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Birth Control - Frequently Asked Questions It is a device inserted into the uterus and can remain in place for up to 5 years. Unlike the Para Guard IUD, Mirena contains the hormone progesterone. The IUD can be removed at any time before its 5 year limit if the patient desires to become pregnant. The IUD is inserted by a healthcare professional during a woman's menstrual period. In order to be eligible for an IUD, you must have a medical exam, including your medical history, internal examination, Pap Smear, cervical and vaginal cultures. It is 99% effective. The first several periods after the IUD is inserted can be heavier with you may experience more cramping. Usually the periods and cramps become lighter after 9 to 12 months. There is a small, but increased risk of ectopic pregnancy, PID, bleeding between periods, uterine cramping, and unwanted pregnancy. Ovarian cysts, Deep Vein Thrombosis and decrease or loss of menses may occur. The IUD may fall out of the uterus, or there may be a perforation of the uterus (IUD punctures the uterus). IUD's do not protect against HIV or other STDs.
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