IUD Insertion (Mirena, Kyleena, Paraguard)
Intrauterine devices (IUDs) are forms of long-acting, reversible contraception that and require an in-office procedure for insertion. At Kennesaw Gynecology, the majority of our IUDs are placed under ultrasound guidance in order to confirm placement in the uterus. Regardless of which IUD a patient is receiving, each patient is advised to take up to 800 mg of ibuprofen prior to insertion time to help alleviate abdominal cramping. It is important to schedule IUD insertion within the first week of onset of menses. There is always a risk of uterine perforation or incorrect placement of the IUD; however, none of these adverse effects are life or fertility threatening to the patient. Typically, placement is confirmed with an ultrasound on the same day the procedure is performed and then the patient is reassessed in four weeks for a routine IUD string check.
Subdermal Contraceptive Implant Insertion (Nexplanon)
The Nexplanon is a long-acting contraceptive method and is a rod placed underneath the skin in the patient’s non-dominant arm. Lidocaine is given to numb the section of the arm and minimal pain is associated with the procedure. It is ideal to place the Nexplanon device within the first five days of the onset of a patient’s menstrual cycle. The subdermal implant does not protect against STDs. The most common side effect reports with the implant is irregular bleeding. Patients fall in one of three categories: amenorrhea (no periods), frequent spotting, or the same cyclic menstrual cycle the patient had before initiating contraception. The device has been approved for use for 3 years. Patients interested in this birth control method should contact their provider to find out if they are a good candidate for the Nexplanon.