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14 April 2009 @ 06:15 pm
This is also posted on IUD Divas. I am taking the plunge and getting a Paragard IUD this Thursday afternoon. I have a few questions about using a menstrual cup with the IUD that I  hope you guys can help me out with. Thanks so much for your help; this community is so supportive and I appreciate it so much.

1. I hate, hate, hate pads. I'm thinking about buying some cloth ones. When they tell you not to use internal menstrual products for a while after insertion is that because of the risk of infection or expulsion or both? How long do you guys think it is reasonable to wait before using tampons or a cup? I've also heard of people using sponges right after insertion. Would that be less of a risk for some reason?

2. I've read on a poll on IUD Divas that using a cup seems to pose the same amount of risk of expelling the IUD as using tampons and that you should "be careful" when using them.
    I just bought a miacup and have only used it for one period (I'm on day 5 now). It is working really well for me. I had a Keeper several years ago but it kept leaking and I gave up on it.
    Which is to say that I don't have a ton of experience with cups but would like to be able to use mine with my IUD. I have fairly long vagina so removal is a little bit difficult. I have been bearing down, grasping the tab with one hand and inserting a finger of the other hand to break the suction. I seem to need to get the finger over the rim of the cup, pinching the base doesn't work. It usually comes out smooched in half and is a little messy.
    I feel concerned about using the cup as I'm not experienced with it. Is the risk only from getting the strings caught or can the IUD really be pulled on from the suction of the cup? I'm also not sure what I can do to "be careful" when removing it. Should I be running my finger all the way around the rim to make sure the strings aren't caught between the vaginal wall and the cup? And if using a tampon has the same risk as the cup what can I do to prevent the strings from being caught by a tampon? Are sea sponges any safer?

I'm sorry but I still can't figure out how to put this behind a cut. The Livejournal help gave so many ways to do it and I don't know anything about html. Could somebody send me a link to the correct directions?

Thanks for your help.
 
Psyche The Sanepsychethesane on April 15th, 2009 01:50 am (UTC)
lj-cut
html gets marked by brackets like these ones: < and >. If you type lj-cut between the brackets (without spaces between the brackets and the text) that is how to do the most basic lj-cut. you just type that wherever you want the lj-cut to be in your post.
so, to review: type what you want to be shown on the main page, then type < lj-cut > (without the spaces) and then type whatever you want to show up when people click on the cut. That's all.
iudmamaiudmama on April 15th, 2009 02:38 am (UTC)
I think that was maybe the poll I posted...
One third (8 out of 24) of the cup users in that poll (by the time I posted the results) starting using a cup right away and 10 started using a cup within 1-2 months of IUD insertion without any problems.
I think it really boils down to what feels comfortable for you.

As far as being careful during removal, a lot of people have suggested that you get your strings trimmed short.
My strings aren't terribly short and my cervix is pretty low. I had my IUD for a year and a half before I found out about and started using a cup.
At first I was completely paranoid about yanking out my IUD with a cup and the first time I went to remove the cup I completely panicked! But it turned out fine.
Since you've had practice inserting and removing your cup, you already have the advantage of knowing how it feels.
I've been successfully using my cup with my IUD since August '08.
My removal method is to pinch the base (I trimmed the stem down to a little nub) and gently wiggle it out - this lets air in and by pinching the base, I'm unlikely to tug on the strings.

I'm posting this comment + some other comments for you over at iud_divas, too, so sorry if you have to read it twice...
Kai: pic#73790238kuradi8 on April 15th, 2009 02:40 am (UTC)
Your post was short enough not to need a cut.

Bring your cup to your doctor because "he" probably won't know what you're talking about. As him whether you can use it on your next cycle or whether he wants you to use pads instead. Since you're just finishing your cycle, the risk of infection will probably be low but the risk for expulsion is highest in the first few months. And after he sees the cup, he'll see how short to cut your strings -- either upon insertion or on your follow-up check-up visit. My guess is that he'll suggest liners for a couple of days after insertion and if he's wary of the cup, he'll suggest either pads or tampons for your next cycle or two.

As for cup use, unless you're really hamfisted about cup removal, I think the additional risk is negligible. My personal opinion is that you're either prone to expulsion or not. And there's no way to know until you spit one out -- or not.

Use these next couple of days before you get your coil to really get the hang of removal of your new cup. Wear it and take it out every time you go pee, just for practice.

Then once you get the green light to start using it again after you get your IUD, try to avoid super-suction and use pain as your guide. If it hurts, STOP and then do something different. Change your angle, change hands, walk around for a few moments, etc.

I've had IUDs for decades and never had a problem. I hope you don't either.
zandperl: Daisyzandperl on April 15th, 2009 03:49 am (UTC)
It's my understanding that natural sea sponges can still retain some bacteria, and hence I'd worry that they'd increase the chance of infection with an IUD even more.
rubykins02rubykins02 on April 15th, 2009 01:17 pm (UTC)
I have used an IUD and cup together for several years. I had a new IUD inserted a little over a year ago. When I asked my doc about it she was OK with using a cup-even to the point of saying I could use it right away. Her take on it was, the reason for no tampons is that they sit right against the cervix and you want to avoid that for the first month or so. Since the cup sits below the cervix and just collects the blood there is very minimal risk. As long as you are careful about cleanliness. I would be careful to make sure you break the seal before you pull it out. Also my personal take on this is that some people are more prone to expulsion than other. You may want to avoid anything internal for the first month but after that I would think it would be OK.