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Globally, intrauterine devices are the second most popular form of contraception — but they are a much-overlooked option in the US. If you are looking for a long-term, reversible, and very reliable birth control option, an IUD could be right for you.

Paragard IUD: A Simple But Effective Device

The Paragard intrauterine device is a T-shaped device that is largely made out of plastic and partially covered with copper. It is made in the United States, and the only copper-containing and non-hormonal IUD approved for use there. Copper-containing IUDs are more commonly known as a "copper coil". Once inserted, the Paragard IUD can remain in place for up to 12 years.

At more than 99 percent effective, the copper coil is one of the most effective contraceptives any woman could choose.

The copper IUD prevents pregnancy in a few different ways simultaneously:

  • The presence of the device inflames the uterus and affects its lining so that no fertilized egg can implant. 
  • The copper IUD most probably inhibits the development of mature eggs. 
  • The presence of the copper acts as a spermicide, so conception is extremely unlikely.
Paragard might be for you if you are looking for a long-term contraceptive that does not leave space for user error — once you have it placed, you can essentially forget about it.
Women who suffer from unexplained bleeding between menstrual periods should not use Paragard, and those who have given birth within the last four weeks or have recently had an abortion should discuss the timing of placement with their doctor. There are a few other medical conditions that make Paragard an unsuitable form of birth control, so be sure to disclose your full medical history to your healthcare provider. 
 
How about the side effects? Paragard can cause menstrual periods to become heavier and more painful. If you already suffer from dysmenorrhea (painful periods), the Mirena intrauterine system is a much better option for you.  

Mirena: A Very Effective Contraceptive Indeed

The Mirena intrauterine system is a T-shaped plastic device that also contains a reservoir that delivers levonorgestrel (a progestin) into the uterus every 24 hours. Because this reservoir contains a limited amount of hormones, Mirena needs to be replaced more often than a copper-bearing IUD — once every five years. 

Mirena thickens a woman's cervical mucus over time due to the progestin, something that makes it almost impossible for sperm to get past the cervix. As with Paragard, the uterine lining is also thinned. Mirena users will not ovulate very frequently, but ovulation can occur on occasion. 

The Mirena intrauterine system is 99.9 percent effective — it just doesn't get any better than that. 

Because Mirena is a hormonal contraceptive, it can cause similar side effects as the pill. Breast tenderness, mood swings and skin problems are among the side effects some women experience after having Mirena placed. The most common "side effect" is actually one of Mirena's biggest advantages, though. Mirena users tend to have much lighter periods, and their menstruation can even come to a complete halt. This prospect is especially appealing to women who suffer from painful, heavy and prolonged menstrual periods!

Mirena can be used by every woman who would also be a candidate for Paragard, except women with current or recent breast cancer. Talk to your healthcare provider for more information. 

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