August 15th, 2013

Update: Question Regarding Misoprostal and Second Insertion - Should I use it?

I am a 37 year old nulliparous Mirena user and it is now time for my second Mirena. For this insertion, my doctor has prescribed Misoprostal to soften my cervix and make the insertion easier. Use one pill the night before my appointment and another pill the day of my appointment. I was not given this on my first insertion and things went well. I didn't have any problems during or after other than the usually cramping. Since I have never heard of Misoprostal, I decided to Google it and I am sort of concerned. The side effects aren't great (nausea, diarrhea, cramping, shivering, etc.) Because of these side effects, I have read some studies that show that it can make the pain of the IUD insertions worse. The cramping can be even more intense. Also, some of these studies show that taking the drug didn't really make insertion any more easier than for those who didn't take it.

My problem is some OB/GYNs state that in these studies, the participants weren't given enough time for the drug to really work. That if given correctly, it really can help soften and dilate the cervix.

I am worried because I don't want to take anything that will cause me any more pain at my appointment. However, when I had my first IUD inserted it was done during my period so my cervix was already dilated. Since I no longer have a period, that can't be a factor with this go around.

Has anyone been in this situation? Have you used Misoprostal? Advice?

Here are the links to two studies I found.

http://www.medscape.com/viewarticle/768018


http://www.ncbi.nlm.nih.gov/pubmed/22825094
  • jbug1

Skyla insertion

Hi everyone,
I made a few posts on my experience with the Paragard in the last 6 months, including insertion, a 4-month update, and when, much to my dismay, it was expelled about a month ago. My doctor recommended that I try the newly-released Skyla because it's smaller, and my uterus had sounded at the minimum allowable size for the Paragard. I had the Skyla inserted yesterday, and the insertion was very similar to the Paragard insertion - not too bad! I basically felt two cramps, one with the sounding and a longer, pokier one when the IUD was actually inserted. They were comparable to bad period cramps, and it was over before I knew it. After both insertions, I felt good enough to bike right back to work afterward. When the Paragard was put in, I had moderate cramps and spotting for the first few days, but with the Skyla I've had pretty much nothing so far. Today is only the second day, and already I'm not spotting anymore and the cramps have been no more than a 1/10 for pain since the insertion (the IUD is still there, I checked!).

The doctor told me that they won’t be able to order any more Skylas because Bayer didn’t make enough of them to handle the demand that they're getting! Apparently I got the second-to-last one that they have in stock at my ob/gyn. So if you want a Skyla, go get it soon!