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Medium Blue
Jan 19, 2012
Hmmmm. I had a numbing agent applied. The effects can't last over a day, surely? Because unfortunately sex was kind of meh last night in a way it never has been, and it was pretty frustrating and also confusing. :(

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Geolicious
Oct 21, 2003

Our posturings, our imagined self-importance, the delusion that we have some privileged position in the Universe, are challenged by this point of pale light. Our planet is a lonely speck in the great enveloping cosmic dark.
Lipstick Apathy

Medium Blue posted:

Hmmmm. I had a numbing agent applied. The effects can't last over a day, surely? Because unfortunately sex was kind of meh last night in a way it never has been, and it was pretty frustrating and also confusing. :(

Aren't you supposed to wait two weeks after IUD insertion before getting it on again? It might be best to wait for a while and let your cervix bounce back before anymore sexyfuntimes.

Eggplant Wizard
Jul 8, 2005


i loev catte
My doctor said a week, but yeah. Mostly it's to let your cervix heal a bit and reduce the risk of infection. The doctor also said no baths, tampons, anything in there for that week.

eta: oh, I came here to post this:
Obama Administration Approves Rule That Guarantees Near-Universal Contraceptive Coverage

:woop:

Absolute Evil
Aug 25, 2008

Don't mess with Mister Creazil!

uberwekkness posted:

So is applying some things to numb the cervix not a universal thing? I hear both people getting numbing spray (and gel maybe?), like when I got it, but then I hear stories like the above and it makes me wonder.

I had my Mirena put in close to 10 years ago. My midwife didn't use any kind of numbing agent. She said if,for some reason something went wrong, how would you as a patient know if you can't feel anything? With my awesome tipped semi-bicornuate uterus, let me tell you that trying to measure my uterus with a sound was NOT fun. But it was over fairly quickly and there were no problems. I took 400 mg of ibuprofen before I went and then again 4 hours later and was fine after that.

That being said, vasovagal reactions have nothing to do with being able to tolerate pain or not. My mom (a very slender, boy-shaped woman) had 4 kids with no pain medication, 2 of us being 10+ pounds. For whatever reason though, pap smears make her faint and/or vomit every single time.

pizzadog
Oct 9, 2009

uptown posted:


The doctor and I chatted for a few minutes before she started the IUD procedure. She first swabbed my cervix with iodine in order to clean it, and then inserted a metal sound (a rod thingy with a spherical end) and measured the length the IUD would have to be, or something like that. IT HURT. I cannot even begin to describe the pain. It felt like I was getting stabbed, and I broke into a full-body cold sweat. I was literally gasping, whimpering, and moaning in pain. As an aside, I normally have a high pain threshold. I have tattoos, a split tongue, piercings where the sun doesn't shine, hell, I had my entire big toenail ripped off when someone accidentally kicked me in the foot when they walked past me. None of the "painful" things in my life have ever compared to that pain. But it got worse! The IUD insertion itself... My uterus clamped itself onto the IUD or something, and spasmed when she inserted it. It was horrible. I screamed. Not a shriek, a SCREAM. I was babbling "please stop" and other things like that, too. I felt like such a wimp :(

After she was done trimming the wire, she told me to take as long as I needed in the room to recover and then I could get dressed and go. She left the room after a few minutes, and I just lay there in fetal position trying to feel better. She checked up on me a few minutes later, too. When I thought I was okay, I got up to put my clothes on. I got my panties on, then realized I was going to pass out. I sat down with my head between my knees as my vision went blue. I lay down again, and phoned my mom in the waiting room and asked her to come sit with me. I am SO glad she had come with me, I would not have been able to get home on my own. At this point I was still a little incoherent, and wanted to cry. When I finally got my clothes on and was ready to leave, I asked my mom to buy me a pop so I could get some sugar into my system, and that made me feel a LOT better. I still had some cramping and general gross feelings, but by the time I got home, maybe a 30 minute drive, I was feeling almost good as new. Thank goodness, because the doctor had told me beforehand that if I had cramping, it could last for hours or even a few days.


I think you are describing the sounding, which is what feels like a really strong cramp for most people (did for me), but you clearly had a vasovagal reaction with it going through your cervix. Many people do have that reaction to cervical stuff as just discussed in this thread. hTat and the 'clamping onto' the cervix as I've heard it described is what usually causes it for folks. I'm fairly sure the back/top wall of the uterus doesn't have any sensation that you'd feel?, but that it can start cramping in reaction to the prodding (someone correct me if I'm wrong!). Anyway that sucks, and I really hope it at least gives you years of worry-free BC for that pain it was and I'm glad your mom was there for you.

I was given no numbing agent on my cervix and I was not prescribed that cervix-softening pill to take either beforehand, but I believe they told me to take ibuprofen a couple hours before. I think I was advised to have someone take me if I could, but I couldn't so drove myself, and luckily I didn't have any sort of bad reaction so I was fine driving myself home a few minutes later.

uberwekkness
Jul 25, 2008

You have to train harder to make it to nationals.
Well, the cervix was numbed, but I definitely felt things going on. It was just less intense than I'd assume it would be otherwise. Not like my whole vagina and uterus were numbed too, you know? And considering I got cramps pretty much the second the arms were extended (or whatever you call those things), I'd assume the abdominal pain that would have shown up if something went wrong too.

But I dunno, man, maybe I have a really beefy cervix or something.

Medium Blue
Jan 19, 2012
Oh. My doctor didn't say anything about abstaining for a while or about baths and things-up-there, and the little pamphlet they gave me before I left the clinic is equally silent on the matter.

And well done the Obama Administration! About time for a country like America, seriously.

uptown
May 16, 2009

Marshmallow Mayhem posted:

I think you are describing the sounding, which is what feels like a really strong cramp for most people (did for me), but you clearly had a vasovagal reaction with it going through your cervix. Many people do have that reaction to cervical stuff as just discussed in this thread. hTat and the 'clamping onto' the cervix as I've heard it described is what usually causes it for folks. I'm fairly sure the back/top wall of the uterus doesn't have any sensation that you'd feel?, but that it can start cramping in reaction to the prodding (someone correct me if I'm wrong!). Anyway that sucks, and I really hope it at least gives you years of worry-free BC for that pain it was and I'm glad your mom was there for you.

I don't know, the worst pain was when the arms of the IUD were extended, so maybe it was my uterus, or maybe that's when the reaction was at the most intense of its painfulness? I don't know...

Well whatever it was, it was horrible. I'll ask the doctor what the hell was going on when I go in for my follow-up, at the end of my period next month, and report back then.

On a happier note, I'm back feeling 100% fine, no residual cramping or anything. My doctor told me that I can't use my DivaCup or tampons until after my follow-up, so she can check on where the string/wire is sitting and trim it if necessary, which absolutely sucks. I haven't used a pad since junior high.

fork bomb
Apr 26, 2010

:shroom::shroom:

Eggplant Wizard posted:

eta: oh, I came here to post this:
Obama Administration Approves Rule That Guarantees Near-Universal Contraceptive Coverage

:woop:



Also came here to post this! I heard the story on NPR. They were discussing how Obama is giving religious hospitals, universities, and insurance providers an extra year before they have to comply with the act. Some representative for the Catholic organizations was saying how Obama was forcing people to buy birth control and how it's a form of religious persecution. :jerkbag:

What it really means is that these organizations will no longer be able to impose their religious beliefs on their patients, students, and employees. It's not like the Obama organization is enacting mandatory sterilization, they are simply making the #1 medication used by women available to everyone. I truly believe this is the most important step in women's reproductive rights since Margret Sanger's crusade and the pill revolution in the '60s.

uberwekkness
Jul 25, 2008

You have to train harder to make it to nationals.
I never heard of the sex or bath thing either (I've been talking baths all week :ohdear:)

What I was told is that you can have sex as soon as you feel comfortable enough to do so, as long as you have a backup birth control for the first week. Didn't matter so much to me, as my husband is in a different timezone right now, but whatever.

silicone thrills
Jan 9, 2008

I paint things
My doctor told me I could have sex that day with no back up but she didn't think i'd want to and she was right. I wasn't interested in sex for about 2 weeks after the insertion. (paragard)

Kerfuffle
Aug 16, 2007

The sky calls to us~

fork bomb posted:



Also came here to post this! I heard the story on NPR. They were discussing how Obama is giving religious hospitals, universities, and insurance providers an extra year before they have to comply with the act. Some representative for the Catholic organizations was saying how Obama was forcing people to buy birth control and how it's a form of religious persecution. :jerkbag:

What it really means is that these organizations will no longer be able to impose their religious beliefs on their patients, students, and employees. It's not like the Obama organization is enacting mandatory sterilization, they are simply making the #1 medication used by women available to everyone. I truly believe this is the most important step in women's reproductive rights since Margret Sanger's crusade and the pill revolution in the '60s.
This is fabulous news and that is a perfect gif. I can't wait. Also that article made me extremely annoyed for a second because I forgot how god drat Viagra has more coverage privileges than birth control I mean what the gently caress.

fork bomb
Apr 26, 2010

:shroom::shroom:

Kerfuffle posted:

This is fabulous news and that is a perfect gif. I can't wait. Also that article made me extremely annoyed for a second because I forgot how god drat Viagra has more coverage privileges than birth control I mean what the gently caress.

Completely agreed. I can't think of a better example of patriarchal institutionalization than that. Viagra et al allows men to have more sex. Birth control allows women to have sex while controlling pregnancy. Only one of these is "offensive" to the religious right. Sorry to get all feminist derail up in here but I feel this has been a long time coming.

Doc Fission
Sep 11, 2011



Hey, birth control thread! I recently switched pharmacies and they both have different generics for my birth control--I used to take Gianvi, and now I'm on the equivalent that the Rite-Aid stocks which is Loryna. I've been skipping my period for about two months now just 'cause it's been convenient! And I, uh, I'm going on a third.

So is it safe to say the increased spotting is because I've been skipping so many periods? :shobon: I've never skipped more than two sequentially, and incidentally I've never spotted so much.

fork bomb
Apr 26, 2010

:shroom::shroom:

Swillkitsch posted:

Hey, birth control thread! I recently switched pharmacies and they both have different generics for my birth control--I used to take Gianvi, and now I'm on the equivalent that the Rite-Aid stocks which is Loryna. I've been skipping my period for about two months now just 'cause it's been convenient! And I, uh, I'm going on a third.

So is it safe to say the increased spotting is because I've been skipping so many periods? :shobon: I've never skipped more than two sequentially, and incidentally I've never spotted so much.

If I'm reading this right, you switched to a different pill at the same time that you started skipping placebos? That makes it hard to guess whether it's your body adjusting to a new type of pill or if you're having breakthrough bleeding. Are you going to continue skipping? I know that when I was on Depo I eventually lost my rag, so I was period free for 2+ years. You could continue skipping your placebo week and hope the spotting goes away!

BigGayLogan
Feb 19, 2011

Quit moeing around like that, uguu~?

Swillkitsch posted:

So is it safe to say the increased spotting is because I've been skipping so many periods? :shobon: I've never skipped more than two sequentially, and incidentally I've never spotted so much.

When I used to be on the pill, after a few extended cycles (one period every three months) I decided to experiment with skipping the placebo pills completely. At first it worked fine, but about a month after I was "expected" to have my period, I began spotting nonstop. The only way to stop the spotting was to give myself a period during the next placebo week.

So to answer your question, yes the spotting could be a reaction to you skipping your periods. Be warned though, your next period may be SUPER-heavy! If you are looking for a birth control method that can completely stop your period, I cannot recommend the Mirena enough. This thread totally converted me. It's awesome, except for the insertion day but otherwise awesome :h:

bobula
Jul 3, 2007
a guy hello

uptown posted:


On a happier note, I'm back feeling 100% fine, no residual cramping or anything. My doctor told me that I can't use my DivaCup or tampons until after my follow-up, so she can check on where the string/wire is sitting and trim it if necessary, which absolutely sucks. I haven't used a pad since junior high.

I hadn't used pads in years either when I got my IUD in, and my vagina had apparently become violently opposed to them in that interim. I got ridiculous itchiness and rash and was miserable until I could stick my cup back in.

Minnesota Nice.
Sep 1, 2008
And miles to go before I sleep.
And miles to go before I sleep.

Absolute Evil posted:

I had my Mirena put in close to 10 years ago. My midwife didn't use any kind of numbing agent. She said if,for some reason something went wrong, how would you as a patient know if you can't feel anything? With my awesome tipped semi-bicornuate uterus, let me tell you that trying to measure my uterus with a sound was NOT fun. But it was over fairly quickly and there were no problems. I took 400 mg of ibuprofen before I went and then again 4 hours later and was fine after that.

I'm surprised you were able to get a Mirena. My doctor said absolutely not with a bicornuate uterus...because of perforation of the uterine lining and decreased effectiveness. :(

Absolute Evil
Aug 25, 2008

Don't mess with Mister Creazil!

Skywriter posted:

I'm surprised you were able to get a Mirena. My doctor said absolutely not with a bicornuate uterus...because of perforation of the uterine lining and decreased effectiveness. :(

Strange. I had mine in for a few years with no problems. I didn't have to deal with periods anymore, which for me was a godsend. I did still get cramps and they remained bad. I ended up getting it removed after only a couple years, but not because of any trouble with Mirena itself. Apparently it was nice and effective. My now-ex-husband and I never got pregnant while using Mirena (I had gotten pregnant with our son while being on the pill).

Apparently my uterus wasn't completely split. It is very mildly heart shaped so that could be why I was able to get it. It was apparently split enough that neither of my kids would/could get into the normal head-down position. One breech, one sort of in between breech/transverse.

eggrolled
Mar 6, 2006


I am enjoying my mirena thus far, but I'm still spotting and it's a bit annoying. How long did you other ladies with mirena spot for?

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.

eggrolled posted:

I am enjoying my mirena thus far, but I'm still spotting and it's a bit annoying. How long did you other ladies with mirena spot for?

About a month, for me. Now I have regular, but extremely light, periods.

BigGayLogan
Feb 19, 2011

Quit moeing around like that, uguu~?
I spotted for about ~3 weeks. No actual period since before the insertion (it literally stopped the second they put the Mirena in!) and hopefully it'll stay that way.

uberwekkness
Jul 25, 2008

You have to train harder to make it to nationals.
How consistently were you guys spotting? Aside from a few hours after insertion, I haven't really had any at all.

BigGayLogan
Feb 19, 2011

Quit moeing around like that, uguu~?

uberwekkness posted:

How consistently were you guys spotting? Aside from a few hours after insertion, I haven't really had any at all.

With me, the spotting didn't begin until a few days after insertion. Then it was pretty much on/off for the next couple weeks. Some days were lighter than others, but I did have a day or two where the amount was like a super light period until it stopped again a couple hours later. Bodies are weird.

Geolicious
Oct 21, 2003

Our posturings, our imagined self-importance, the delusion that we have some privileged position in the Universe, are challenged by this point of pale light. Our planet is a lonely speck in the great enveloping cosmic dark.
Lipstick Apathy
I'm probably getting Mirena next month (maybe March depending on work scheduling). Is the spotting you guys are talking about like pantyliner spotting? Or something a bit more substantial? I just want to buy the right supplies for right after. Will I be able to go back to tampons after the initial 2 week waiting period? I do not relish the idea of ever wearing a pad again.

eggrolled
Mar 6, 2006


For me it just requires a liner. I've had my mirena for around two weeks now. I have some normal pads as well but I've never needed more than the thinnest kind I could find.

Also after the first week or so you can go back to tampons or even a menstrual cup if you so choose.

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.
I'm the same. Even now with my "regular" period, at most I have to use a panty liner or a "light" day tampon.

Geolicious
Oct 21, 2003

Our posturings, our imagined self-importance, the delusion that we have some privileged position in the Universe, are challenged by this point of pale light. Our planet is a lonely speck in the great enveloping cosmic dark.
Lipstick Apathy
Thanks. I cannot wait to baby proof my uterus (as much as one can short of a tubal anyhow).

edit: I am not 100% sure and I am researching and making calls, but my insurance, which is provided through a Canadian company might be breaking Nevada law by not providing some manner of coverage on an IUD. I'm sure there's a loophole, but I will pursue it.

Geolicious fucked around with this message at 21:34 on Jan 23, 2012

Diving Buttress
Aug 20, 2002

oh jesus christ
Ok, I've posted about this before, but I have a question and I need to stop procrastinating. I can't take the pill anymore, and I don't want implanon or depo. That leaves the IUD as my main choice for reliable, long-term BC.

Last year I chickened out on finally getting a Mirena after my first insertion attempt was unsuccessful. The nurse practitioner couldn't get it in, and said my cervix was tipped downwards towards my back and she couldn't get a good angle. She said they might have better luck if they put me on a surgical exam table tipped back and use "a series of dilators" since my cervix was completely cramped up.

I have no idea what kind of "dilators" they are talking about, but it sounds painful. Does anyone have an idea how long they take with that stuff? Would it be unreasonable to ask for something stronger for pain/nerves for the insertion? I am not supposed to use ibuprofen or other NSAIDs because I'm on medicine for blood clots (higher risk of bleeding with NSAIDs), so her old advice of taking a huge dose of ibuprofen before the appointment won't work.

copy of a
Mar 13, 2010

by zen death robot
My insurance recently changed and my Nuvaring, which had been steadily going up in price anyway, suddenly jumped from being $20 to $50.
I'm not sure if I can afford that each month.
I use it for to not have babies, but mostly to stop my periods as a way to curb the pain from endometriosis. Pills never did much for me and I was always, always, always forgetting them (or I was not able to take them on time because I would be at work), making them unreliable. Depo threw me through a hormonal loop and basically hosed me up for the good part of two years, even though I only got one shot.
IUDs seem out of the question, because every time I go into my gyno and read the thingy on the wall about prices, my eyes bug out of my head. Are they not covered by insurnace? Are they? Are those the prices insurance pays or what I have to pay after insurance has paid? The cheapest one is something to the tune of $1500.

What other options do I have as far as birth control goes? Not condoms, because condoms won't stop my period?

Diving Buttress
Aug 20, 2002

oh jesus christ
That is probably the full out-of-pocket cost of the IUD. Insurance varies so you'll have to contact your insurance company. My insurance pays 70% plus whatever the doctor bills for the insertion office visit and I'm only responsible for the remaining 30% of the IUD's cost. Insurance companies usually negotiate a "maximum charge" with doctors/clinics, also. Last year an IUD would have cost me about $250 for the IUD if I'd have gotten it.

lou reed
Aug 20, 2005

How is babby made?
Are you in the US? Planned Parenthood and other clinics are good options for more affordable birth control since they charge on a sliding scale. I was quoted for a Mirena at around $300 when I was making a salary of about $32k. (I ended up with a paragard for slightly less.)

pizzadog
Oct 9, 2009

Insurance usually covers most of IUDs, you really have to ask the doctor's office to run your insurance policy through and see what it would cost you. My paragard was only $100 for me with my insurance, gyno office visits 1x a year was free (out of pocket anyway). If you have lovely insurance or low income, PP may be cheaper.

uptown
May 16, 2009
My insurance didn't cover my IUD. The company told me that it was only covered if the prescription explicitly said "to control excessive menstrual bleeding" or something of the like. If it was just to keep me baby-free, I had to pay for it all by myself. It was only $400 for me, though.

ladyweapon
Nov 6, 2010

It reads all over his face,
like he's an Italian.

lou reed posted:

Are you in the US? Planned Parenthood and other clinics are good options for more affordable birth control since they charge on a sliding scale. I was quoted for a Mirena at around $300 when I was making a salary of about $32k. (I ended up with a paragard for slightly less.)

Alternatively, I make less than 12k/year and paid nothing for my IUD through a state sexual health program (i think?). I don't get to see a regular doctor or anything, but as long as I'm making basically nothing then I can get my pap smear, std tests (if needed), birth control, etc for free.

copy of a
Mar 13, 2010

by zen death robot
Are IUDs ok for people with endo? Also my parents still claim me as dependant so I'm not sure if I'd qualify for assistance. :(

BigGayLogan
Feb 19, 2011

Quit moeing around like that, uguu~?

uptown posted:

My insurance didn't cover my IUD. The company told me that it was only covered if the prescription explicitly said "to control excessive menstrual bleeding" or something of the like. If it was just to keep me baby-free, I had to pay for it all by myself. It was only $400 for me, though.

That's weird. Couldn't you have lied and said you wanted an IUD for your period? Because that's the reason I'm on any type of birth control and my doctor actually encouraged me to get an IUD. Plus on Mirena's website and commercials and other media, they say that it's also approved for heavy/painful periods.

I'm still on my parents' insurance, and my Mirena was covered through them. I paid a total of around $35, including the copay. Even though IUDs are meant to last for several years and require minor surgery, for lack of a better term, I'm somewhat surprised at what some of you had to pay even with insurance! That's just not right...

NewsGunkie
Jul 23, 2007
Sometimes, there's a clog in the pipelines.
There's also the implanon, which is right around the same price as the Mirena and is a great second option if you have issues attempting to get the Mirena as I did.

Ceridwen
Dec 11, 2004
Of course... If the Jell-O gets moldy, the whole thing should be set aflame.

BigGayLogan posted:

Even though IUDs are meant to last for several years and require minor surgery, for lack of a better term, I'm somewhat surprised at what some of you had to pay even with insurance! That's just not right...

My school insurance was particularly sneaky about coverage for IUDs. After a couple years of lobbying from the NPs in the student health center they agreed to cover IUDs! Wonderful! Except there was a catch. They would only cover them if they were inserted at the student health center. Ok, seems fine. The NPs had all done training to learn to insert them, and worked out an arrangement with a doctor with a lot of IUD experience to come in for more complicated insertions/removals (including mine).

And then comes the catch. The insturance would only cover the IUDs if the devices were kept in stock at the health center. If they had to be ordered for each individual procedure, the coverage did not apply (because of some issue with the way billing for ordered supplies works). Because insertions were not common enough for the health center to keep them in stock (without risking losing a lot of money for ones that did not get used), they were stuck ordering them for each procedure and the insurance company was able to avoid paying for the IUDs.

I know the NPs were trying to work out a solution to the issue when I left, but if they did manage to find one it came too late for me. I was graduating and moving to a new school and had to pay out of pocket for my second Mirena because of it. The device itself runs a bit over $800. It wound up being one of my graduation presents.

I'd have been inclined to give the insurance company the benefit of the doubt and think they did not plan out the whole thing when they agreed to cover IUDs if they had not also tried to screw me out of coverage previously through similarly ridiculous routes (like applying the coverage rules from the previous year to a claim and then making me risk damage to my credit rating while they went through an several month long internal appeals process to fix their own mistake or refusing to cover allergy testing for my husband even when it was explicitly covered and jumped through all their hoops to get it done).

Silversiren, Mirena IUDs are a great option for many women with endo, but you will need to talk to your doctor about your specific situation. They reduce or eliminate periods with a much lower dose of hormones than most other methods and result in less bleeding in nearly all women who use them. The copper IUDs would not be recommended, as they can actually make periods worse (heavier, more painful) and definitely will not make them lighter or less painful.

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silicone thrills
Jan 9, 2008

I paint things

BigGayLogan posted:

Even though IUDs are meant to last for several years and require minor surgery, for lack of a better term, I'm somewhat surprised at what some of you had to pay even with insurance! That's just not right...

This is America. I had insurance through a very large high tech company when I got Paragard and it still costed me over $350 out of pocket.

We prefer people to have unwanted babies here in America because babies is precious.

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