To Have an IUD or Not to Have an IUD (And then, which type?)

Desembarazarme’s recent post about IUDs here got me thinking. IUDs definitely are more popular. Not so much the ParaGard, but Mirena is. Women are often asking for it and providers are generally – in my experience – urging women to use it. I hope, too, that as long-term birth control methods become more available, that our community doesn’t swing their biases towards one method over another (but , this does seem to happen). The thing is, no method is the savior of all birth control for all women. We’re individual, unique people and different methods fit our needs: including abortion as birth control.

I’ve talked about my very own personal choice to not use hormonal birth control for over 15 years. With my current partner, we combine natural family planning with withdrawal and Plan B to control pregnancy. It’s worked for us. I’ve only become pregnant when I’ve wanted to. Despite this, I’ve actually been considering an IUD for years. When I recently discussed this with my Gynecologist and explained to him my reasons for considering the IUD, he told me that Mirena “is the birth control of choice for female OB/GYNs…even for themselves…so that tells you something,” and admitted that he’d recommend it over the ParaGard (which contains no hormones, but generally causes heavier, longer periods and cramps).

The doctor at my clinic loves the IUD, too, and inserts them immediately following an abortion for many of our clients. Many of our clients soon have them removed, though, because there is “nuisance” bleeding for a few months with the Mirena (which has a small level of progesterone) and then no period at all. (Some of us like to have our period to feel more certain we’re not pregnant, even though you can have bleeding and still be pregnant.) Personally, I’m still a bit on the fence about it and since it does cost so much money, I find it hard to just “play” with the method and see if it will work for me, only discover it doesn’t, after forking out over $500.

What do you guys think?

P.S. If you want the recipe for the IUD cookies (they are super cool!), then check out this blog here.