Welcome to the July edition of our monthly newsletter!

This month, we delve into the crucial topic of contraception, with a special focus on one of the most effective and popular methods available today – Intrauterine Devices (IUDs). As a gynecologist, it is essential to stay informed about the various contraceptive options, and we aim to provide you with valuable insights and information to empower you. Let's dive in!

Contraception: Empowering Women's Reproductive Choices

Contraception plays a pivotal role in women's reproductive health, offering them the freedom to plan pregnancies, pursue education and career goals, and enjoy sexual relationships without constant concerns about unwanted pregnancies. With numerous options available, it's essential to choose the most suitable method based on individual needs, medical history, and lifestyle preferences.

Intrauterine Devices (IUDs): A Highly Effective and Reversible Contraceptive Option

One highly effective and reversible contraceptive option that has gained significant popularity is the Intrauterine Device (IUD). An IUD is a small, T-shaped device inserted into the uterus by a healthcare professional. It offers long-term protection against unintended pregnancies and has a remarkable success rate of over 99%.

As of 1 April 2023, many contraceptive choices are now free to BC resident women with an MSP number. This was a huge win for BC women and advances reproductive choices. Importantly, the Mirena and Kyleena IUD’s are now free whereas cost was a barrier in the past to many women’s access to this reliable form of contraception.

Types of IUDs: Hormonal and Non-Hormonal

There are two main types of IUDs available: hormonal and non-hormonal.

Hormonal IUDs: These IUDs release a small amount of progestin hormone locally into the uterus. They work by thickening cervical mucus, making it difficult for sperm to reach the egg, and thinning the uterine lining to prevent implantation. Some common hormonal IUDs include Mirena, and Kyleena. They can provide effective contraception for up to five years, depending on the specific type.

Non-Hormonal IUDs: Non-hormonal IUDs, such as the Copper-T IUD, work by creating an environment in the uterus that is toxic to sperm, thus preventing fertilization. They do not contain any hormones and can provide contraception for up to ten years.

Benefits of IUD's

Long-term effectiveness: Once an IUD is inserted, it offers long-lasting contraception without requiring daily or frequent attention.
Reversibility: IUDs can be easily removed at any time, and fertility typically returns to normal soon after removal.
Convenience: IUDs eliminate the need for daily administration, providing a hassle-free contraceptive option.
Minimal side effects: Hormonal IUDs have the advantage of reducing menstrual cramps and regulating menstrual bleeding. Copper IUDs do not affect hormonal balance.
Suitable for most women: IUDs are a viable choice for women of various ages, including those who have not had children, even teenagers.

Choosing the Right Contraceptive Option

While IUDs offer numerous benefits, it's essential to consider individual preferences and medical factors when selecting a contraceptive method. As healthcare providers, we work closely with our patients to identify the best option based on factors such as reproductive goals, lifestyle, medical history, and personal preferences.

For example, women with cramping and heavy menstrual flow with suspected endometriosis can have both contraceptive benefits and relief of cramping with the localized delivery of progestin to the uterus with placement of the Mirena IUD. The Mirena provides cramping relief in women with minimal and mild endometriosis.

It is crucial for patients to receive comprehensive information about contraception, including potential risks, side effects, and any contraindications. This allows them to make informed decisions and choose the contraceptive method that aligns with their needs.

Scroll to the bottom of this email to see a contraception failure rate chart.

Empowerment Through Informed Choice

In conclusion, contraception plays a vital role in women's reproductive healthcare. IUDs, with their high efficacy rates and long-lasting benefits, have become a preferred choice for many women. As gynecologists, our mission is to provide comprehensive information, guide our patients in making informed decisions, and ensure they receive the most suitable contraceptive method based on their unique circumstances.

Remember, empowering women through knowledge and understanding is key to ensuring their reproductive health and well-being.

Wishing you a month filled with knowledge, compassion, and empowerment!

Yours in Women's Health,

Jose Goncalves

Gynecologist

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