Which is the safer option?
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Which is the safer option?
| Mon, 04-03-2006 - 1:21pm |
We are due in June with our 11th baby (no misprint ;-) We would like to be done with our child bearing. The permanancy of a TL doesn't really bother us much so what we're down to is effectiveness and side effects. The methods that we are considering are the copper IUD and TL.
I see with either choice one has the potential of having a ectopic pregnancy. Since I am so fertile I'd like to know the percentage rate of each one if anyone knows it.
Do they typically give any form of pain relief when they insert the IUD? I'm a huge chicken so while I read that the Dr has you take motrin 1 hr before hand I can't imagine that would be enough for me.
Thank you for anyother websites, help or advice that you can offer.
Lisa

Hi kosherkraut1992, welcome!
Congratulations on the forthcoming addition to your family!
>>what we're down to is effectiveness and side effects. The methods that we are considering are the copper IUD and TL.<<
According to efficacy table in the 18th revised edition (2004) of Contraceptive Technology http://www.contraceptivetechnology.com/table.html
ParaGard (copper T) 0.8% to 0.6% failure rate
Mirena (LNG-IUS) 0.1% to 0.1% failure rate
This is what Planned Parenthood has to say about IUDs: http://www.plannedparenthood.org/pp2/portal/files/portal/medicalinfo/birthcontrol/pub-contraception-iud.xml
Possible side effects of IUDs are heavier bleeding for the ParaGard, lighter shorter periods for Mirena, a greater possibility of any pregnancy being ectopic and a slight possibility of expulsion for both types of IUDs. And you should wait several months after giving birth for your uterus to return to it’s non-pregnant state before an IUD is inserted.
Female Sterilization 0.5% failure rate
Male Sterilization 0.15% to 0.10% failure rate
The MedlinePlus article about TLs is at: http://www.nlm.nih.gov/medlineplus/ency/article/002913.htm and information about Tubal Ligations on the Planned Parenthood site is at: http://www.plannedparenthood.org/pp2/portal/files/portal/medicalinfo/birthcontrol/pub-tubal-sterilization.xml
With LTs there is the possibility, though rare, of post tubal ligation syndrome. A good article on the condition can be found at http://www.wdxcyber.com/nbleed9.htm. If I were you I would talk to your doctor about your concerns and see what s/he says.
>>Do they typically give any form of pain relief when they insert the IUD? I'm a huge chicken so while I read that the Dr has you take motrin 1 hr before hand I can't imagine that would be enough for me.<<
Often IUDs are inserted during the patient’s period when the cervix is somewhat dilated. You should also mention to your doctor your concern about pain and s/he can give you something (more than a pill) before beginning the procedure.
Thanks for coming by to post. I hope your delivery goes well. Please ask if you have more questions. Let us know which method your and your doctor chose, ok?
Good luck and
(((HUGS)))
Jill