1) Indications and contraindications for IUD insertion.
– See this Powerpoint LINK for information

 2) Helping your patient choose an IUD.

For post-coital contraception, copper IUDs are 99.9% effective within 7 days; LNG-IUS (Mirena) are not effective.

For treating menorrhagia, LNG-IUS are more effective than oral contraceptives; copper IUDs increase bleeding.

For patients who have had hormonal side effects with oral contraceptives, such mood changes, decreased libido and weight gain, there is less chance that they will get these side effects from LNG-IUS. About 5% of patients have their LNG-IUSs removed for these reasons, but about 30% of people who had these side effects with other hormonal contraception also get them with LNG-IUSs.

Some people are eager to have their periods disappear and others find it disturbing and prefer to feel their natural cycles. With copper IUDS, one can expect 20-50% more bleeding and cramping.

Bayer sells two different levo-norgestrel releasing IUDs: Mirena and Kyleena. Mirena is licenced both for contraception and menorrhagia and about 70% of patients will lose their periods. Kyleena is smaller and has less hormones than Mirena. Mirena and Kyleena are licenced for 5 years.