There are 5 types of IUDs - here's how to choose the best one for your body
The INSIDER Summary:
• Women can now choose between highly effective IUDs.
• We asked a gynecologist how women can choose the best brand for their bodies.
You've probably heard lots of post-election buzz about the intrauterine device (IUD) - the small-but-mighty implant that can prevent pregnancy for 3 to 10 years. And if you're a woman of reproductive age, you've probably wondered whether the device is a good choice for you.
The good news is that the vast majority of women can use IUDs without issue.
"Most women can be good candidates for IUDs," Dr. Salena Zanotti, MD, an OB/GYN at Cleveland Clinic, told INSIDER. "The American Academy of Pediatrics even supports using them as a first-line contraceptive for adolescents and teens." (Women with a history of certain cancers, copper allergies, and uterine abnormalities may not be good candidates; talk with your doctor to know for sure.)
IUDs have two major selling points.
First, they're crazy effective at preventing pregnancy - much better than the pill. Second, there's no human error involved in using one. Once it's in place, you don't have to think about it.
The most important thing to remember? Don't let the online IUD horror stories scare you away.
"Probably 90% of my [patients] love their IUD," Zanotti said. "The problem is you don't hear from those women. But it's worth trying because if it works well for you, then you're set for three to 10 years. And if it doesn't, it can always come out. It's a very easy thing to remove."
But then comes the tough part: If you do want to get an IUD, how do you choose the best brand for your body? This guide will help you compare and contrast all five options currently on the market.
1. ParaGard
Active ingredient: copper
Lasts for: 10 years, according to the FDA, but research shows it's actually effective as long as 12 years. Talk with your doctor about specifics.
The lowdown: No IUD lasts longer than the ParaGard. Plus, for women who can't have - or don't want - extra hormones in their bodies, ParaGard is a safe choice.
ParaGard users also have more regular periods since the lack of hormones means the body is running on its natural cycle. It's a good choice if you know you want to experience a period every month. But, without those hormones, periods can be longer and heavier with more cramps, especially during the first six months after insertion, Zanotti explained.
2. Mirena
Active ingredient: the hormone levonorgestrel
Dose: 52 mg
Lasts for: 5 years
The lowdown: Levonorgestrel makes periods lighter and shorter - and for an impressive span of five years.
And you probably don't have to worry about the hormone factor, even if you've had bad experiences with the pill: When you have an IUD, the hormone circulating in your blood is significantly lower than on the pill. That's because it stays contained inside the uterus.
Also, hormonal IUDs have just one hormone, while most popular pills contain two. (This is true of all hormonal IUDs, by the way, not just Mirena.) Even women who've had a bad experience with the pill can do just fine with a hormonal IUD, Zanotti explained.
One more thing: "The IUDs with the higher dose [like Mirena] tend to have a higher rate of a woman not having a period at all, which a lot of women do like," Zanotti said. Of course, that also freaks some women out. If you know you want a period every month, you might want to opt for ParaGard or the lower-dose IUDs, like Skyla and Kyleena, below.
3. Skyla
Active ingredient: the hormone levonorgestrel
Dose: 13.5 mg
Lasts for: 3 years
The lowdown: Skyla has a lower dose of hormone than Mirena does - but there's still enough to make your periods shorter, lighter, and possibly disappear altogether, though it's a bit less likely. They also might be more irregular.
"There's some evidence that the IUDs with the lower dose might have higher irregular bleeding," Zanotti said. "Meaning [women] might have a little bit more spotting irregularly throughout the month."
Skyla used to be the only low-dose IUD until low-dose newcomer Kyleena, which lasts five years, got FDA approval this year. But Skyla's still a good choice if you don't want or need five full years of contraception.
4. Liletta
Active ingredient: the hormone levonorgestrel
Dose: 52 mg
Lasts for: 3 years
The lowdown: Liletta has a higher dose of hormone, just like Mirena. That means it will make your periods shorter and lighter, and there's a chance they won't come at all.
The only real difference between Liletta and Mirena is that Liletta only lasts three years - that can be a pro or a con depending on what you're looking for.
5. Kyleena
Active ingredient: the hormone levonorgestrel
Dose: 19.5 mg
Lasts for: 5 years
The lowdown: Kyleena has a lower dose of hormone, like Skyla, but it lasts longer.
Since they're both low-dose, they'll generally affect your period the same way: It'll be shorter and lighter, it may disappear, and you may have more irregular bleeding compared to your period with the high-dose IUD options.
Want to get an IUD, but not sure how? Here's everything you need to know about getting one.