Advice needed re: IUD

So I'm having a really horrible time with BCPs. I've been on the pill since 2008, but last May, I started having really bad GI issues. I finally pieced it together that my BCP was exacerbating my GI issues (I have my worst days right when I start a new pack, every month, without fail). My gyn switched me to the lowest possible hormone pill, and I've been on that for 4 months, and it has not helped my symptoms. So I talked to the gyn again, and she recommended that I get a Paragard. I was given a sonogram to determine if the IUD would fit properly, and heartbreakingly, they told me that my uterus is too small for it and won't place it. I was upset so I neglected to ask what my actual measurements were.

However, I'm now reading stories from other women online about how they were told they were too small but they found that an experienced practitioner had no problem inserting it anyway.

What would you do if you were me? Should I try to get a second opinion? They said that my risk of perforation would be high because of being too small, so I don't want to make the decision lightly, but I can't imagine continuing on the BCPs until I'm ready to have a child (which won't be for more than 5 years at the very least). I'm just upset and frustrated and confused.
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Fine/thin 2c/3a, Low-Medium Porosity, Dry!
Do you take BCPs to prevent pregnancy or regulate your cycles? If it's the first then I would try other forms of birth control. If it's the second I would ask for a referral to see a specialist or get a second opinion.

I have never had good experiences with BCPs so I'm no help there.
High Priestess JessMess, follower of the Goddess of the Coiling Way and Confiscator of Concoctions in the Order of the Curly Crusaders

Do you take BCPs to prevent pregnancy or regulate your cycles? If it's the first then I would try other forms of birth control. If it's the second I would ask for a referral to see a specialist or get a second opinion.

I have never had good experiences with BCPs so I'm no help there.
Originally Posted by Jess the Mess
I have PCOS and am engaged, so both. I was only very recently put on Metformin though, so I don't know what my cycle would be without the BCPs. We use condoms anyway, but I'm really paranoid so we use both the BCP and those. As far as other options, I was warned that Depo shots may irritate my GI issues more and then it's in your system for 3 months and there's nothing you can really do at that point to counteract.
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Fine/thin 2c/3a, Low-Medium Porosity, Dry!
I don`t know what to advise you, but i can tell you my experience. I went to have mirena fitted as it sounded perfect for me. It was very painful when they measured my uterus (no sonogram) and they advised me not to have it done as my uterus was too small. It measured 5cm apparently. They said that part of the coil would end up sitting in my cervix and it would be very painful. I m sure they said that a mini version of the no hormones coil could be ordered,but by that point id had enough. Im now on loestrin 20.
Yes, my tail is naturally curly.
No, it was NOT me who cried 'wee wee wee wee wee' all the way home.
I would get a second opinion. Also, you did not ask for the specific measurements but likely the doctor has them in your chart, so you could get a copy of them for your second opinion

I am on my second Paragard and very happy with it. Granted, I've had 2 kids and that makes things easier, I hear.

But you have nothing to lose by getting a second opinion.
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I would get a second opinion. Also, you did not ask for the specific measurements but likely the doctor has them in your chart, so you could get a copy of them for your second opinion

I am on my second Paragard and very happy with it. Granted, I've had 2 kids and that makes things easier, I hear.

But you have nothing to lose by getting a second opinion.
Originally Posted by geeky
Yeah that's true about not having anything to lose. I'm getting ready to switch health insurance providers so I'll need to wait a bit for the new coverage to kick in before I go to another provider.

I just spoke with a nurse at the office who told me I had a 6cm length but that I was very narrow at 1.7cm in width.
http://www.dormroomcurly.blogspot.com


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Fine/thin 2c/3a, Low-Medium Porosity, Dry!
If you need the hormones for PCOS then I would definitely get a second opinion before ruling out an IUD. BCP issues are awful and I hope you find something that works.
High Priestess JessMess, follower of the Goddess of the Coiling Way and Confiscator of Concoctions in the Order of the Curly Crusaders

I would get a second opinion. I've had both IUDs and love them. Is the Nuva Ring an option?
the Mirena is not a pleasant insertion. I had my Paragard inserted 4 months postpartum and piece of cake. Mirena inserted 12 yrs later and ouch! And I've given birth to a 9lb + baby. But its worth it for me.
My goal is to go hormone free since my GI feels (and I strongly agree) that they are exacerbating my GI issues since my bad days are so strongly connected to where I am in a pill pack. So things like nuvaring and Mirena aren't options since my doctors think they would cause the same kinds of effects on my tummy issues. My hope was that the Metformin would regulate my cycle and I could use the hormone free IUD for pregnancy prevention. But obviously that plan has been thrown off since I have a small uterus apparently.
http://www.dormroomcurly.blogspot.com


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Fine/thin 2c/3a, Low-Medium Porosity, Dry!
Have you thought of going old school and using a diaphragm or cervical cap? They're very reliable when used correctly, and they're cheap, and don't really have side effects. And they're pretty handy for period sex.

As a nurse who used to work in women's health, and as a former employee of a pharmaceutical company that used to make IUDs...there's no way in hell I would ever use an IUD, and most especially not if I hadn't birthed children yet and wanted to in the future.
^ I love love my diaphragm. Its the best birth control decision I've made.

I use a back up method with it when I'm ovulating.


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I recommend doing a search here for Mirena and Paragard and reading the stories. They are both good and bad. It seems to me that women who have had kids have a much easier time with IUDs than women who have not. I have three friends with similar stories to mine so I'm not unique with the pain and horrible side effects. The stories are also not unique to Mirena.

To be completely honest with you, I would not not do it if I were you. Do you really want to get married and have cramps that hurt like contractions and a nonstop period for the first 6-9 months of your life together?
When are women going to face the fact that they donít know their own bodies as well as men who have heard things?

Don Langrick
Bonsai Culturist
I have a Mirena and I love it. NOW.
It was horrible for the first 4-5 months. I bled for 5 months. Like every day I had a period.

It's been 2 years since I had it inserted and I'm very happy with it now. I've had two children though.

Condoms and a cervical cap sound like a safe bet.
3c/4a

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