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Be careful using IUD only post VSG!

Ladies -

I'm seeing that a huge percentage of our pregnant ladies are ones that were using the IUD as their primary form of birth control. But what I haven't seen is someone taking the time to say, "Hey, this is a possible issue and be aware of it BEFORE surgery."

The IUD can shift and/or fall out with a drastic change in weight. I wish more surgeons were discussing this possibility with their patients, because I'm getting the feeling that they aren't always doing so and that many women are unaware that this can happen.

Please be sure to address your choice of the IUD with your doctor so that you can decide if it's the right choice for you while you're in the initial loss phase.

I've seen a large number of surprise pregnancies lately and almost every one of them was an IUD user. We all love babies, but it's nice to be more in control of the process and not be surprised with a pregnancy while eating a drastically reduced diet and learning your sleeve. And the early months are emotional enough without complicating matters.

So, just my official suggestion that even if your surgeon or PCP does not bring this up (and particularly if you're self-pay and won't be seeing a regular team of doctors) that you bring it up yourself if you're currently using this type of birth control and not trying to get pregnant.

~Cheri

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This is freaking me out. I don't want children at all. Was it obvious when your Iud came out?

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The doc that inserted mine told me to just get in the habit of doing monthly checks of the strings. So I was already doing a check every few weeks. But what made me realize it had really slipped was my husband, because he noticed the strings more during, eh, "relations". I did a check before my usual time and realized I could feel much more of the strings than before. I made an appointment with my doc but in the week before I got in to see him it fell out completely. I found it in my panties one day when I used the restroom. End of that!

So if you're checking your strings regularly you should be able to feel a change in the length of them and at least reassure yourself that it's still there.

~Cheri

It's probably best to be careful regardless, but as best as I can tell, these pregnancies happened with the copper IUD (no hormones) not the Mirena (uses hormones). Does anyone know if any post-VSG pregnancies have happened with Mirena?

My post VSG pregnancy was while I was using Mirena (kind of). I got pregnant the first time I has sex after VSG (1 month after surgery). I miscarried at 10 1/2 weeks. I was sad but honestly I was relieved too. I was scared to be pregnant so soon after surgery and since my hubby and I didn't ever plan on having more children. After I miscarried the doc ordered an xray since none of my ultrasounds had showed my Mirena in my uterus. The xray showed NO Mirena anywhere to be found. I guess it came out without me knowing. I really thought I would have known. I am not trusting IUDs anymore. I have gotten pregnant and had a very dangerous miscarriage on Paraguard and now the Mirena fell out. I don't blame the weight loss for it falling out because I had only lost 20 lbs my first month. So I don't know what happened exactly. I have an appt to get Essure (permanent tube blocks) put in on Feb 5th and just to be sure I think my hubby will get snipped too ;)

well now I'm nervous! I have Minerva but have been losing weight like crazy so that isn't an issue, but the pregnancy... oh no!

well now I'm nervous! I have Minerva but have been losing weight like crazy so that isn't an issue' date=' but the pregnancy... oh no![/quote']

Maybe just check your strings often to make sure its still there and in place. :)

I cant ever feel my strings. So condoms it is! I will wait till I loose more weight to go in to have it checked but thank u for the look out.

I cant ever feel my strings. So condoms it is! I will wait till I loose more weight to go in to have it checked but thank u for the look out.

I cant ever feel my strings. So condoms it is! I will wait till I loose more weight to go in to have it checked but thank u for the look out.

I never could feel my strings to check either. You are wise on the condom decision. Nothing stops weight loss like a pregnancy ha ha

  • 2 weeks later...

So not to be the dissenter here, but since the IUD sits in your Cervix and shape changes to the cervix are prompted by menopause, pregnancy etc..losing a large amount of weight should have no effect on whether the IUD "fits" your cervix..they are all the same size, only the string length differs.

I think what you are seeing is an increase in fertility to the point that Birth Control efforts need to be increased. All those fat cells have a ton of estrogen in them so the hormones in the Mirena or the copper in the Paraguard may not be able to keep up.

I just wanted to post because I don't think the link is IUDs as a rule and don't want people to run off in a panic getting theirs removed.

So not to be the dissenter here' date=' but since the IUD sits in your Cervix and shape changes to the cervix are prompted by menopause, pregnancy etc..losing a large amount of weight should have no effect on whether the IUD "fits" your cervix..they are all the same size, only the string length differs.

I think what you are seeing is an increase in fertility to the point that Birth Control efforts need to be increased. All those fat cells have a ton of estrogen in them so the hormones in the Mirena or the copper in the Paraguard may not be able to keep up.

I just wanted to post because I don't think the link is IUDs as a rule and don't want people to run off in a panic getting theirs removed.[/quote']

IUDs sit near the top of the uterus with the arms of the T right by the fallopian tubes not in the cervix. Only the threads are supposed to go thru the cervix and into the vaginal canal.

I do agree it is more about the increased fertility than the IUD. Mine fell out without me knowing so I don't know if it was before or after I had surgery and lost weight. IUDs are a very good choice for most women but I do think us sleevers should be extra careful. Since IUDs tend to be a low maintainance form of birth control, many don't check them religiously so I think this thread was just saying to stay on top of checking it and consider also using a backup form of birth control while they're losing and extra fertile.

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