The Pros and Cons of Copper IUDs (ParaGard or Miudella)

Copper IUDs

Copper IUDs or coils (ParaGard or the new Miudella) are non-hormonal methods of birth control.

The main advantage of a copper IUD over hormonal methods is that it contains no contraceptive medication and therefore permits natural ovulatory menstrual cycles.

Of course, it also has some downsides.

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Do Women Need Periods?

do women need periods

With the 2019 news that women don’t need pill bleeds came the assurance that “women don’t need periods.” But is that accurate?

It’s true that women don’t need monthly pill withdrawal bleeds because they’re not periods, but women do need (or at least benefit from) monthly natural menstrual cycles because that’s how we make the hormones estradiol and progesterone.

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Which Types of Birth Control Cause Weight Gain?

birth control weight gain

Hormonal birth control can negatively affect metabolic health and contribute to weight gain. Some types are more likely to do so than others, depending on the type of progestin.

But before we get to the question of “which progestin,” I’ll just point out that the biggest problem with hormonal birth control is that it (usually) switches off hormones.

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Pain Is Not a Symptom of PCOS

PCOS pain

According to a 2017 study, pain is the most frequently reported symptom of PCOS, even though pain is not a symptom of PCOS.

The solution to this paradox is that both PCOS and period pain are common, so it’s easy to have both a PCOS diagnosis and pelvic pain. But, importantly, the PCOS diagnosis can only explain irregular periods or symptoms of androgen excess (e.g., facial hair). It can’t explain the pain!

Also, PCOS cannot be diagnosed by ultrasound.

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