Manhattan Gynecologist Comments on High Retention Rate for IUDs Inserted After Delivery
As one of the top gynecologists in Manhattan, Dr. Pedram Bral is highly experienced at fitting IUDs, so he was interested to read about research into their retention after vaginal delivery.
In the past it has been suggested by some studies that IUDs are more likely to be expelled when immediately fitted following a normal childbirth. However, a recent study carried out at the Perelman School of Medicine at the University of Pennsylvania has found that around 85% of these IUDs are still in place six weeks later.
Researchers found IUDs placed immediately following delivery to be an effective way to prevent the adverse effects of close pregnancy spacing and to reduce unwanted pregnancies. Figures show that out of 6.1 million pregnancies that occur annually in the United States, 45% are accidental while 7% occur within one year following delivery. Having repeat pregnancies in rapid succession is associated with complications for both babies and mothers. Using a long acting and reversible contraception such as an IUD immediately after delivery can be the perfect way to prevent an unintended pregnancy.
Commenting on the study Dr. Bral said “I’m not surprised to hear IUDs are proving so useful immediately after delivery. They are a very effective form of contraception but are used by fewer than 5% of women under 30. One of the problems with IUDs is misinformation about the insertion process, but it takes less than a minute for a doctor to properly insert an IUD. Any discomfort is only temporary and it can provide years of painless and worry free birth control.”
There are two different types of IUDs that can be used and which are non-hormonal IUDs that are wrapped with copper, and hormonal IUDs that use the hormone progestin. Non-hormonal IUDs are chemical free and are minimally disruptive to the normal menstrual cycle. These IUDs emit copper ions to kill or confuse sperm. These IUDs can last 10 or 12 years while hormonal IUDs last anywhere from 3 to 5 years depending on the brand. A hormonal IUD uses a small amount of progestin, allowing mucus to form at the cervix and thinning of the endometrial inning, preventing pregnancy. These hormonal IUDs are also used to decrease heavy periods and treat some forms of precancerous endometrial conditions.
“One thing I find patients are often worried about is whether using an IUD will lead to weight gain” said Dr. Bral. “I’m happy to say there is no scientific evidence that any IUD can lead to weight gain and there have been numerous studies to back this up. Obviously an IUD won’t be right for every woman but it could be an option worth investigating.”
About Dr. Pedram Bral
Dr. Pedram Bral is recognised as being one of the top gynecologists in America and he is the Director of Minimally Invasive & Robotic Gynecologic Surgery at Maimonides Medical Center. Dr. Bral specializes in robotic and laparoscopic surgery and in minimally invasive surgery. He is actively involved in research and is currently Assistant Professor at New York College of Osteopathic Medicine. Dr. Bral is a member of the American Association of Gynecological Laparoscopy and he is a member of the American College of Obstetrics and Gynecology. Dr. Bral is dedicated to his patients, providing the highest standards of clinical care.
Dr. Pedram Bral is recognised as being one of the top gynecologists in America and he is the Director of Minimally Invasive & Robotic Gynecologic Surgery at Maimonides Medical Center. Dr. Bral specializes in robotic and laparoscopic surgery and in minimally invasive surgery. He is actively involved in research. Dr. Bral is a member of the American Association of Gynecological Laparoscopy and he is a member of the American College of Obstetrics and Gynecology. Dr. Bral is dedicated to his patients, providing the highest standards of clinical care.
University of Pennsylvania School of Medicine. (2016, May 13). High retention rate for IUDS inserted after vaginal delivery. ScienceDaily. Retrieved November 18, 2016 from www.sciencedaily.com/releases/2016/05/160513215313.htm
Manhattan Women’s Health & Wellness
Dr. Pedram Bral, Gynecologist (Gynecologist NYC, Midtown)
51 East 25th Street, Ste 403
New York, NY10010
(Between Madison Ave & Park Ave)
1 (212) 533-4575
Web Site: www.obgynecologistnyc.com
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