Your NYC IUD Provider
Whether you know exactly which type of contraception you’d like, or need guidance choosing the right form of IUD for your needs, we’re here to help. We proudly provide complete IUD services to our patients, and offer the most advanced types of IUDs on the market: Copper T, Mirena and Skyla. Read about each in detail and choose the one that’s best for you.
Your IUD Visit
In order to be eligible for an IUD visit, you must have a medical exam that includes your medical history, internal examination, Pap test and cervical/vaginal cultures.
If this is your first IUD visit, you may experience nerves and anxiety. However, as an experienced OB/GYN Nurse Practitioner and Midwife, Yuliya Boruch knows how to make her patients feel comfortable and secure in an environment that may seem overwhelming. Your IUD visit should be a time for you to openly discuss your concerns, long-term goals and expectations. Prior to choosing the best IUD for your needs, we will get to know you as a person – not just a patient. This type of patient-first care ensures that we provide you with the best possible care for your needs.
While there are countless resources online to help you determine the best form of contraception for your needs, no online resource can replace the expertise of an IUD provider. We will ensure that you have all the necessary information at your disposal, during your IUD visit, so that you can make an informed and appropriate decision.
Prior to your IUD visit, we encourage you to talk to your insurance provider (assuming you have one) to ensure that they cover this procedure. Most insurances do, and we can help you with any obstacles you face with your provider along the way. If you do not have insurance coverage, don’t let that prevent you from coming in for an IUD visit. We provide alternatives to our self-paid patients.
Frequently Asked Questions About IUDs
Are there different types of IUDs?
There are several different types of IUDs on the market, but primarily there are hormonal IUDs and non-hormonal IUDs. Hormonal IUDs, like Mirena and Skyla, contain levonorgestrel. This is a hormone that is classified as a progestin. Progestins are hormones that are similar but not identical to progesterone, a natural human hormone. These IUDs can stay in place for up to five years.
What are the advantages of hormone-free IUDs?
The main advantage of hormone-free IUDs is that the woman avoids exposure to progestins. In some studies, progestins have been associated with an increased risk of cancers, strokes and cardiovascular disease. Additionally, some women suffer side-effects from progestins which may include headache, dizziness, breast pain or tenderness, mood swings and acne.
How is an IUD inserted, and is it painful?
An IUD is inserted through a simple in-office procedure. There may be mild cramping, but it is not really painful and it only takes a matter of minutes.
Are there any safety precautions that women using an IUD need to take?
Women who use an IUD need to be especially careful about being exposed to sexually transmitted diseases. STDs are more likely to become more serious pelvic infections with an IUD in place. Theoretically, the IUD can propagate the infection from the vagina and cervix upwards into the uterus and the Fallopian tubes where it can lead to a serious infection known as pelvic inflammatory disease (PID). For this reason, it is recommended that women who use an IUD be in monogamous relationships where they have a low expectation of contracting an STD.
Can an IUD reduce a woman’s fertility? How long after having an IUD removed can a woman safely get pregnant?
After a hormonal IUD is removed, a woman should wait a few months before trying to become pregnant. This is because the hormonal IUD’s progestin causes a thinning of the lining of the uterus which may increase the risk of miscarriage until the lining of the uterus is able to become thicker again. However, after a non-hormonal IUD is removed, it is safe to become pregnant right away.
Unless a woman has a pelvic infection which can block the Fallopian tubes, or unless she has uterine lining thinning as mentioned above, the IUD does not affect future fertility.
Can an IUD have an effect — positively or negatively — on a woman’s sex drive?
A hormonal IUD can have a negative effect on sex drive, as the progestin hormone in it can negatively affect libido.
Do you recommend an IUD as a safe and effective method of birth control?
Yes, we absolutely recommend the IUD as a safe and effective method of birth control. It is actually the method of contraception that we recommend most strongly. It is as effective as permanent tubal sterilization, but with less risk. Also, its effectiveness is almost assured as there is no room for user error.
The History of the IUD
The first IUD appeared in 1900 as a small device put into the uterus to prevent pregnancy. The IUD is still the most popular method of birth control in China, Japan, Russia and Eastern Europe. In the United States, the IUD became most popular in the 1960’s after women joined the workforce and wanted to have power over their birth control options.