9:12 am - 08/13/2006

Mirena (IUD) for women who haven't given birth

I was at a friends last night, lamenting about birth control options, and she mentioned her doctor suggested she consider Mirena. She had a DVD, so we watched it and it said over and over again that Mirena was for moms (she has two kids).

I'm combing the Mirena site and the internet and I can't find why Mirena isn't for women who haven't given birth.

Does anyone know? Can it be prescribed for women who haven't had kids but want to some day?

Thanks.
jocelina 13th-Aug-2006 04:25 pm (UTC)
Women who haven't had children can most definitely use the Mirena (or any other IUD). Some doctors are reluctant to prescribe IUDs to women who haven't had children because there is a greater risk that the IUD will expel, but many many women who haven't had children use IUDs for birth control with great success and have no problems with expulsion. :)

I have no children myself, but I'm planning on getting a Mirena in the near future, with my doctor's full support. If you want one yourself, you might have to do a little searching to find a physician who will be supportive, but they are not as rare as they once were.
loonylupinlover 13th-Aug-2006 04:30 pm (UTC)
I believe because IUDS do slightly increase the risk of things like pelvic inflammatory disease and STD transmission, and could potentially perforate the lady bits, that doctors are hesitant to prescribe them to women who don't already have children, as there is a small chance using an IUD could lead to infertility due to disease or trauma. Also, they are long-term -- 5 years for Mirena (IUD that emits progestin), 10 years for Paraguard (copper IUD). They will happily prescribe them to women who have already had children because then even if they become infertile, they have already utilized their fertility. Women who never want children often have a really hard time finding someone who will prescribe them, even if they are adamant about not caring if their fertility is compromised, because of this.

So, it can PHYSICALLY be prescribed for women who haven't had kids yet, but you may need to do a LOT of searching before you find a doctor willing to take even that small risk of damaging your fertility and then getting sued. IUDs are much safer than they used to be, but there's still a lot of stigma surrounding them from the 70s/80s when IUD-related PID was more common, and many doctors will only do them for mothers.
liquorlyles 13th-Aug-2006 05:07 pm (UTC)
Yes, people who have no had children can have it! I have it and I'm only 18, never had children. My doctor wasn't even hesitant she knew that the Mirena was for me and she considered other factors like my previous health and what kind of relationship I'm in (monogomous) since certain STDS that could be caught from having numerous partners can put you at risk for getting pelvic inflammatory disease which can lead to future infertility. Also it might be easier for a woman who has had children to put the IUD in (in my case it was really hard, other np woman it hasn't been hard) and theres less chances of expelling if you have had children.
zellie_bean 13th-Aug-2006 05:38 pm (UTC)
My doctor suggested IUD options for me and I'm childfree and 23. Even if I wanted kids (which I don't) I would adopt and IUD isn't permanent so I said nooo thank you. Sterilization plz :D
krasota 13th-Aug-2006 05:56 pm (UTC)
The video was marketing and it was directed toward a specific demographic--women who have already given birth.
breathless_girl 13th-Aug-2006 07:43 pm (UTC)
I wore an IUD for 7 years - the Copper 7. Against my doctor's advice. For some strange reason I thought I didnt want children. Later I did, had the darn thing removed and couldnt conceive. The doctor had warned me that might happen.

I have a history now of PID and Endo which I didnt have before all this started. I had made the IUD decision after having an abortion. Bad choices all the way around.

After MANY years and tears I finally conceived one child. Thats just me and the Copper 7. Dont know about the one you mentioned.
socal1968 13th-Aug-2006 08:13 pm (UTC)
Yes, it can, and is. Just not very often, unfortunately.

Here's a reason according to an article at the American Academy of Family Physician's website. http://www.aafp.org/afp/20050101/95.html

"Recommended Patient Profile and Contraindications

IUDs are for parous women who are in a stable, mutually monogamous relationship, with no history of PID. Although not contraindicated in this group, nulliparous women tend to have higher expulsion and failure rates, and also offer more challenging insertion because they have a smaller uterine cavity.7"


So it's not recommended for those reasons, but you can get one if you can find a practicioner who will take a chance on you.

An additional thing they didn't say is that if the cervix has not been opened (as during childbirth or a medical abortion), then insertion tends to be more painful and difficult.

If you go to Mirena's FAQ portion of the website, you'll see
Q. Who can use Mirena?
A. Mirena is most appropriate for women who:

* Have had at least 1 child

etc... http://www.mirena-us.com/faq.html?C=&c=#whocanuse

You'll also notice nowhere on the site does it say a woman without children should not use Mirena.



Finally, you might want to check out all the great information compiled by the superstars in the IUD_Divas community memories page. Here's a link to the FAQ post.

http://community.livejournal.com/iud_divas/218168.html
v_willendorf 13th-Aug-2006 11:38 pm (UTC)
My gyn suggested it to me when I was looking at birth control options, and I haven't had children and don't plan to. I didn't really like the idea of it in me, so I am actually getting my tubes tied :)))
laughing_dreams 14th-Aug-2006 04:56 pm (UTC)
i have the paragard iud (another iud option) and one doctor was refused to give me an iud because i'm nulliparous i went to a second gyno who then listened to me and asked me what kind of iud i wanted and i said i had no preference and he advised the paragard for me but would have given me the mirena had i asked ( i just didn't want the hormones)
ladysquest 14th-Aug-2006 05:33 pm (UTC)
I have a mirena- never had kids, never been pregnant, want kids someday. My doctor had no problems with me getting one. And I love, love, love it!
paraxeni 15th-Aug-2006 03:28 pm (UTC)
I have a Mirena. I have no kids, never been pregnant, I'm actually a lesbian! It's made my quality of life improve dramatically because it got rid of my horrific periods.
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