IUD/IUS Contraception

An intrauterine device (IUD) is a highly effective, long-term birth control method. It is a small, T-shaped device placed in the uterus to prevent pregnancy. The device is made of a plastic frame with either copper (non-hormonal IUD) or progestin (hormonal IUD) to enhance its effectiveness.

In Canada, there are two main types of IUDs:

Hormonal IUDs – release progestin (levonorgestrel) to prevent pregnancy
Copper (Non-Hormonal) IUDs – use copper to create a sperm-toxic environment

Both options provide >99% effectiveness and are reversible, meaning fertility returns immediately after removal.

Who Should Consider an IUD?

IUDs are an excellent option for individuals or couples seeking long-term, reliable contraception. They are ideal for those who:

Want an effective, low-maintenance birth control method (no daily pill or barrier methods required)
Prefer a hormone-free option (copper IUD) or low-hormone alternative (hormonal IUDs)
Plan for future pregnancies, as fertility returns immediately upon removal
Experience heavy or painful periods, as hormonal IUDs can reduce menstrual bleeding and cramps
Are going through perimenopause and need relief from hormonal fluctuations
Need emergency contraception, as a copper IUD can be used within five days of unprotected sex

IUDs can significantly improve quality of life by providing reliable contraception and, for some, reducing period-related discomfort.

IUD Patient Journey

Step One: Book your IUD Screening Call

Phone or book online for same week appointments. If you don’t see one online call and we will find you a time

Step Two: Your IUD Screening Call

One of our doctors will call to help you choose the right IUD, answer your questions, and determine if any additional screenings (e.g., STI testing, pap smears) are needed. They will also review the insertion process, discuss comfort options, and send your IUD prescription to your pharmacy. We’ll schedule your IUD insertion at the optimal time in your menstrual cycle.

Step Three: Your IUD Appointment

You will have a dedicated appointment time that will be relaxed and unhurried, with all available comfort measures. We ensure optimal placement with ultrasound-guided insertion and post-insertion checks to confirm ideal placement.

Step Four: IUD Placement Check and Follow up

Return to the clinic after 4-6 weeks to check your IUD placement and ensure there are no complications

Gentle IUD insertions and removals: Our Approach

We understand that IUD insertion can be a concern for some patients. At Mint Integrative Health, we use evidence-based techniques to minimize discomfort and ensure a safe, supportive experience.

How We Make IUD Insertions More Comfortable

Education & Preparation:
Studies show that well-informed patients have a smoother IUD experience. At Mint, we provide detailed guidance on what to expect before, during, and after your insertion. You control the pace, and how much we explain, ensuring a stress-free, comfortable experience.

Personalized Insertion Plan:
During your screening consultation, we’ll discuss your past experiences, concerns, and preferences to create a customized plan for your procedure.

Pain Management Options

Oral Analgesics – Ibuprofen or acetaminophen can reduce cramping and inflammation before and after insertion.
Cervical Block (Lidocaine Injection) – Local anesthetic numbs the cervix, significantly reducing insertion discomfort.
Inhaled Anesthetic Gas (Penthrox) – Methoxyflurane is an inhaled gas that rapidly relieves pain and anxiety during the procedure. Patients control the dose through a handheld inhaler.
Cervical Dilation – In select cases, we use medication to soften and dilate the cervix, making insertion easier.
Optimal Timing – IUD insertions are scheduled during or right after your period, when the cervix is naturally more open.

Ultrasound-guided IUD Insertions

At Mint, we use ultrasound guidance for all IUD insertions to enhance safety and accuracy. This allows us to:

Measure and visualize the uterus before and after insertion
Confirm the correct placement of the IUD
Identify any anatomical concerns that may affect IUD suitability
Minimize discomfort and reduce the need for repositioning

Ultrasound guidance ensures a safer, more precise procedure, improving patient confidence and comfort.

BOOK AN IUD SCREENING CONSULTATION

Types of IUDs

Your healthcare provider can help determine the best option based on your individual needs.

Copper IUD (Non-Hormonal)

Made of plastic with a copper coil wrapped around the stem or arms
Works by releasing copper ions, which are toxic to sperm and eggs, preventing fertilization
Lasts up to 10 years
May cause heavier or longer periods in some users, especially in the first few months

Hormonal IUDs

Release progestin (levonorgestrel), which:
- Thickens cervical mucus to block sperm
- Thins the uterine lining to prevent implantation
- May suppress ovulation
Can result in lighter or absent periods over time
Available options:
- Mirena (52 mg levonorgestrel) – Effective for up to 8 years
- Kyleena (19.5 mg levonorgestrel) – Effective for up to 5 years

IUD Safety Considerations

While IUDs are generally safe and well-tolerated, there are some potential risks:

Expulsion (3-5%) – The IUD may be pushed out of the uterus, usually within the first few months. Risk factors include being under 20 years old, having heavy periods, or past expulsions.
Perforation (<1 in 1000 cases) – In rare cases, the IUD may puncture the uterine wall during insertion. This is more likely in those who recently gave birth or have uterine abnormalities.
Infection (<1 in 200 cases) – A slight risk of infection exists within the first 20 days after insertion. At Mint, we screen all patients in-house to reduce this risk. Signs of infection include severe pain, fever, abnormal discharge, or a foul odor.
Irregular bleeding & cramping – Temporary changes in menstrual bleeding patterns may occur, including heavier, irregular, or prolonged periods, especially with copper IUDs. By 12 months, 20-50% of hormonal IUD users experience very light or no bleeding.
Hormonal side effects (1-10%) – Some Mirena users may experience acne, breast tenderness, nausea, headaches, ovarian cysts, vaginal discharge, or mood changes. These effects are less common with Kyleena, as it contains a lower dose of progestin. Copper IUDs have no hormonal side effects.
Allergic reactions – Though rare, some individuals may experience sensitivity to copper or progestin, with symptoms such as rash, itching, swelling, or difficulty breathing. Seek medical attention if you experience these reactions.

At Mint, we focus on minimizing risks and enhancing patient comfort during the IUD process.

IUD Doctor Referral Form

Download here

IUD Cost

Beginning April 1, 2023, PharmaCare will pay for many prescription contraceptives for any B.C. resident. You can get them at most community pharmacies, with a prescription and your BC Services Card.

Book Your Consultation

If you’re considering an IUD, our team at Mint is here to help. We provide comprehensive consultations, personalized recommendations, and expert care to ensure you feel confident in your contraceptive choice. We pride ourselves on having short, or no wait times for insertions and removals, providing rapid access to IUDs.

Book an appointment to learn more about your options!

BOOK HERE

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