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Hi Divas,
I created my account just to be a part of this community.
Today I went to Planned Parenthood to get a copper Paraguard inserted. I had done a lot of research and decided that was the right choice for me. I am married, not planning on having kids, and wanted a long term form of birth control. I have only ever used condoms and was ready to change. However, I am really scared of hormonal birth control because I have had a lot of struggles with bad anxiety and depression, and low libido. I know hormonal can cause or exacerbate these things and after working really hard to improve my life, I do not want to go back to those feelings.
So. Today I went to PP and everyone was very nice. The staff are great and the nurse practitioner who was going to do the insertion talked me through all of the things she would be doing. The cervical dialation and measuring of my uterus were excruciating. I actually yelled out a couple times and she had to ask me to stop squirming. She had to redo it because I had moved (involuntarily), which was doubly awful and then triply awful when she did it a third time to check her measurements. Anyway, then she told me she couldn't insert it because my uterus was too small. She said it was under 5cm. She said the Paraguard needed at least 5-6cm.
She then recommended that if I was looking to try something long term I could try the implant or maybe Skyla since it is smaller. I am so upset and frustrated because I did NOT want hormonal BC. What do I do? Has anyone had experience with these other options? Side effects? Is it worth trying out? This whole thing has just made me so angry that the responsibility ends up being almost entirely on the woman and we don't even have great choices. The single non-hormonal option is apparently unavailable to me and I am at a loss.
The NP said I could come back any time this month without an appointment and she would take care of me, which ever choice I made. But I don't even know if I want to make a choice. Even though I'm tired of buying and using condoms, I feel like that's the best I've got right now.



( 5 comments — Leave a comment )
Jan. 7th, 2017 12:29 am (UTC)
Hey there! I'm sorry you had such a rough time. Sounding and insertion can be really painful. Did you take anything before the procedure? Definitely ask your doc beforehand if you do end up getting an IUD placed.

So it looks like there is some experience with small uteri in our community:

It sounds like going back to get an ultrasound to verify that your uterus is that small (and that it wasn't a measurement error related to a retroverted uterus etc.) is a very good idea. If your uterus is that small, you could also call around to different gynecologists, explain the situation and how you are determined to try it, expulsions bedamned, and see if you can find someone that will place the copper IUD anyway.

Finally, it sounds like a smaller copper IUD may be available in Mexico (ProtecT, Implementos Plasticos, Ltd) but I could not find info in English on the size requirements. Canada may have other options as well. They are not available in the US at this time, though, which means going to another country to have them placed.

Depending on how you feel about having children in the future, you could also look into Essure coils or tubal ligation.

Best of luck!
Jan. 7th, 2017 05:15 am (UTC)
Seconding the potential usefulness of getting an ultrasound. My retroverted uterus, due to me having had a kid, was big enough that it fooled the doctor! She inserted the Paragard only to the "fold" in the uterus. Which, in the course of general moving around, shoved the Paragard down to live in my cervix later that month.

If you do have a retroverted uterus and wind up trying for the Paragard after all? 1: take a couple ibuprofen about 30 minutes to an hour before the appointment. And 2: INSIST (ahead of time) on getting the cervical anesthetic shot. It's not comfortable, but I've had insertions both ways and I HIGHLY recommend the shot. Two soundings and the IUD being horsed around the right angle turn in my uterus was very, very unpleasant and at least my cervix wasn't joining in the "fun" that time.

As snarky_24 says, there are smaller options in other countries -- Canada has a smaller version... Flexi-T, I think it is? So if you have friends you could visit and can afford it, there might be options.

Good luck!
Jan. 8th, 2017 04:15 pm (UTC)
I'm in the UK and was able to get a "mini" inserted. Reading the pamphlet its a Mini TT 380 Slimline IUD. Surely theres something similar available?
Jan. 9th, 2017 03:18 am (UTC)
In the US, we only have Paragard, Mirena, and Skyla at the moment that I know of. O:(
Jan. 9th, 2017 06:11 pm (UTC)
And Liletta, the new kid on the block I'm always forgetting about.

But we are sorely lacking in small copper IUD options.
( 5 comments — Leave a comment )

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