iud

What women need to know about the new IUD

Feb. 22, 2013 at 10:41 AM ET

By Elizabeth Narins, Women's Health

 

Want to prevent pregnancy for the next three years? There's a new contraceptive to consider: The U.S. Food and Drug Administration (FDA) approved a new intrauterine device (IUD). Like all IUDs, it's more than 99 percent effective in preventing pregnancy, according to a statement released last week by the parent company Bayer HealthCare Pharmaceuticals, Inc.

Related story: What women don't know about IUDs

The new hormonal IUD, called Skyla, is the first to hit the U.S. market in over a decade. Compared to Mirena, the other hormonal IUD on the market, this updated option delivers a lower dose of hormones, is slightly smaller, and lasts for up to three years, instead of five. Skyla's size makes it a better option for women who haven't had babies and don't want one now--like college students or newlyweds--according to Laura Corio, M.D., a Manhattan-based gynecologist.

MORE:What to Say if You Don't Want Kids

Intrigued? Here's what you need to know:

HOW SKYLA WORKS

First, your gynecologist inserts a T-shaped IUD through the cervix and into your uterus. (The device itself is no longer or wider than a standard tampon, but yes, insertion can hurt a bit.) While non-hormonal IUDs are made from copper, which acts as a natural spermicide, hormonal IUDs such as Skyla gradually release small doses of the synthetic hormone levonorgestrel--the same stuff in emergency contraceptive pills. Both options thicken your cervical mucus, which creates a hostile environment for embryo implantation and prevents pregnancy, explains Corio. Based on a clinical trial of over 1,400 women, Skyla works well: fewer than 1 in 100 women got pregnant. Still, there's no IUD that will protect you from sexually transmitted infections or HIV, so it's smart for women who have one to use a condom during sex with a new partner.

MORE:Is It Ever OK to Go Without A Condom?

SIDE EFFECTS

The good news: Skyla is over 99 percent effective at preventing pregnancy. And in some cases, the hormones from Skyla (and Mirena) can reduce cramps, lighten your flow, and even sometimes stop bleeding altogether. Now for the bad news: security comes with some strings attached. According to Bayer, the most common side effects include vulvovaginitis (vaginal inflammation or infection), pelvic pain, acne or seborrhea (itchy, flaky skin), ovarian cysts, headaches, menstrual cramps, breast pain, increased bleeding, and nausea.

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COST

In many cases, an IUD is the most affordable method of long-term birth control, although it does cost the most upfront. Between a medical exam, the actual IUD, insertion, and follow-up visits with your doctor, getting an IUD can set you back between $500 to $1000, according to PlannedParenthood.org. The good news: It won't cost you a penny more until you have it removed. (Unlike a tampon, you can't do this yourself.) And if you leave your IUD in for its full lifespan--that's three years for Skyla, five for Mirena, and 10 for a non-hormonal IUD--it will totally pay for itself.

MORE:Is the IUD Actually Safe?

HOW TO GET IT

According to Bayer, Skyla will be available by prescription the week of February 11--which leaves you plenty of time to do your research and talk to your doc about whether it's right for you. And if you get an IUD, then decide to have a baby? You can go to your OBGYN to get it removed any time, and get pregnant as soon as it's out.

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