IUDs: Replacing Your Old Device and Insurance Coverage - Obstetrics and Gynecology

Share to:

Contraceptive device


Hello Doctor: Five years ago, I had an intrauterine device (IUD) inserted at Taichung Hospital.
I am considering replacing it with a new IUD (Mirena) that I found online.
What are its effects? Is there any insurance coverage for it?

Xiao Qian, 30~39 year old female. Ask Date: 2004/03/26

Dr. Shi Chengyang reply Obstetrics and Gynecology


The National Health Insurance does not provide subsidies, and our hospital does not have the Mirena intrauterine device (IUD) available.

Reply Date: 2004/03/26

More Info


When considering the replacement of an intrauterine device (IUD), there are several important factors to keep in mind, including the type of IUD you are considering, the potential side effects, and insurance coverage.

Firstly, the IUD you mentioned, "Mirena," is a hormonal IUD that releases levonorgestrel, a form of progestin. It is known for its effectiveness in preventing pregnancy and can also help reduce menstrual bleeding. Many women find it beneficial for managing heavy periods and may experience lighter or even absent periods over time. However, individual reactions can vary. Some common side effects include irregular bleeding, cramping, and hormonal side effects such as mood changes or headaches. It's essential to discuss these potential side effects with your healthcare provider to determine if Mirena is the right choice for you, especially if you have had a different type of IUD previously.

Regarding the replacement process, it is generally straightforward. Your healthcare provider will remove the old IUD and insert the new one during the same visit. This can usually be done in an outpatient setting, and while some discomfort may be experienced during the procedure, it is typically brief.

As for insurance coverage, this can vary significantly based on your specific health insurance plan. In many cases, IUDs, including Mirena, are covered under health insurance plans, especially if they are prescribed for contraceptive purposes. In the United States, the Affordable Care Act mandates that most health insurance plans cover preventive services, which include contraceptive methods. However, coverage can differ based on the plan, so it is advisable to contact your insurance provider directly to inquire about coverage for the Mirena IUD, including any associated costs for the procedure of insertion and removal.

If you are considering switching from one type of IUD to another, it is also a good opportunity to discuss your reproductive health goals with your healthcare provider. They can help you assess whether an IUD is still the best option for you or if other forms of contraception might be more suitable based on your health history and lifestyle.

In summary, replacing your IUD with a new one like Mirena can be a beneficial decision, especially if you are looking for effective long-term contraception. Be sure to discuss any concerns or questions with your healthcare provider, and check with your insurance company regarding coverage to ensure you are fully informed about the financial aspects of the procedure.

Similar Q&A

Understanding the Risks of Leaving an Expired IUD in Place

I had a Kaplan contraceptive device implanted in my arm in 1995, and this morning the warranty period has expired, but it has not been removed yet. If I do not wish to have a new one inserted, can I leave it in? What complications or side effects might occur if it is not removed?


Dr. Shi Chengyang reply Obstetrics and Gynecology
If you do not wish to have a new one inserted, you can choose not to remove it. If it is not removed, there will be no significant issues or side effects.

[Read More] Understanding the Risks of Leaving an Expired IUD in Place


Challenges in Removing a Mirena IUD: Expert Insights and Solutions

Currently living abroad, this is my second intrauterine device (IUD), which I have been using for nearly five years. When I went to the clinic to replace the IUD, the doctor was unable to locate the original IUD despite using various tools. An ultrasound revealed that the IUD has...


Dr. Wu Xianghui reply Obstetrics and Gynecology
1. Hysteroscopy can be performed for removal. 2. If removed after more than 5 years, there is no guarantee of effectiveness for contraception and treatment of adenomyosis. (The intrauterine device itself increases the risk of pelvic inflammatory disease.) 3. No.

[Read More] Challenges in Removing a Mirena IUD: Expert Insights and Solutions


Concerns About Long-Term IUD Use in Women Over 50

Hello Doctor: I would like to ask a question about an IUD. My godmother is 58 years old and has had an IUD for many years, but she hasn't had it checked for 3 to 4 years. Is that okay? She still engages in sexual intercourse with her husband two to three times a month. What ...


Dr. Chen Changfu reply Obstetrics and Gynecology
The purpose of inserting an intrauterine device (IUD) is for contraception; however, it significantly increases the risk of uterine infections and pelvic inflammatory disease. For a 58-year-old woman who has already reached menopause, is not at risk of pregnancy, and does not req...

[Read More] Concerns About Long-Term IUD Use in Women Over 50


Improving Access to Medical Records for IUD Replacement in Taiwan

I initially had an intrauterine device (IUD) inserted at the Chung Hsing Hospital branch, which typically needs to be replaced every 3 to 5 years. However, due to changes in your hospital's service hours, I can only visit the Nantou branch for consultations on Saturdays. I o...


Dr. Jian Hongmou reply Obstetrics and Gynecology
Our medical record connection between Nantou and Chung Hsing Hospital started in March 2002. After the connection, the time when patients had their intrauterine devices (IUDs) inserted can be checked through the electronic medical records. For your inquiries, please call the Obst...

[Read More] Improving Access to Medical Records for IUD Replacement in Taiwan


Related FAQ

Intrauterine Device

(Obstetrics and Gynecology)

Iud

(Obstetrics and Gynecology)

Birth Control Pills

(Obstetrics and Gynecology)

Tampon

(Obstetrics and Gynecology)

Condom

(Obstetrics and Gynecology)

Health Check-Up

(Obstetrics and Gynecology)

Sexually Transmitted Disease

(Obstetrics and Gynecology)

Medication Consultation

(Obstetrics and Gynecology)

Intrauterine Drug Delivery System

(Obstetrics and Gynecology)

Vaccination

(Obstetrics and Gynecology)