Birth Control Options Until IUD Placement
A progestin-only pill (POP) such as norethindrone is an excellent temporary contraceptive option until a copper IUD can be placed. 1
Progestin-Only Pills as Temporary Contraception
Progestin-only pills are highly effective when used perfectly, with a failure rate of only 0.5%, though typical use effectiveness is around 95% due to missed or late pills 1. Key benefits include:
- No increased risk of thrombosis 2
- Can be started immediately
- Fully reversible upon discontinuation
- Safe for most women who cannot use estrogen-containing contraceptives
How to Use Norethindrone (POP)
- Take one tablet every day at the same time
- Administration is continuous with no breaks between packs
- Maximum effectiveness requires strict adherence to timing 1
- Use backup contraception (condoms) for the first 7 days after starting 3
Copper IUD Information
The copper IUD (ParaGard) is a highly effective long-acting reversible contraceptive (LARC) with several advantages:
- Effective for up to 10 years 3
- Typical and perfect use failure rates less than 1% 3, 2
- Non-hormonal option
- Can also be used as emergency contraception up to 5 days after unprotected intercourse 3
- Safe for nulliparous women 3
What to Expect with IUD Placement
The copper IUD placement procedure:
- Usually takes 5-10 minutes 3
- Can be done during any point in the menstrual cycle 3
- May cause some discomfort or cramping
- Taking NSAIDs (like naproxen 500-550mg) 1 hour before the procedure can help reduce discomfort 3
Preparing for IUD Placement
- Eat a light meal and stay hydrated before your appointment 3
- Consider bringing a support person 3
- Wear comfortable clothing (separate top and bottom garments are helpful) 3
- Some women experience dizziness after placement, so consider arranging transportation 3
Important Considerations
- Bleeding patterns: The copper IUD may increase menstrual bleeding and cramping 2, while POPs can cause irregular bleeding patterns, which is the most common reason for discontinuation 4, 5
- Effectiveness comparison: While both methods are highly effective, LARCs like the copper IUD have higher typical use effectiveness (>99%) compared to POPs (95%) 2, 1
- Follow-up: No additional contraception is needed immediately after copper IUD placement 3
Potential Challenges
- Some clinics may require two or more visits for IUD placement 6, so starting a POP provides immediate protection
- Menstrual irregularities with POPs may occur but are generally manageable for short-term use 4, 5
- Strict adherence to taking POPs at the same time each day is crucial for maximum effectiveness 1
The progestin-only pill provides excellent temporary contraception while waiting for your copper IUD appointment, with the added benefit of being immediately effective when taken as directed.