Can You Get Pregnant With an IUD: Factors and Potential Underlying Causes To Consider

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By Jackelyn Cornejo , Parent Herald Mar 21, 12:10 pm

Photo: (Photo : VALENTINE CHAPUIS/AFP via Getty Images )

An intrauterine device (IUD) is a usually used reversible birth control method. Both hormonal and copper IUDs boast over 99% efficiency in avoiding pregnancy under typical usage circumstances. Nevertheless, there remains a slight probability of pregnancy despite having an IUD infusion.

Conceiving while an IUD is in place can pose danger, so it's essential to consult a healthcare provider urgently if pregnancy is suspected. Healthcare providers will study choices for concluding the pregnancy or managing it if continuation is desired.

The circumstances of pregnancy with an IUD, the possible reasons behind it, like danger to the pregnant woman and fetus, as well as applicable choices in such scenarios.

Can Pregnancy Be Possible with IUD

An IUD is a little, T-shaped device inserted into the uterus for long-term birth control. Hormonal IUDs (Kyleena, Liletta, Mirena, Skyla) and copper IUDs (Paragard) are the two main types.

Inserting an IUD is a straightforward method commonly done in a healthcare professional's office, involving insertion through the vagina and cervix. Two strings attached to the device remain visible through the cervix for monitoring purposes.

While IUDs are highly efficient, there's still a lesser chance of pregnancy, with failure rates as low as 0.02%. Numerous aspects add to this danger, including possible pre-IUD conception and variations in the IUD's effectiveness based on its type.

Copper IUDs, like Paragard, offer immediate protection by altering the uterine environment, rendering it inhospitable to sperm and eggs.

Hormonal IUDs, like Mirena or Kyleena, typically require about seven days to become effective, although immediate efficacy may occur if inserted during menstruation.

Additionally, pregnancy might occur if the IUD shifts position, partially or entirely leaving the uterus (known as expulsion), or if it surpasses its recommended expiration date.

Signs of a displaced IUD include the absence of strings, altered string length, palpable presence of the device, pelvic discomfort, abnormal vaginal bleeding, or changes in discharge.

Signs and Symptoms of Pregnancy with IUD

If pregnancy occurs with an IUD, typical early signs like missed periods, nausea, headaches, breast changes, fatigue, mild cramping, or light spotting may manifest. These symptoms can overlap with those caused by the IUD itself, warranting consultation with a healthcare provider for clarification.

Consider taking a home pregnancy test if pregnancy is suspected, following instructions carefully. It's recommended to tell healthcare providers directly for confirmation and further supervision.

Although uncommon, pregnancy with an IUD poses danger such as ectopic pregnancy, miscarriage, preterm delivery, uterine or fetal infections, and growth difficulties.

Seeking promptly for medical attention is essential if pregnancy is suspected, enabling suitable management and lessening probable difficulties.

Risk and Deciding Factor on Pregnancy

In cases where termination is considered necessary due to health risks or ectopic pregnancy, healthcare providers can offer medication or surgical interventions depending on the pregnancy stage.

Should continuation of pregnancy be desired, healthcare providers typically remove the IUD to mitigate risks, although the pregnancy remains high-risk. Despite increased risks, delivering a healthy baby is feasible with proper monitoring and management. While highly effective, IUDs pose a minimal risk of pregnancy.

Prompt consultation with a healthcare provider is essential if pregnancy is suspected, enabling timely intervention and appropriate decision-making regarding termination or continuation of pregnancy.