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What Are the Disadvantages of an IUD?              It's important to think about the possible side effects of using an IUD.
You may have

• mild to moderate pain when the IUD is put in
• cramping or backache for a few days
• spotting between periods in the first 3–6 months 
• irregular periods in the first 3–6 months — with Mirena 
• heavier periods and worse menstrual cramps — with ParaGard

Pain relievers can usually reduce bleeding, cramping, and other discomforts. If they are severe and do not seem to lessen, tell your health care provider.
Serious problems with the IUD are rare. There are three main things to watch out for when using an IUD:

• The IUD can sometimes slip out of the uterus. Sometimes it comes all the way out. Sometimes it only comes out a little. This is more likely to happen to women who are younger and who have never had a baby. If the IUD slips out of place, pregnancy can happen. If it comes out only part of the way, it has to be removed.
• In rare situations, a woman could develop an infection when using the IUD. This happens if bacteria get into the uterus when the IUD is inserted. Most infections develop within three weeks of having the IUD inserted. If the infection is not treated, it can affect a woman's ability to become pregnant in the future.
• In very rare situations, when the IUD is inserted, it can push through the wall of the uterus. This might sound painful, but it usually isn't. Usually, when this happens, the health care provider will notice it and it can be fixed right away. But if not, the IUD can move around and harm other parts of the body. When this happens, surgery may be needed to remove the IUD.

How Soon After Getting an IUD Can I Have Sex?              You can have sex as soon as you like after the IUD is inserted.

• The ParaGard IUD is effective immediately.
• The Mirena IUD is effective immediately if inserted within seven days after the start of your period. If you have Mirena inserted at any other time during your menstrual cycle, use another method of birth control like a condom , female condom , or spermicide if you have vaginal intercourse during the first week after insertion. Protection will begin after seven days.

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