I'll jump straight into my insertion story and leave my comments for the end, just in case you divas are short on time. First, finding a doctor.
Upon attempting to schedule an insertion appointment, one thing I found really interesting was that the doctor I was initially going to go with wanted to schedule two appointments. The first would be a birth control consultation, in which we would discuss whether I'd be a good candidate for the IUD. An authorization for the IUD would then be sought from my insurance company. The second would be the insertion appointment. I decided not to go with this doctor because I didn't want whoever I got to drive me to have to go to two appointments.
Second, push-back from Planned Parenthood. They wanted me to keep my Mirena for two more years.
I decided to go to Planned Parenthood because the last time I got a Mirena inserted with them, they inserted the Mirena the same day despite the fact that I was a new patient. I was tactfully asked why I wanted a new IUD, as my Mirena is only turning five years old. Planned Parenthood now states on their web site that the Mirena is good for seven years, even though their FDA approval is for five years. Thankfully, I was ready with an answer to this question. I said, I've done extensive research on this topic. I appreciate you telling me this. However, the studies (which I found here) which have been done so far have only been done on a small number of patients. Given that I have a permanent disability, pregnancy is not something I want to risk. If the FDA approval for Mirena changes, I would consider keeping a Mirena for seven years.
Once I was called in for my appointment, I was told that my Planned Parenthood location no longer carried the Mirena. They carried the Liletta, as they found it was easier to get insurances to pay for it. The Mirena, according to the assistant, costs around $1,200. The Liletta, she said, costs around $700. She also let me know that the Liletta is FDA approved for six years, unlike Mirena's five-year approval. I had already researched the Liletta before my appointment just in case I encountered this very scenario. And I decided that one extra year of FDA-approved protection was fine by me, especially since the amount of hormones contained in Liletta is the same.
The rest of my appointment was pretty textbook. I was given some animal crackers because I hadn't eaten in a few hours. I'd taken 800 mg of Ibuprofen about 45 minutes before my appointment time. I asked for a topical numbing agent for my cervix and my practitioner complied. I was told to cough while my uterus was being measured and again when the IUD was inserted. I asked for the strings not to be too short, as my last doctor, an older gentleman, had cut them really short.
I searched for an insertion story that was similar to mine. The last I could find was written three years ago, if I recall. The advice in the comments was based on two pieces of information which have now changed. Additionally, I wanted to share a perspective of someone with a disability which might help others who deal with chronic illness or disability and may be on the fence in regards to getting an IUD. As someone who has been a member of this community for seven years, I've read some amazing posts. I didn't want to add my voice to the mix unless I had something to add that was worth reading and not just a post re-iterating old content.
Finally, to the moderators, I would love to see a tag for Liletta. I found a few stories but had to do a sight-specific Google search to find them. I am happy to tag the entries I've found if the tag is added.