Mirena / Kyleena / Copper IUD Insertion

Dr. Tina Amies has a special interest in women’s health and is available for IUD  insertion in our Medical centre's procedure room.  A pre-insertion appointment is required to ensure that Mirena / Kyleena or Copper IUD is the right choice for you and to discuss any questions you may have about the procedure.

 
Please book an appointment with Dr Tina Amies to discuss IUD insertion.
 
Phone 3369 3922 or
Book Online

Dr Tina Amies
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What is an IUD?


An IUD or intrauterine device (also often known as an IUS or intrauterine System) is a small, usually T shaped frame which is inserted into the uterus or womb by a doctor to provide contraception. Some IUDs also are also indicated for the management of heavy bleeding or as part of menopause replacement therapy (MRT or HRT).

 

Currently in Australia there are two types of IUD:

●   Hormonal (Mirena and Kyleena)

●   Copper (T and multiload)

 

 

What is Mirena?

Mirena is a small, long-acting, levonorgestrel-releasing intrauterine system (LNG-IUS) that provides high reliability in preventing pregnancy, with the usual added benefit of shorter, lighter and less painful periods. Mirena provides contraceptive protection for up to 5 years, after which it should be removed. Mirena is also indicated for the control of heavy bleeding.

How Does Mirena Work?

Mirena consists of a small T-shaped frame made from a plastic called polyethylene. This carries 52 mg of levonorgestrel, a hormone used in some contraceptive pills.

The hormone in Mirena prevents pregnancy by:

●  Controlling the monthly development of the womb lining so that it is not thick enough for you to become pregnant
 

●   Making the normal mucus in the cervical canal (opening to the womb) thicker, so that the sperm cannot get through to fertilise the egg
 

●   Preventing ovulation (the release of eggs) in some women
 

●   There are also local effects on the lining of the womb caused by the presence of the T-shaped frame - since Mirena is an intrauterine system (IUS)
 

●   Affecting the movement of sperm inside the womb, preventing fertilisation.

What is Kyleena?

(available in Australia from March 2020)

 

Kyleena is also a T shaped intrauterine delivery system (IUS) which provides contraception for up to 5 years. It is a smaller device than the Mirena making it more suitable for women who have a smaller uterus. It contains 19.5 mg of levonorgestrel (the same hormone that is in the Mirena).

Kyleena works by:

 

●  Controlling the monthly development of the womb lining so that it is not thick enough for you to become pregnant
 

● Making the normal mucus in the cervical canal (opening to the womb) thicker, so that the sperm cannot get through to fertilise the egg

 

●   Affecting the movement of sperm inside the womb, preventing fertilisation.
 

 What is a Copper IUD?

 

A Copper IUD contains no hormone and usually does not affect the regularity of the menstrual cycle. In some women however, periods may last longer and may be heavier.

Copper IUDs are 99.2% effective in typical use.

A copper IUD may last for either 5 years (multiload device or short TT380) or 10 years (TT380 device).

Copper IUDs work by:

 

●   Inhibiting sperm mobility
 

●   Interfering with egg survival
 

●   Preventing implantation in the womb

 

 

How is an IUD Inserted?


 The insertion procedure is similar for all types of IUD. A thin flexible tube containing the IUD is inserted into the uterus via the vagina. Once the IUD is in the correct position, the insertion tube is withdrawn. The whole procedure takes a few minutes and sometimes local anaesthetic gel is required.
Period-like crampy pain and vaginal bleeding after the procedure are the most common side effects. Some women may also feel light headed but fainting is uncommon. It is advisable for a woman not to drive a vehicle for at least 30 minutes after the procedure. The doctor will discuss pain relief and the procedure in more detail during the initial assessment consultation.

How much does Mirena insertion cost?

 

​The Mirena (and soon Kyleena) are on the PBS which means if you have a Medicare Card they will cost $41.00 for a general patient or $6.60 if you have a Healthcare Card. (These co-payments increase each year and are set by the government). Copper IUDs are not on the PBS and cost approximately $90.

 

All IUDs are only available for purchase by doctor's prescription. All three are available at your local chemist with a valid prescription. 

 

The following is a list of the other out of pocket costs associated with IUD insertion. These fees apply to Medicare card holders only.

 

Initial consultation/assessment: $60

Insertion fee: $120

Equipment fee: $40

Post insertion review: $0 (Bulk billed)

What are the common side effects of an IUD?

 

Most women do not experience any long term side effects when using an IUD. Initially some increased bleeding may occur with Mirena and Kyleena. This is due to the action of the hormone on the lining of the womb. This bleeding is usually short lived and most women find that both of these types of IUD usually result in a significantly less bleeding in the long-term.

Whilst other hormonal side effects are possible on both the Mirena and Kyleena, in practice this is less likely than the oral contraceptive pill. This is because of the low dose of hormone in these IUD types.

 

Copper IUDs have no hormones and therefore do not produce hormonal side effects. They can however result in heavier and more painful periods for some women. This means that they may not be a suitable choice for women who already experience heavy or painful bleeding.

 

What if you have any problems following an IUD insertion?
 

You should seek immediate medical attention if you experience:

●   Severe pain

●   Offensive discharge or heavy bleeding

●   Fever or feeling unwell

●   Intractable nausea or vomiting

 

If you are worried that your IUD has fallen out or is not in the correct position, then you should abstain from intercourse or use another method of contraception until you seek medical advice.

 

How is an IUD removed?

 

IUD removal should only be performed by a doctor. All IUDs available in Australia have threads attached to them which facilitate IUD removal. In a small number of women these threads are not visible at the time of IUD removal. If this is the case, the doctor will organise a pelvic ultrasound to confirm that your IUD is in the correct place before organising removal. Dr Tina has experience in removing IUDs whose threads are not visible.

Paddington Medical Centre &
Travel Clinic

Level 4/107 Latrobe Terrace 

Paddington QLD 4064

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