from it being placed and I ended up in a&e with complications initially and I have found your videos to be very education for my own benifit, I look forward to watching more :)
Hi Emily-
Thanks so much for your comments and thanks for watching! I’m sorry to hear that you had complications, but glad that you found the videos helpful.
All the best,
Dr. Dervaitis
That was excelente Dr. D! You covered everything. I wonder about the possibility of a defective IUD or an IUD that all of sudden stops releasing the daily hormone amounts. I guess watching for changes in the cicle is important to make sure the IUD is working properly. In some videos I've watched about IUDs, I've read that a lot of women commented they got pregnant while having one placed. It's surprising and a little concerning. Thank you again Dr.!
Rebecca Elliott That’s strange...it’s more than 99% effective. That’s pretty scary to think about
Thank you so much for this fabulous series of videos!! I had a pretty terrible experience having my IUD inserted - the gynecologist i was referred to where i live in Southern Ontario had a very "drive-thru-medicine" approach and it was all very rushed and painful on the day of insertion. I wasn't walked through the procedure very well (in fact the doctor practically inserted the uterine sound when i was mid-sentence with the nurse and that was very startling and painful because i had thought he was going to freeze my cervix first. Panicked by the severity of the pain, i asked about freezing but they insisted we were almost done anyways if i could just breathe through the 2nd big cramp because the freezing would take a lot more time to do than finishing the procedure). I didn't get to ask many questions, or if i did they were brushed-off, so it is fabulous to be able to listen to your video series and learn what to expect with my body post-IUD insertion! Thank you so much for sharing your guidance and easing my worries ☺ watching them has made me feel so much better!
So glad to hear you found the videos helpful!
-Dr. Dervaitis
Hi, thank for for all your videos! I’m 16 and used to only use condoms or the “pull out method” but you helped me make the great decision to get an IUD. I’m scheduled to do so my next period. You’re the only person I trust on CZcams. I feel there’s a lot of lies and rumors going on about IUDs. You answer questions that I didn’t even know I had 😂😂
Haven,
I can’t tell you how much your comment means to me! As a doctor, I’ve had the tremendous privilege of helping people with their health and health decisions every day at work... but it has been especially amazing for me to be able to reach people around the world and provide advice and earn their trust. You are correct- there are a lot of lies and rumours about IUC, and that’s exactly why I created this channel. Thank you so much for your kind words and good luck with your IUD insertion! Don’t forget to tell all of your friends about my channel and help spread the word about IUC!
-Dr. Dervaitis
@@dr.kristinadervaitis789 i have a question
@@dr.kristinadervaitis789yy7Aa😅yz676😅😊6😊z s 6
What do you mean lies? No one has anything to gain from lying about their experience with an IUD. That doesn't even make sense.
Dr I just placed mine yesterday but on feeling it I feel something round😊
This answered every single question I wanted to know! Thank you so so much!
Excellent, informative video. Thank you for presenting all the information clearly and in detail. You are doing good work, thanks for giving back!
Thank you for his video. I’ve just found out I’m pregnant with my copper IUD after almost 2 years of it working fine. I’m going for my pelvic ultrasound tomorrow to find out if the pregnancy is in uterine and if my IUD is still in place. This has put my mind at rest a little as my practice has never seen a positive test after insertion on a copper IUD.
Sorry to hear this, but glad you found the video helpful. Good luck tomorrow!
-Dr. Dervaitis
Hey girl. I’m on copper iud right now and missed my period. I don’t have pregnancy symptoms though, did you have symptoms and did it show up positive on a pregnancy test?
Jillydisco I’m in the exact same boat.
@@Janelaurenn pls keep me updated !
Jillydisco I will and you too!
Hi! Thank you for the informative videos. You say you have seen several women had a full-term pregnancy with the IUD in place in your practice. This concludes there must also be plenty of others with ectopic pregnancies, who choose to remove the IUD, have an abortion etc. Do you think the failure rate really is just 0.2%, considering you had several cases just in your practice?
I have seen several “just” in my practice because I insert close to a thousand IUD’s per year currently, and so I have inserted literally thousands of IUD’s over the last 16 years. My practice numbers are consistent with the failure rate data that is well established in the scientific literature (studies based on experience with many more thousands of women). In my practice, I have also seen unplanned pregnancies (intrauterine and ectopic) in patients using other contraceptive methods such as the birth control pill and condoms, these numbers also consistent with established failure rates (9% for the pill, 18% for condoms).
-Dr. Dervaitis
Hi Dr. D! I have an upcoming appointment with you this Tuesday and I have been watching your videos which have really helped to ease my mind. My one concern however is that I need to get my blood test done 24-48 hours prior to the appointment and getting the test done 48 hours before is out of the question for there are no labs open in my area on Sunday’s and I’ve been warned that doing on Monday might be cutting it too close. I was thinking of perhaps having the test done this Saturday but I know it doesn’t meet the requirements. However I am 100% okay with remaining abstinent within that time frame before my appointment. This is getting long so I’m going to cut to the point and ask for your professional advice on what is my best course of action.
Hi!
Saturday is fine for the bloodwork!
(Also, If you happen to be menstruating on the day of your appointment, or if your period started within 7 days of your appointment, the blood work is not necessary, because I can be certain you aren’t pregnant at the time of insertion).
I’m glad you found the videos helpful. We can of course go over any other questions you have at your appointment. See you Tuesday!
-Dr. Dervaitis
Hi, currently in the same boat! do you remember what lab you went to?
Hello! Thank you for such a great video hitting all questions!!
Thanks for watching! Glad you found it helpful!
-Dr. D
Thanks Dr. for this information. It has been helpful
I feel pregnant but I have hormonal IUD and experiencing cramping and spotting. God I hope for the best 🙏
If you are concerned about a possible pregnancy, do a test and/or see your doctor! (IUD failure rate is 2-8/1000)
-Dr. Dervaitis
Did you take the test? How did it go?
After my first pregnancy, I decided to use the copper IUD and everything was fine for two years. I had a heavier menstrual cycle and I was used to it by then but a month flew by without having my "moon". On July 16th, I found out I was 6 weeks pregnant, they said my copper IUD was out of place and that it was the reason I got pregnant. I was also told that If I couldn't afford to terminate the pregnancy myself (I was 17 at the time) then I would have no choice but to continue my unwanted pregnancy. I'm taking care of myself for the baby but I never wanted to give up one of my children to adoption.. I'm just confused on my choices
Are you able to still get an abortion? Perhaps you could put up a gofundme and promote it via tiktok and tumblr if you can?
Oh my. Did you have symptoms of pregnancy??
Children are never unwanted. Shameful
3 years later... Hows life treating you? X
Hi Dr,
Can you make a video on male contraceptives? Or is this out of your scope? I feel like men also need to play a part in prevention of pregnancies and I know that there male contraceptive injections out there. Thank you!
I agree 100% that contraception needs to be a joint responsibility of BOTH male and female partners!- and I did do a video about this called “It Takes Two” (video #22). According to the stats I receive from CZcams, about 10% of the viewers of this channel are male, which is great to see (but could improve even further!)
Regarding male (hormonal) contraceptives: although there is research into this field, currently there are not any male contraceptives that are commercially available or approved by the FDA (and so I can’t really comment further). I would be happy to do a video on this topic in the future if there is a product that becomes approved and available.
Thanks for watching and for your comments!
-Dr. Dervaitis
Hi Luna-
Just wanted to let you know that I haven’t forgotten about doing the video about checking IUD strings (it’s been a hectic month, and it may be a couple more weeks until I’m able to film and then edit it). In the interim, I found the below article online, it’s written by an OB/Gyn and contains some good information.
www.self.com/story/checking-iud-strings
Hope this helps!
-Dr. Dervaitis
Hi
Dr I have question about my friend, she gets pregnant with IUD and the string is missing what should she do ?
Please refer back to the video. This channel is not intended to provide personalized medical advice.
-Dr. Dervaitis
Hi mam. I appreciate you doing this video. I am officially pregnant with the iud paragard. I will find out more tomorrow if its viable and how my hcg levels are doing etc.. So im kinda scared because the iud is still inside me.
Sorry to hear this, but I’m glad you found the video useful. Good luck with the next steps.
All the best,
Dr. Dervaitis
I am pregnant with the copper iud in situ. It was perfectly in place and they couldn't find any reason for the failure. They couldn't remove the iud as the strings had risen into my cervix due to my womb expanding. At first, it was very close to the amniotic sac so I was monitored closely and it was consistently imaged. I'm now 38 weeks and having a cesarean on Friday (for unrelated reasons). Thankfully none of the expected complications happened. I'm having a hormonal iud fitted at the same time.
Just thank you so much for tell us about this were I live they did not tell you nothing when they do . But watching you had given such understanding really we need more of this I've been having pain for a very long time then to have it done but all wnrt good had no periods 9 months to but just felling a bit nausea today but do your periods go away to had it strong last month thank you this if so helpful in south Africa they don't tell you nothing about this I had it done it's so sore I've had to kids
I've had my periods for the last 8 month but this month nothing it's the okay
A woman Pap smears was done and also an IUD is
inserted at a 1 month pregnancy. The OBGYN doctor says the urine HCG test is negative at time of the exam and insertion was done. Sharp pains on the lower abdominal area, spotting for a 3 weeks. Get an appointment the following week. The OBGYN check on the IUD finds out she’s 7 weeks pregnant. A request for a removal of the IUD but string is not visible for the OBGYN to removal. What concerns, risks, expectations should be a person be worried about?
Please review the information provided in this video. Unfortunately I can’t give personalized medical advice over the internet.
-Dr. Dervaitis
2 Years IUD Mirena and i find out that I'm pregnant almost now 9weeks.My gynecologist cant remove iud 😭 OMG I hope that everything will be ok
Bella-
So sorry to hear this. I hope that the video has provided you with some guidance. Your doctor will help you through the next steps!
-Dr. Dervaitis
Welp. That settles in then. Not gettin it
Tip Of The Iceberg I’m wondering if there were signs indicating that her IUD may have moved. I’ve had Mirena for 3 years successfully!! And Mirena has two ways of prevention, physical barrier AND hormonal. I’ve seen more “horror stories” with Paraguard, which, while I can’t predict the causes for the failure, would make sense as it only has one method of prevention (physical, no hormonal method). IF you are considering birth control, there’s plenty, but I know that the efficacy rate is higher for the IUD than other methods. Of course, some women may find it more “invasive.” Look into other options or you could always do IUD + another method! (condoms, possibly withdrawal)
Hi CL-
You’ve responded to several viewers comments now. Can I ask what your background is? (IUD user? health care practitioner?) While I appreciate your input, at the same time- this channel is not intended to give personalized advice, and is not meant to have any industry bias. Can you expand on your perspective here?
-Dr. Dervaitis
How is everything now?
Just found out I am pregnant, I have a copper IUD. Thank you for the information, unfortunately it is Saturday so going to have to wait to see my obgyn.
Glad you found the video helpful. Wishing you all the best. -Dr. D
Hi were you able to carry the baby full term
@@sepomushaukwa9006 I am nearly 24 weeks pregnant with a perfectly healthy (and pretty chubby lol) baby boy. IUD seems to have had no lasting negative impact on my pregnancy. I had it removed at around 8 weeks.
Hello your video gave me some insight on something first off I had my.last daughter 2 yrs ago me and my partner decided we were gonna hold off on having any more kids for now so I decided to use the iud just recently I have been getting the normal pregnancy symptoms nauseated feeling bloating feeling cramps without bleeding tiredness I did 3 home pregnancy test over thanks giving weekend Friday did one seen a very faint positive line I thought maybe evap line wasn't sure grabbed 2 more test Saturday clear blue one was so faint I could barely see them I took one right in morning nd the lines faint again but darker more visible I am so terrified I'm freaking out right now I'm thinking about going to hospital tmrw to see what's going on I'm still getting pregnancy symptoms I'm terrified 😨 I never ever thought anything like this could happen to me I'm scared it's going to b ectopic I'm scared of miscarrying I just don't know what's going to Happen I've been crying all weekend 😭
I’m so sorry to hear this, I realize you must be very worried. You definitely need to have a formal (blood) pregnancy test to clarify this issue, so talk to your doctor. I’m glad you found the video helpful.
All the best,
-Dr. Dervaitis
Currently 24 weeks pregnant with my copper IUD baby :) I was lucky that my IUD was able to be removed safely at 6 weeks, once the pregnancy was confirmed. I’m curious... are there any known long term effects on the baby?
I have the copper one too for 5 1/2 years now. I missed my period for the first time since being on it . It’s about 2 days late , this morning I had light pinkish spotting when I wiped . We have sex alottttt but I’m nervous as of now. What symptoms did you have ?? So far I’ve only had mild cramps on and off for about 3 days , light pinkish spotting today, and and one of my nipples felt tender when the shower water hit it today 😬
Hi Sarah-
There is no evidence of teratogenic effects (ie, any negative effects on the baby’s development) from either a copper or levonorgestrel IUD ( in the event of an IUD failure and ongoing pregnancy) regardless of whether the IUD is able to be removed.
All the best,
-Dr. Dervaitis
Hey girl can u tell me more about ur experience. Did you have pregnancy symptoms?? I missed my period which is completely rare for me. But I have no symptoms
Wow did you getting pregnant while using IUD? I'm using too and this is my ffirst time don't have period last month of November in my and my IUD will coming 5 years this coming December 24 I really thought that this is not true that no one will be pregnant while using it but it's really true 😮
I am very shocked to know that i am 5 weeks pregnant with iud after 8 years using it. Although my oby already removed it but i am worried because i have bleeding always praying it can be an implamantation bleeding🙏🙏 praying for my pregnancy journey to be safe😥🙏
Unfortunately, there is no contraception option that prevents pregnancy 100%. Sorry to hear about your stressful situation. Best wishes to you Ivy! I hope that things go well.
-Dr. D
Thank you Dr for such a thorough and clear explanation 💖 Just found out that I am pregnant with a Mirena in place. This was very helpful in understanding "what now".
Sorry to hear this, but so glad you found the video helpful! Good luck! -Dr. D
Is your baby okay?
@@nena8785 It was an ectopic pregnancy so no. 💔
I Got Pregnant On The Iud & Now It's Missing
@@nataliemariealva1363are you ok?
Hi doctor I have iud placed and it’s been 3 days my period late and I did pregnancy test 2 time it was negative plz tell me the reason??? thank you you
Hi! I would absolutely love a response to this just simply to reassure myself. I have the copper coil but since beginning to being sexually active I constantly panic I’m pregnant. I see these stories in the media of women getting pregnant with periods and I’m just wondering what kind of blood it would be like? I’m usually pretty heavy because of the coil but these past months it is a little lighter (bright red and then the dark bright red with small black clumps) so sorry for the tmi but i read these articles and constantly panic. I don’t know why but it’s an anxiety trigger of mine and was just wondering what kind of bleeding it is for when women have periods when pregnant.
I also see these articles about failing pregnancy tests. How rare is it to not show hcg in urine and only needing blood tests? Is there a way to know if you’re one of those people?
Hello-
The failure rate of the copper IUD is 6-8/1000. If this risk seems too high for you and is causing you anxiety, you may want to consider using an additional method of contraception such as condoms.
While pregnant women can sometimes have bleeding in the first trimester or implantation bleeding, it is usually not like a period. Pregnancy tests vary in accuracy based on type (urine versus blood) and when they are taken (at the time of a missed period? Sooner? ) This channel is not intended to provide personalized medical advice and is not intended as a substitute for pregnancy testing. If you are worried you may be pregnant take a test at home or with your doctor.
-Dr. Dervaitis
I never had a pregnancy test done before my IUD insertion. My gyno is very very bad. I haven’t bled since I’ve had it put in, and haven’t been able to have my checkups because of COVIID. I’ve been having all pregnancy symptoms the past month, and my belly has popped and I’m getting stretch marks. I’m scared to make an emergency apt because I’ve had prior miscarriages, and it’s the reason why I got an iud. Not asking for an answer since you can’t diagnose someone over the internet, but what would you recommend I do? If I am pregnant, do you know if I can sue my doctor for not testing me beforehand? This is my second iud, first time I got one they did a test. I have the Kyleena. I’ve had it for almost 4 months now. No checkups since I got it. They all cancelled and wouldn’t rebook due to the COVID. Thanks for the video :-)! Hope you’re doing well with everything otg.
Hello-
Every IUD inserter practices differently, and there is variation in how each clinic attempts to establish that the patient is not pregnant at the time of insertion. It is also a patient responsibility to be confident she is not already pregnant when she attends for an IUD.
This channel provides general information only and I cannot comment on your specific case. But if you think you are pregnant, see a doctor! (There is a 2/1000 chance of pregnancy with a hormonal IUD, and a rare chance of tubal pregnancy- which could be an emergency).
Also wishing you well during this stressful pandemic!
-Dr. Dervaitis
Hi there doc! I don’t know if you’ll see this but I have a question... my mother and grandmother both got a iud, got pregnant but they both tested negative on a pee test. I got mine in January, haven’t had my monthly since. I’ve been having cramps not as bad I usually would with my pcos and endometriosis. I’ve been getting morning sickness. Super light headed to the point I have to sit down to do the dishes. I went to the doctor. Told them my concern and family history. I told them I wanted a blood test but they told me it wasn’t necessary. They did a bunch of other test which were all negative and they left it at that... I’m still having cramps, lower back pain, dizziness, the morning sickness or getting sick over the smell or the taste of things and my energy has completely gone down the drain. What is your opinion on this? Should I get a second opinion? A ultrasound?
This channel is not intended to provide personalized medical advice. Talk to your doctor.
I got the copper IUD because I have 4 kids already. November 2021 I found out I was pregnant with the copper IUD . Ultrasound showed the IUD didn't shift or move, strings still in place, so I made the 1% lol . Currently 5 months due the end of July
You and baby ok?
@@josalynrathbun602 yes she's 10 months old ❤️
The ruptured “referred pain” was really interesting to learn! Would that be instead of bleeding and cramping? Is it possible to have a ruptured ectopic pregnancy and have no idea?
Also THANK YOU for the informative videos!
Hello-
“Referred pain” (or pain in general), could occur on it’s own, or in addition to bleeding/cramping in an ectopic pregnancy situation. Initially, a rupture might not have obvious symptoms, but it is a serious situation that usually progresses (rapidly) to the development of symptoms.
Glad you are finding the videos helpful!
-Dr. Dervaitis
You have the cutest glasses ever!!!!
i had the iud insertion october 4 2019 and a dnc and im still bleeding just as much if not worse than before the surgery
If the IUD remains in your uterus for almost 32 years and I'm already menapause what will happen can I possibly have a uterus cancer?
This channel is not intended to provide personalized medical advice. Talk to your doctor. Having an IUD in place beyond the recommended duration of use is NOT associated with uterine cancer (or any other type of cancer).
-Dr. Dervaitis
You mentioned that it’s recommended to wait a minimum of a week or ideally after the check-up. I can wait a week and a half, but waiting a month is not ideal for reasons I’d rather not share online. If I were to wait a week and a half as well as check for strings each time (as per your next video) would that be fairly safe in your opinion?
If you can confidently feel the strings to know that the IUD is in good position, you will be well protected one week after insertion (if using the hormonal IUD… if it’s a copper IUD you are protected right away). If the hormonal IUD is inserted during the menstrual cycle, it is also effective right away.
-Dr. Dervaitis
@@dr.kristinadervaitis789 Thanks!
P.S. I got mine with you yesterday and I was soooo scared that I’d feel awful after all these horrendous posts from people, but I feel great today! I went for a 1 hour walk immediately after and although I had some cramping and a bit of a weird symptom (red, itchy, swollen hands), everything is 100% fine today. So, I’m about to go for a run. Yay!!! 😊
So glad to hear this! 🎉👍
Hello ma'am
Have you ever had a case where the IUD has moved waaayy up into the uterus. Where the patient can actually feel the IUD poking thru the surface of the skin? I'm assuming close to the fallopian tubes?
No, I have not witnessed this phenomenon. In the rare instance that an IUD “migrates” out of the uterine cavity, it is still contained within the abdominal cavity (well below the surface of the skin).
-Dr. Dervaitis
Hmmm ok for some reason I believed that my IUD was poking out. Upon further research I discovered that it was just an infected ingrown hair. Or so that's what my doctor said. Thank you for your response ma'am I appreciate it.
Most secure contraception! And now I am pregnant! Anyone else who is here because their IUD failed?
2-8/1000 chance of pregnancy with an IUD.
I have had an IUD for two years, my periods stopped around 3 months after insertion.
A few weeks ago, I got a false positive pregnancy test (truly false positive, as I dipped another pregnancy test into the same urine sample, took 12 tests over the next two days --it happened over a weekend-- and then had a urine and blood test at my primary).
I'm now scared that I can't trust my IUD or pregnancy tests. 😳🥺
No test is perfect, but blood pregnancy tests are more reliable than urine. The chance of pregnancy with an IUD is less than 1%.
-Dr. Dervaitis
I am pregnant and I was on iud. Just literally found out. I need to see my doctor
Hi. I've got 2 things I'm wondering about right now and would be very thankful for your reply.
So the first one is:
I have a hormonal IUD (Mirena) inserted in Febuary. I was bleeding then and then quite a lot, it must be like half a month until the bleeding really stopped.
So the next month, I had my period, I was bleeding on and off again for quite a long time but I think it was a little less than the last time.
Then another month came again and my period is totally missing until today with no sign of breast tenderness at all, which I always use to have before my period arrives.
Is it normal that the period will stop coming that early?
Another:
So right now I'm starting to have more and more symptoms popping up such as becoming easily tired at a certain time, having strong but short cramps at my lower part, I think it's because of the IUD but don't know why the pain relies at the back, like at my anus/rectum part instead of the utesrus. My nipples are also starting to hurt too, which I've never had this kind of symptom before.
Could these reasons that I've told you possibly be a sign of pregnancy?/Should I take a pregnancy test just to be sure?.
Unfortunately, I can’t give personalized medical advice over the internet.
The IUD has a failure rate of
Hello! Thank you for such an informative video! I've had two copper IUDs in place so far, the first (Ballerina IUD) was inside for around a year until I had an ultrasound and discovered it was lower lying. I got a new one a bit over three months ago and I seem to have the same issue again. Is it normal for my body to be expelling them within the same year time frame, my doctors seem to not be answering my questions? Thank you so much, it would really help to get an answer from you!
This channel is not intended to provide personalized medical advice, and so I can’t comment on your particular case. Please see also video #24 about IUD expulsion.
czcams.com/video/DEDcuUF5XaQ/video.html
-Dr. Dervaitis
I've had the paragard copper iud since Aug 19. My cycle has always been on time only difference was it was heavier than normal and I had really bad cramps. Last month for about an hour I had cramps similar to contractions coming in waves. I was so stressed out at the time I figured that was why. I got my period on time this month but no cramps or heavy bleeding. Also it only lasted 2 days. Now I'm wondering if I may be pregnant because my periods have been normal the entire time.
Hello-
Unfortunately I can’t give personalized medical advice over the internet. I will say that “generally speaking”, although bleeding can happen in pregnancy, it would be very unusual for it to occur in a predictable (monthly) fashion. If any patient is concerned about a possible pregnancy while using an IUD (IUD failure) I’d recommend they do a pregnancy test or see their doctor.
-Dr. Dervaitis
Hello Dr. Kristina, could you tell me from your experiences how much % of the baby's survived, after the (hormonal) spiral was removed? I'm almost 6 weeks pregnant while having the Kyleena IUD. I really want to choose the best option to keep the baby alive.
Hello-
I don’t have a percentage or number to give to you, but as I mention in the video, the standard of care is to try to remove the IUD if at all possible (this would help to decrease the risk of infection and other potential complications).
-Dr. Dervaitis
I just found out I'm pregnant with an IUD. Had the thing in for 7 years. Had it checked regularly for placement :/...
So in an effort to avoid getting pregnant while on an IUD how could I better determine my ovulation period especially if I’m bleeding throughout the month?
Oh- I understand your question(s) now. Since the failure rate of the hormonal IUD is so low (2/1000) most patients don’t feel the need to track ovulation as a form of additional contraception. Some women have a bit of cramping at ovulation, some notice breast tenderness shortly after, or changes in cervical mucous.
-Dr. Dervaitis
@@dr.kristinadervaitis789 this is really helpful thank you!!
Do a lunar moon ovulation charting
I’m on the kyleena iud and Ive had it for over a year now, and these past two weeks I’ve been cramping and spotting and I don’t throw up but my stomach is a lil more sensitive. I’m breaking out on my forehead( I’m on birth control to control my acne n hormones) so I really don’t know what’s wrong because it’s been settled in.
This channel is not intended to provide personalized medical advice. If you are concerned, speak to your doctor.
-Dr. Dervaitis
Hello..I've had my iud for 2 years and it's been great and little to no periods..but recently I've been having periods back to back and they are much heavier now..I just wanted to know that is it a problem with the iud?
This channel is not intended to provide personalized medical advice. If you’ve noticed a change in your periods and are concerned about your IUD, see your doctor (when there’s a significant change in bleeding, it is always a good idea to check your IUD strings to ensure the IUD is in place- see also video #27).
-Dr. Dervaitis
On mirena but haven’t had a period cramps bloted n lower back pain also scared to test 🤔🤔🤔🤔😑😑😑😑
I Got Pregnant On IUD I'm Around 5 weeks Maybe 6 IUD No Where To Be Found. So Far Baby Is Growing Fine.
I wish I knew . Had the IUD , was getting spotting everyone during period days. However today had a miscarriage at 5 -6 months without knowing I was actually pregnant. I m overweight and so the symptoms of tummy wAs never so obvious. Anyways for future any slight change go to a doctor.
Sorry to hear this 😕. Thanks for sharing your experience.
-Dr. Dervaitis
So many pregnancies with the iud in the comments just reassure my decision to use a backup contraception method 😬 also considering abstinence lol
Omg me toooooo !!!!!
I can't afford medical assistance rn.
But I have an issue.
My iud expired in Aug 21/2022.
Today is 10/21/22. Monday I took a test bc I thought something was strange.
I had my period the week of 10/2.
Then got it again the 16th the nights b4 I had uncomfortable period cramps.
Tool a test Monday and wed. Both had a super faint positive within 2 mins. So faint I almost thought it wasn't there the 1st time. The 2nd time I was a lil more worried. The bleeding wasn't heavy. Not enough, barly.left anything on a tampon. It's just some scrape looking spotting. .
Idk if I should be worried or not.
I am going to test again on Nov 1.
Both my daughters were conceived around this time of year lol. Bdays are 06/01/13& 07/02/15
If you are concerned about possibly being pregnant, a blood test is most accurate.
The use of some IUD’s can be extended (see video #35 for more info). But even with a non-expired IUD there is a very small chance of pregnancy (
I have a question about potential drug or herbal interactions causing a failure?
No drug or herbal remedy has been shown to have an impact on the effectiveness of the IUD.
-Dr. Dervaitis
Dr Dervaitis . Have they done enought studies to prove that there is no increase risk for ectopic pregnancies after IUD removal ? Thanks in advance
There is no evidence to show an increased risk of ectopic pregnancy after IUD removal.
-Dr. Dervaitis
Im just curious. My mom had me n never took it out she was supposed to get an abortion . But she just didnt. So i came out with it . But idk
Hi, I have a few questions regarding your video, I have the hormonal iud. My first question is, if I’m not getting periods, does that mean I’m not ovulating, therefore there’s no way to get pregnant. My second question would be would does the hormonal iud stop ovulation.
Most women with the hormonal IUD still ovulate. Not having menstrual bleeding is due to the progesterone thinning the lining of the uterus. To learn about how the IUD prevents pregnancy, see video #9: czcams.com/video/N-YEdEAfL54/video.html
-Dr. Dervaitis
Can you get pregnant with an iud in place even if the iud is in the correct position? Or does failure only happen if it is malpositioned?
Failure can happen even with an appropriately placed IUD (
I took 4 pregnancy test and 3 out of the 4 said negative and the said error. I still symptoms. I plan on going to see my doctor to get a blood test. Have you ever experienced something like this which turned out to be an actual pregnancy?
Have you been able to save a tubal pregnancy ?
Tubal pregnancies are not viable and so it is not possible for them to be “saved”.
Your pregnancy blood test with your doctor will give you the definitive answer you are looking for.
-Dr. Dervaitis
Stoppage of Menstrual cycle by using mirena has any odd effects on health?
Watch video #7 for an answer to this question. Short answer: NO! Not harmful. The process of thinning the uterine lining this way (which is the reason for less or no bleeding) actually decreases the risk of uterine cancer.
-Dr. Dervaitis
Hello doctor, I have a question, I have the copper IUD, do it only on infertile days helps to reduce the possibility of pregnancy?
Thanks for the videos💚
Hello-
The chance of pregnancy with a copper IUD is 6-8/1000 (
Dr. Kristina Dervaitis 👍🏻👍🏻👍🏻
Hi I just want to ask I have implant for Five years in but I only have now for two years now but the problem is that I don't get my period for four month now and my belly is getting big I am worry now can someone help me please
Hi, Dr. Kristina.
Hoping you'll see this😁
I currently have a copper IUD and previously I went for a check up and the strings are missing, I was not able to notice if it had drop or whatsoever(sorry). I was advised to have my IUD rwmoved when I get my period but unfortunately I have been 4 days delayed and also during my previous check up I experience a spotting and minor pains also.
Is it possible that I may be pregnant?
thanks
This channel is not intended to provide personalized medical advice, nor is it a substitute for a pregnancy test. There is a 6-8/1000 chance of pregnancy with the copper IUD. If you are concerned about a possible pregnancy, do a test, see your doctor, or both.
-Dr. Dervaitis
Hi, I've had my IUD in for 2 years now and have had regular periods once a month but all of a sudden I've not had one for 6 weeks now ? Haven't got any symptoms of pregnancy. Is this normal?
This channel is not intended to provide personalized medical advice. If you are concerned, speak to your doctor. The chance of pregnancy with an IUD is 2-8/1000 (depending on the type of IUD). If you are concerned that you might be pregnant, do a test or see your doctor.
-Dr. Dervaitis
Depends on if you were sexually active, I’d say check just in case using an over the counter pregnancy test. If you still don’t get your period I’d see a doctor
Are there any negative impacts to the baby if the IUD was removed right after they found out she was pregnant. I am a proud grandpa of an IUD baby. She seems to be developing normally except for speech. She is 20 months old and only says a few words.
The short answer is “no”. If an IUD is successfully removed in early pregnancy and the pregnancy proceeds without complications, there would be no lasting effect of the IUD having been present early on.
-Dr. Dervaitis
Would a pregnancy test still show positive of you have an iud
Yes. If you were pregnant with an IUD, the pregnancy hormone is still produced and would be detected by the pregnancy test.
Just a note: remember that a pregnancy test can’t tell us if the pregnancy is in the uterus or in the tube (ectopic pregnancy). If you think you might be pregnant with an IUD in place, it is very important to see your doctor immediately for further investigations!
-Dr. Dervaitis
Dr. Kristina Dervaitis oh
No you can have a false negative test. Happen to me. Go to your doctor if suspected pregnacy
I do have an IUD in me, I got my period on October 1,2020 -October 6, 2020. After that I had intercourse with my partner on October 12,2020
And on October 19, 2020 had intercourse with him again but I don’t know why I was bleeding so much and I had a lot of blood clots coming out of my vigina and bleeding so much too, first time this happens to me.
@@therealaisha1847 I missed my period and have a copper iud.. did you have symptoms of pregnancy ??
I just found out I am pregnant with a copper IUD. 4 weeks and 2 days.
Wow I just found out I am pregnant too, how is the pregnancy going, I am so worried 😭😭
I had an IUD back in january 2019 but I been feeling sick and went to my GYN and they did an ultrasound and Xray and the IUD is nowhere to be found 😫 but I have not used any protection because I had no idea it fell off... now will I be pregnant? What should I Do?
Hello-
Unfortunately, I can’t give personalized medical advice over the internet. You will obviously need to follow up with your doctor for further investigations in this situation. If the IUD is not seen on ultrasound and not seen on the X-ray, it is likely that it has been expulsed, and there is a risk of pregnancy. Definitely I would advise a patient in this situation to begin using an alternative form of contraception immediately.
-Dr. Dervaitis
Same with me. Had the IUD copper one. Missed my period and Found our I was pregnant. They did a ultrasound and IUD was nowhere to be found as well. Miscarried at 6 weeks 😔
@@samirahm3198 I am so sorry for your loss! God knows what he does just be strong! GOD BLESS YOU!
I have a silly question as a bloke I honestly had never heard of IUDs to such a point that I googled it! So my missus has had an IUD for years, she's 48 and still has her menstruations. Is there a chance of being pregnant - not the ectopic one? Pardon me if it's very personal but I can't have a condom as it causes massive pain and irritation, but we've had no issues whatsoever. I was just wondering if that can occur and also infer on her perimenopause? Thus causing painful periods. Cheers for that! This coming from a concerned man. I guarantee that I'm no freak so I'd appreciate a clear answer as it'd be awkward to make an appointment with a gyn for such 'daft' questions. Cheers and thanks for such a clear vid.
The chance of pregnancy with an IUD is
I went from super heavy periods to suddenly only light bleeding for maybe a couple hours and then it stopped. I was waiting for the rest of my period to come but it hasn't and it's been a week. Not sure if I should take a pregnancy test right away or wait a bit longer. I haven't been keeping good track of my cycle, so I don't know if it was a month since my last real period or not.
This channel is not intended to provide personalized medical advice. Talk to your doctor.
I have a cousin who got pregnant three or four times with the mirena all the kids are fine but the last one they never found the IUD and she said it never came out I talked this up to poor implantation but no fault of the doctor maybe just her anatomy but I've had one for 8 years and it is my best friend in 2014 I was sexually assaulted and had to make that choice and I got the IUD so I would never ever have to make that choice again it is absolutely my best friend I have PCOS which gave me incredibly horrible. I would sometimes have my period for months and months at a time or months and months without it but still get PMS they were very painful never on schedule and my PMS was horrible I was so crabby I didn't even want to be around myself. I love the marina it gave me a completely new lease on life and I'll continue to get them until it's no longer necessary
Thank you so much for sharing your story. I am so terribly sorry to hear that you experienced a sexual assault, but I’m glad that you have found peace of mind and better menstrual health with Mirena.
All the best,
Dr. Dervaitis
Hallo Dr..can I have a healthy baby when I have an IUD in place or got pregnant while I was on IUD
There are potential risks when carrying an intrauterine pregnancy with an IUD in place, but a healthy term pregnancy is theoretically possible. Please refer back to video #26 for more information on this topic.
-Dr. Dervaitis
I was told I couldn't have a child and got an idea for my fibroids its been in almost five years I'm newly diabetic and I'm on metformin I am pregnant and worried
Just found out I'm pregnant and I'm scared made a appointment for the health of my baby
Hello doc , I’m currently on merina iud. Mine has expired this year , i have heard rumors that they have extended merina for 7 years now , is that true? I’m debating if I should leave mine in for another year or get it replaced . I’ve had it for 6 years now and never had any problems with it .
Hello-
The 52 mg levonorgestrel Liletta has been tested and approved for use up to 7 years. The 52 mg levonorgestrel Mirena is approved for 5 years, it has not yet been approved for use up to 7 years (unless inserted at age >44). If your IUD is expired, I’d recommend that you see your doctor for replacement.
-Dr. Dervaitis
Ok I will, thank you for replying back :)
I actually just found out I am pregnant with the Copper iud I have a couple of questions based around statistics. Do you think we could talk somehow? Please
This channel is not intended to provide personalized medical advice. Talk to your doctor.
Hai Dr.D.it is possible taking pills have an iud?
This is a random question for this video but I couldn’t find much on this. Is the hormonal IUD suitable for people with PCOS? I live in England and I read on the NHS website that it can have a side affect of making cysts grow and I was on the mini pill for a few months then I had to stop because of a non stop break through bleeding and through ultrasound they also found a 17cm dermoid cyst on my right ovary that wasn’t there before that they had to remove through key hole surgery... it was a horrible experience and I’m scared of repeating, it I’d love to know your thoughts. Also, in the uk they tend to offer mirena or Jaydess, which do you recommend? I hope you see this before Wednesday because that’s when I’m getting this done and I’m so scared :S
Hello-
While I can’t comment directly on your personal medical history, I will make the following general comments:
-the hormonal IUD is a good option for PCOS patients, because these patients are generally deficient in progesterone (which the IUD provides in the form of levonorgestrel) I usually prescribe Mirena to my PCOS patients.
-the sorts of cysts that can occur with hormonal IUD use tend to be functional cysts (not dermoid cysts, not the same cysts referred to in the term polyCYSTic ovarian syndrome)
Hope this helps!
-Dr. Dervaitis
@@dr.kristinadervaitis789 Thanks for that reply that put me so much more at ease! I am so glad I stumbled across your channel ^^
What is the Failure percentage on Skyla ?
Hi I have the iud string for 2 years now and I havent had my period for 6 months now and I only got it this month for 5 days then it stop what dose that mean ?
This channel is not intended to provide personalized medical advice. Talk to your doctor.
-Dr. Dervaitis
Dr. Kristina, thanks a lot for posting these videos. After getting this week the copper IUD, and finding videos on CZcams about "IUD pregnancies" I am already feeling the paranoia. I'm not planning to have intercourse without condom this month. I understand the probability of getting pregnant with this method is low, compared to other methods. Would you recommend to use this method in combination with another one for the normal time? If so, which one? Thank you.
Hello-
After I have done a one month check up visit with my patients (to confirm that the IUD is still in proper position) I don’t generally/ routinely recommend a second method for pregnancy prevention (but I do remind patients of the
@@dr.kristinadervaitis789 thank you!!!
You think. Prolapse pushes your uterus out of place. Colon, bladder. And if I have a IUD. It could knock out of place
See I was bleeding every 2 weeks sense the IUD was put in.
But now.
Haven't had my period or bled for 7 weeks.
Prolapse and IUD?
Most women with mild to moderate prolapse will not have any problems using an IUD. If the prolapse is very severe (ie, the cervix is actually protruding out of the vagina...) it might be problematic. Your doctor will advise you as to whether an IUD is a safe option, based on your anatomy and degree of prolapse.
-Dr. Dervaitis
I’ve had an IUD for 3 years after having my second daughter I just found out I’m pregnant and will see the doctor tomorrow to remove it and an ultrasound 😢
any update pls affter removing your IUD.
Update please please 😭😭
When is Mirena fully affective? I’ve had my iud about a month and had unprotected sex about a little over a week after it was inserted?
The hormonal IUD is effective immediately if inserted in the first 7 days of the menstrual cycle, otherwise it will be effective 7 days after insertion. Because of the small risk of expulsion, and the very rare risk of uterine perforation, I usually advise my patients to use a back up method of contraception until I’ve had the chance to do a post-insertion check up in the office (I usually do a check about one month after insertion).
-Dr. Dervaitis
I’m wondering where the statistics come from. How were they determined? Why isn’t this discussed in your video?
All of the statistics presented come from scientific studies that are published in peer reviewed medical journals (with very specific and selective criteria as to which studies are valid and worthy of being published.) The majority of the data presented in my videos is based on evidence based guidelines from the Canadian Contraception Consensus, published by the Society of Obatetricians and Gynecologists of Canada.
-Dr. Dervaitis
And who do you think should care for the IUD babies and we will basically viable or to care long term process of clearly and an anomaly that shouldn't be with no understanding of tears and complications long term processes still probably hasn't been expressed and identified considering no one's ever sit there and said that could be my issue considering me
what are the side effects of IUD control?
Hi-
To learn more about side effects, watch my videos #3, #7, and #10.👍
-Dr. Dervaitis
Hi! I’ve got a question, if you have sex with a copper iud in place and 4 days later after you think the iud is moved am I still protected from pregnancy ?
Question, I've had my IUD in for 8 months now, first 2-3 months were constant bleeding but the last 5 months I have been very regular, period always came when it was supposed to, now I'm 4 days late, no period but 1 week prior I was spotting for 3 days, then it just stopped and I haven't gotten my period yet and all the pregnancy tests are inconclusive, so I have no idea what's going on 😭
Hello-
This channel is not intended to provide personalized medical advice. Talk to your doctor.
-Dr. Dervaitis
Were you pregnant?
Because I also using IUD and its my ffirst time never had a period this month of November and my IUD is coming 5 years this December 24 😔
Im scared im pregnant RN..
smol peaches so what happend?
Smol peaches..update please bc I'm scared rn also 😩😩🙏🙏
@@archangelfollower8181 i wasn't :D
@@smolpeaches2634 thank you for the quick reply!!!✨👐✨were you bloated and crampy?
@@archangelfollower8181 I forgot what I was feeling but I do remember I was really.sick like throwing up but I am doing better now :D and my boyfriend at the time low key wanted a kid super bad so he drilled in my head I was Prego
my period has not stopped or even slowed down what so ever i feel hopeless their wanting to resort in a hysterectomy and im only 30 yrs old pls help me
Hello Amaris-
I’m sorry to hear this, it must be a very stressful and scary situation for you. But unfortunately I can’t give personalized medical advice over the internet. It would be impossible for me to advise you under these circumstances, without being your own physician (who has all of your information, investigations, and the ability to examine you).
Wishing you all the best,
Dr. Dervaitis
I got the mirena IUD less than one month ago, and it was malposition in my lower left section so it had to get removed, but since it was in the wrong area can You get pregnant if its not in place.
Hi Nicole-
If you mean, will it still work as a contraceptive if malpositioned: it depends on how far out of place, and what kind of IUD (hormonal vs. copper). Unfortunately I can’t give personalized medical advice over the internet so I can’t comment on your particular situation.
-Dr. Dervaitis
Hey I just got my kyleena out in 2 days ago the procedure was easier than I though, i got heavy cramping during day one but day 2 and it felt fine. Could you do a video about how to feel for IUD strings? I am worried because I can't seem to feel mine and I am going on holiday in a few days and can't go to a clinic before that
Hi Luna-
That’s a great suggestion for a video topic, I will do that one next!
Not everyone is actually able to feel the strings (depends somewhat on how long the strings were cut, individual anatomy and angle of the cervix, etc. I will explain more in the video...)
Thanks for watching and thanks for your suggestion! Don’t forget to subscribe so that you are alerted when the video is posted😊
-Dr. Dervaitis
@Anita Jones PCOS is not a virus...
Thanks for alerting me to that comment. It was “spam” and had since been deleted (I must have missed it originally...)
-Dr. Dervaitis
@@dr.kristinadervaitis789 Glad you saw it, they were obviously trying to sell something but with very obvious misinformation :S
I recently got my Liletta IUD removed and wasn't put on a new form of birth control to see if the cramping I am having is from the IUD. However, my husband and I had unprotected sex the day before and 3 days before without being told or being aware that sperm could live for as long as it does. I frequently track my cycle and it looks like I was at peak ovulation. Could we end up being pregnant?
The hormonal IUD prevents pregnancy by thickening cervical mucous to prevent sperm entry, and by thinning the lining of the uterus. The thin lining effect on particular is likely to persist in the several days after removal. However, technically pregnancy is possible (even with the IUD still in place the chance of pregnancy is 2/1000).
-Dr. Dervaitis
Hi I know this is late but I’m on the Mirena and the Levlen pill that I take continuously for my severe endometriosis. Is there much of a benefit using condoms with my husband? I know nothing is ever 100% but I don’t know if using a condom on top of all those things would have much benefit at all?
Most health care providers would say “no”. The chance of pregnancy with Mirena is 2/1000. Add a birth control pill on top of that, and your chance is even lower. If a patient is comfortable accepting that very low theoretical risk, they don’t use condoms (unless they are using them to prevent sexually transmitted infections with a new partner)… if they aren’t comfortable with that very small risk, they use condoms concurrently.
-Dr. Dervaitis
@@dr.kristinadervaitis789 thank you for replying! So in your opinion would condoms change the chance of getting pregnant enough to use them or would the statistic not change much?
Hello, I just had my Mirena inserted today because of my heavy period. I didn’t feel any pain at all and was able to do my daily chores almost immediately. But I’m just worried, do I need to check for pregnancy every time I have s**?how do I find out everything is fine and I’m not pregnant !I’m just panicking about that please can someone guide me about this. I’m sorry for the TMI
The chance of pregnancy with a Mirena is 2/1000. Generally, the answer is “no”, but if you have signs or symptoms of pregnancy or are worried about the chance of pregnancy, take a test or speak to your doctor.
-Dr. Dervaitis
@@dr.kristinadervaitis789 thank you for replying. Xx
Hello,
Is it normal for the period to come back after a few years? I started spotting (extremely lightly barely there) months ago now I have a still light period. Mostly dark. I’ve only had the mirena for 3 years.
Yes, it’s possible for bleeding to return after not having a period for some time. If there is a change in bleeding, I recommend having the IUD position checked (either by checking strings at home- see video #27- or seeing a doctor for a check).
-Dr. Dervaitis
Call me paranoid- but if I were to become pregnant with an IUD and didn't realize it until say 6 months later, what happens then? I have read that an abortion is usually only offered up to month 4, sometimes 5 given extenuating circumstances.
I ask because I NEVER want children. I dont want that kind of responsibity (I'll stick with my animals). But know one will listen to me when I say, at 31, that I want my tubes tied. Or better yet take them out.
Hi Sarah-
There’s nothing “paranoid” about protecting yourself from unplanned pregnancy! It sounds as though you have a very responsible attitude.
Contraception is a choice, and any physician should respect your right to choose. Unfortunately, even a tubal ligation does not prevent pregnancy 100% (it has a failure rate about equal to the failure rate of the IUD- both intrauterine and tubal pregnancies are a
Mckinnon Sarah I’ve had the IUD for 3 years successfully now and I still think about this!!! You’re not paranoid, it’s the reason we have the IUD anyway right? If you’re from the US, you should check your laws by state. I’m from California and PRETTY sure a termination of pregnancy can be offered up to 12 weeks with either method (vacuum aspiration or pill), and only up to 24 weeks if there are extenuating circumstances and on a case-by-case basis. And also, it’s likely that you will have pregnancy symptoms. The IUD does not keep your body from producing the pregnancy hormone as well, so if you did have the feeling, you could check at home as well.