Primary Women’s Health Care

Primary Women’s Health care involves a proactive approach to health care.  The focus of this clinic is on contraception and family planning. We promote healthy lifestyles and encourage collaborative knowledge, evidence based decision making.

 

VANCOUVER IUD CLINIC

Graceful Vitality offers a self referral option for patients wishing to obtain information on and the insertion of an IUD.

An IUD (Intrauterine Contraception) is a highly effective form of contraception, and at times menstrual control. IUDs are small T-shaped devices inserted into one’s uterus.

Types of IUDs:

Progesterone:

The Mirena is a plastic 5 year progesterone releasing IUD lasting 5 years.  It is over 99% effective  at preventing pregnancy (approx 0.1% failure rate). Approximatly 20% of women will have minimal to no bleeding once the mirena is in place.  The Mirena has several utilities including controlling heavy menstrual bleeding and uterine protectionin conjunction with hormone therapy. The amount of hormone released in this device is much lower than in an oral contraceptive pill. the Mirena thins the lining of the uterus and thickens cervical mucous to prevent sperm from entering the uterus.

Jaydess is similar to the Mirena, however it has less hormone and lasts 3 years. The failure rate of a Jaydess is approximatly 0.3%. This device is the smallest of the IUDs.

Copper: Copper IUDs last between 3 and 10 years. They are used for effective contraception and emergency contraception if inserted within 7 days of unprotected intercourse. Copper IUDs contain no hormone however they do generally make one’s periods crampier, longer and heavier. Copper IUDs are approx 99% effective (approx 1% failure rate). Copper IUDs prevent the sperm from fertilizing the egg and reduce sperm motility.

Further information on IUDs:

IUDs are known as Long Acting Reversable Contraception (LARC) and are the most effective form of reversable contraception available in Canada. IUDs are immediatly reversable and do not impact fertility.

Complications associated with IUDs:

There is an approximatly 5% chance of an expulsion (rejection) of the device. There is a 0.01% risk of a uterine perforation (a small hole in the uterus is created) and a more uncommon chance that this would require surgical repair. Infections occur in 1/200 cases and are usually related to untreated gonorrhea and/or chlamydia. Infections related to an IUD insertion itself, occur with in 21 days post insertion. It is also common to have irregular bleeding and cramping for several cycles post insertion of an IUD.

More information can be found at:

https://sogc.org/wp-content/uploads/2014/03/gui305CPG1303E.pdf

https://sogc.org/wp-content/uploads/2015/11/gui329Pt1CPG1510.pdf

http://www.sexualityandu.ca/health-care-professionals/contraceptive-methods/intrauterine-contraceptive-device