Calgary IUD Clinic

Looking for a quick appointment to have your IUD inserted?

If you are frustrated by long waits to see an OB-GYN or difficulty even getting an appointment, we can help. Most Calgary family physicians are no longer providing IUD insertion services, which can make it even more challenging to begin using an IUD device for birth control.

Vantage Medical offers two easy ways to get an IUD. The first way is to either phone Vantage Medical and make an appointment with one of our physicians or simply walk-in to get the process started. The second way is by printing out our referral form below, have your doctor sign it and either have it faxed to our office or bring it with you after you have made an appointment with us.

call to book appointment patient referral form

Remember that you do need a prescription to purchase an IUD. You will either need a prescription from one of our physicians which can be obtained after your initial consultation, or you may have your doctor give you a prescription. Arrangements can be made to buy an IUD from us or, if you like, you can purchase your IUD from almost any pharmacy.

As there are several types of IUDs, we will discuss, at your consultation appointment, which type of IUD will best suit your needs. Some IUDs contain a hormone called progesterone which can reduce menstrual bleeding or stop menstruation altogether. Another type contains copper and is a preferred choice for women who are seeking to avoid hormones. The devices are covered by most health insurance plans but must be inserted by a qualified practitioner.

IUDs can be inserted soon after unprotected intercourse as an alternative to the morning after pill, to prevent implantation and provide you with ongoing protection against unwanted pregnancy.*

  • Mirena
    FDA-approved and made of soft, flexible plastic. Over 99 percent effective in preventing pregnancy and Estrogen-free, it lasts for up to five years and fertility returns on removal. It is also a very good product to reduce heavy, crampy periods. For more information about the Mirena IUD device, please go to “About Mirena”.*
  • Jaydess
    Effective for up to three years, Jaydess is recommended for women who have not had a previous pregnancy.  It also provides a 99% effective rate. Jaydess is a smaller T-shaped IUD, with a very low dose of hormones so women still have periods monthly. For more information about Jaydess, please visit “What is Jaydess”.*
  • Copper containing products like Flexi -T or Liberte or Mona Lisa
    Hormone free  IUD’s with copper wire twisted around the plastic that interferes with the sperms mobility and prevents implantation for women who cannot use any hormones. These ones are not quite as effective as the hormone containing ones, and needs to be replaced every 3-10 years depending on the type. They can also make periods heavier and crampier so is not ideal if you already have this problem. EMERGENCY CONTRACEPTION: These ones are very effective to prevent a pregnancy if you’ve had unprotected intercourse in the last 5 days.*

PATIENT REFERRAL FORM

 IUD PATIENT REFERRAL FORM

Please download and fill in the PDF file below.

What is an IUD (Intrauterine Contraceptive Device)?

The IUD or intrauterine device is a form of birth control that is available to woman of any reproductive age seeking reversible, forgettable, long-term, safe and effective contraception. It is a small soft T-shaped device with a nylon string attached. A healthcare provider slides it into your uterus (womb). There are two types of IUD – copper and hormonal (Levenogestrel) which work in different ways to prevent pregnancy.

How does an IUD work?

An IUD helps to prevent the egg and sperm from meeting by slowing down the sperms ability to swim and meet the egg cell.  An IUD may also stop a fertilized egg from growing inside the uterus. The progesterone IUD’s make the cervical mucus really thick so that sperms and germs cannot penetrate into the uterus.

What are the Pros?

  • Safe in breastfeeding
  • An IUD provides long-term contraceptive protective for three to five years which makes it the cheapest form of birth control available.
  • You cannot forget it, skip it or mess it up. As long as it is in position in the uterus it works.
  • It is also convenient, as you do not have to remember to take pills or apply patches or rings regularly.
  • When you are ready to become pregnant, your healthcare provider can easily remove the IUD by pulling on the strings with no long term effects on your fertility or future pregnancies.
  • Because the IUD cannot be seen or felt, it’s private and it’s your choice to share information about the IUD if you choose.
  • You are protected from pregnancy as soon as the IUD has been inserted, you are able to go swimming, wear tampons or have intercourse as soon as you are comfortable after the insertion.*
  • No estrogen in any of them reduces the risk of having blood clots in your blood vessels and lungs almost completely. The dose of progesterone in the Jaydess is 1000 times less than taking oral birth control pill like Alesse so much less hormonal side effects or long term risks.*
  • The Mirena makes about 60 % of woman’s periods go away completely and at least reduces the flow and cramps in most women. So it is an excellent treatment for endometrial polyps or iron deficiency anemia due to heavy blood flow.*
  • The Mirena prevents your inner lining of your uterus from becoming thickened. So it is good to protect people with too much estrogen in their systems like -Polycystic ovaries/PCOS, obesity or hormone replacement therapy/HRT from endometrial thickening, polyps and uterine cancers.
  • Does not cause hormone related facial pigmentation like cloasma or melasma.*

Very reliable birth control for woman who are not allowed to get pregnant due to medical reasons like being on Accutane treatment for acne.

What are the Cons?

  • It doesn’t protect against sexually transmitted diseases.*
  • The copper IUD’s may cause irregular bleeding or heavier, longer and more painful periods. Usually this improves within a few months after insertion. If it persists or continues between periods, please see your healthcare provider.
  • There is a slightly increased risk of infection within the first month of insertion. Because of design flaws in IUDS produced in the 1970s, there was significant concern about pelvic inflammatory disease. This is no longer an issue and IUDs have a very low rate of infection.*
  • Insertion can be uncomfortable: For some it is an easy insertion, for others it may be painful. Your healthcare provider can provide options to help decrease pain.
  • It does not treat acne, prevent PMS or reduce painful ovarian cysts or ovulation pains. If you have trouble with these things then the oral pill, ring or patch would be a better option for you.
  • Rarely (less than 1 % of people) the IUD can perforate your uterus wall or attach itself to your uterine wall and will have to be removed by a gynaecologist as a minor surgical procedure.*
  • Rarely (less than one percent) of times it can fall out. This happens more often if we insert it after having a baby (we usually wait till 3 months after giving birth or having a C/section)*

Will I or my partner feel the IUD?

No, the plastic, the copper or the strings should not be felt or seen outside of the vagina.  They are soft like eyelashes and shouldn’t bother either one. Some woman can feel for their strings when they look for them to make sure they haven’t fallen out accidentally, but if you cannot feel it, don’t worry about it. At your 4-6 week visit  your doctor checks for them and they are there, then you don’t have to worry about it. Just enjoy the freedom. Checking is best done after each period especially if you use tampons or a diva cup. Feel with fingers around your cervix, there should be something with a different texture there. Your partner should not be feeling any sharp parts poking him.*

How do I know that it is working?

With the hormone IUD’s your periods should be lighter or even go away completely. With the copper ones you should have regular periods so the only way to know if it is in there is to check for your strings regularly. If you or your partner cannot feel them please come back and see us. We sometimes have to do an ultrasound or X ray to find it in the womb if the strings have pulled up into your cervix.

What does the process entail?

  1. You book an appointment with one of the doctors to discuss the type of IUD that would be the best for you, and we choose one with you, give you a prescription and discuss the procedure and pain control with you. If you are under 18 it may be good to bring your mom or guardian with you to discuss consent.
  2. You pick the device up at the pharmacy of your choice (the box stores like Costco is usually the cheapest).
  3. Then you book your appointment during your period (towards the tail end is often the best) and take 800 mg of Ibuprofen 30 mins before your appointment.
  4. The whole insertion will usually take about 30 minutes. Most woman are OK to drive themselves home afterwards, although some get faint and dizzy so then we suggest you rest a bit before driving. It is a good idea to bring a support person with you to hold your hand but this is not essential. We often do STI swabs at the same time and can even do you PAP smear if you are due.
  5. We ask that you see us again in 4-6 weeks after the insertion so we can trouble shoot any problems and help you feel for the strings.
  6. After that you continue to see your healthcare provider yearly for a IUD check and continue with your PAP smears on your screening protocol every 1 to 3 years.
  7. When you are done with the IUD the removal is a very simple and relatively painless procedure. There is no sharp instruments needed like with the insertion. You are fertile again within 8 hours of the IUD being removed, so be sure to be ready!
  8. Most woman choose to reinsert the next IUD at the same time of removal so there is no interruption in contraception.

EMERGENCY CONTRACEPTION

Within 5 – 7 days After Unprotected Sex

If you need an emergency insertion please phone and make an appointment as soon as possible. We will probably do the discussion and insertion and tests all on the same day. We have some Copper IUD’s for sale in the case of an emergency.

Once the IUD is in you can leave it there and enjoy up to 5 years of not worrying about getting pregnant again.*