Infertility? Painful Sex? 10 Myths You Didn't Know About IUDs & Implants (LARCs)!

When it comes to contraception, there are many myths and misconceptions, especially about Long-Acting Reversible Contraception (LARCs) like IUDs and implants. These myths can create unnecessary worry and prevent people from choosing the best contraceptive option for them. Let’s set the record straight by debunking some of the most common myths about LARCs.

One of the most persistent myths is that using IUDs will make it harder to conceive in the future. This is completely false. IUDs do not cause infertility. Once an IUD is removed, fertility quickly returns to normal. Infertility is no more likely after stopping IUD use than after discontinuing other forms of contraception. Concerns about infertility related to IUDs stem from outdated ideas about increased risks of sexually transmitted infections (STIs). While untreated STIs can lead to pelvic infections and, in rare cases, infertility, modern IUDs do not increase the risk of STIs.¹

Ectopic pregnancies, where a fertilised egg implants outside the uterus, are serious but rare.² There’s a misconception that using an IUD increases this risk. The fact is, an IUD does not cause ectopic pregnancies. If a woman becomes pregnant with an IUD in place, the likelihood of an ectopic pregnancy is slightly increased, but the overall risk remains lower compared to using no contraception.³ IUDs lower the likelihood of pregnancy overall, which consequently reduces the risk of ectopic pregnancies.

Another myth suggests that if a woman using an IUD develops an STI or pelvic inflammatory disease (PID), the device must be removed immediately. This is not true. If treated promptly, and symptoms improve within a few days, the IUD can stay in place. It is essential, however, to get treated with antibiotics as soon as possible and to follow up with a healthcare provider if symptoms persist.⁴

There’s a common misconception that LARCs, particularly IUDs, are only appropriate for women who have already had children. This is a myth. LARCs are a safe and effective option for most women of reproductive age, whether or not they’ve had children. They provide long-term protection and can be removed whenever the woman is ready to try for a baby.⁵

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The fear of pain is a common reason why some people avoid getting an IUD or implant. However, the procedure to insert these devices is generally quick and involves only minimal discomfort. Healthcare professionals use local anaesthetic to numb the area, making the insertion process as painless as possible. While some may experience mild cramping or discomfort afterwards, it usually subsides quickly.⁶

There’s also a misconception that LARCs are not suitable for use right after childbirth. In reality, an IUD can be fitted at any time during the menstrual cycle. While some healthcare providers prefer to insert it during a period due to the cervix being slightly softer, there is no medical necessity for this timing.⁷

There’s a myth that IUDs can interfere with sexual activity or reduce pleasure. LARCs, such as IUDs and implants, are intended to be convenient, long-term contraceptive options that require minimal maintenance. Once in place, they shouldn’t be felt by either partner during sex. If an IUD string is noticeable, a healthcare provider can adjust it to be more comfortable.⁸

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Some worry that using LARCs will cause long-term irregular periods. Although LARCs can cause changes in menstrual cycles, these effects are usually temporary. For example, hormonal IUDs might cause lighter periods or make them stop altogether, while copper IUDs could initially cause heavier periods.⁹ However, these effects usually stabilise over time, and normal cycles return after removal.¹⁰

There’s a myth that LARCs are unsafe for younger women or teenagers. Nevertheless, LARCs rank as some of the safest and most reliable contraceptive options for women across different age groups. They provide reliable, long-term protection without the need for daily attention, making them an excellent choice for young women looking for hassle-free contraception.¹¹

Many believe that LARCs can’t be used immediately after giving birth. IUDs and implants can be safely inserted right after childbirth, providing effective contraception from the get-go. This can be particularly convenient for new mothers who may want to space their pregnancies or avoid another pregnancy soon.¹²

Empower Your Reproductive Health with Informed Choices!

Having the right information is crucial when selecting the contraceptive method that best suits your needs. LARCs are safe, effective, and convenient options that offer long-term protection without the need for daily attention. Clearing up these misconceptions can help you make better-informed choices about your reproductive health.

References

1. “The intrauterine device, pelvic inflammatory disease, and infertility: the confusion between hypothesis and knowledge.” PubMed, https://pubmed.ncbi.nlm.nih.gov/1426307/. Accessed 21 August 2024.
2. “Ectopic pregnancy.” The Royal Women's Hospital, https://www.thewomens.org.au/health-information/pregnancy-and-birth/pregnancy-problems/early-pregnancy-problems/ectopic-pregnancy. Accessed 21 August 2024.
3. “Tubal ectopic pregnancy - PMC.” NCBI, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907783/. Accessed 21 August 2024.
4. Casey, Frances E. “Intrauterine Device (IUDs; IUD) - Intrauterine Device (IUDs; IUD).” MSD Manuals, https://www.msdmanuals.com/professional/gynecology-and-obstetrics/family-planning/intrauterine-device-iuds-iud. Accessed 21 August 2024.
5. “Long-Acting Reversible Contraception (LARC): Intrauterine Device (IUD) and Implant.” ACOG, https://www.acog.org/womens-health/faqs/long-acting-reversible-contraception-iud-and-implant. Accessed 21 August 2024.
6. “What Happens After Birth Control Implant Insertion?” Planned Parenthood, https://www.plannedparenthood.org/learn/birth-control/birth-control-implant-nexplanon/what-happens-when-the-birth-control-implant-is-inserted. Accessed 21 August 2024.
7. Medel, M. “Timing of the IUD insertion.” PubMed, https://pubmed.ncbi.nlm.nih.gov/467054/. Accessed 21 August 2024.
8. “Will my partner feel my IUD during sex?” ACOG, https://www.acog.org/womens-health/experts-and-stories/ask-acog/will-my-partner-feel-my-iud-during-sex. Accessed 21 August 2024.
9. “Long-Acting Reversible Contraception Implants and Intrauterine Devices.” ACOG, https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2017/11/long-acting-reversible-contraception-implants-and-intrauterine-devices. Accessed 21 August 2024.
10. “Fact Sheet - Irregular bleeding while using LARC - (Long Acting Reversible Contraception).” WSLHD, https://www.wslhd.health.nsw.gov.au/ArticleDocuments/1023/Irregular%20bleeding%20on%20LARCS%20FINAL%20Aug%202018.pdf.aspx. Accessed 21 August 2024.
11. Karjane, Nicole W. “What I Wish All Teens Knew About Long-Acting Birth Control.” ACOG, https://www.acog.org/womens-health/experts-and-stories/the-latest/what-i-wish-all-teens-knew-about-long-acting-birth-control. Accessed 21 August 2024.
12. “Using Long-Acting Reversible Contraception (LARC) Right After Childbirth.” ACOG, https://www.acog.org/womens-health/faqs/using-long-acting-reversible-contraception-right-after-childbirth. Accessed 21 August 2024.

Disclaimer

The information provided in this article is intended for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article. 

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