March 14th, 2013

  • acs80

LEEP procedure with IUD

Hi there!

I've had a Paragard (copper) IUD since March of 2009 and absolutely love it. It was a "last resort" kind of birth control after trying everything else under the sun, and so far, it has been ideal for me. But unfortunately, six months ago I went in for my pap smear and it came back with an abnormal LSIL (Low grade squamous intraepithelial lesion) reading, which, as I understand, is relatively common and low-grade but still abnormal. So I had to have a colposcopy, which showed extremely minor dysplasia, so the doc told me to come back in 6 months to have another pap smear. She said that in something like 80% of cases such as mine, the dysplasia just goes away on its own, but if it doesn't and the dysplasia is still there, I will need to get a LEEP procedure (a procedure where abnormal tissues are cut off of the cervix). The most upsetting thing she told me, though, is that if I do have to get the LEEP, I will have to get my IUD removed, too. This was so hard for me to hear, I started to cry in her office. I really have no other good options for birth control other than this IUD. I tried at least eight different BC pills, including the ring and the patch, I can't use sponge/diaphragm etc. because I'm very prone to UTIs and they are huge irritants, and condoms, while I guess always an option, are just not reliable enough for me (plus, I just hate using condoms, what can I say?).

I was wondering if anyone has had an experience like mine above, where they needed to get the LEEP and were allowed to keep their IUD? I don't know if this is standard operating procedure for all LEEPs, or if this is just what this one doctor was saying. I'm going to a new doctor next week for the six month pap, which, I'm hoping against hope, will be back to normal, but if not, I guess I will have to face the music. Starting to get a little nervous in anticipation and was hoping someone here might have some experiences to share!

Thank you so much for your help!!!!

Is sounding necessary with Mirena?

Okay, here's where I stand now -

Tried one Paragard insertion. Cervix reacted like it was being invaded by Barbarians hordes and decided to shut down. Could not complete attempt. Doctor gave me Implanon and told me to try it out for a few weeks to few months. Long story short - so far, I'm not really a fan, and I still like the idea of an IUD. I was very hesitant about the idea of Mirena, because I have a terrible history with levongesterel, the hormone in it (Alesse and Seasonale both messed me up). My doctor still thinks Mirena is worth a shot - it has a FAR lower dose than the pills, and the hormome mostly remains localized to the uterus, so it may be far better for me. I'm receptive to his argument and think it might be worth it.

Here's my dillema - The last insertion attempt, the sound is what did me in. This time, my doctor has agreed to use a cervical block, which can sometimes relax it. However, the sound still freaks me out. However, I've heard that the Mirena insertion device has a sound actually on it. Does this make the initial sounding uneccessary and that there will only be insertion? Or will the sounding still have to happen? Has anybody had Mirena inserted this way?