A reader writes:
One potential drawback of IUDs (or similar Intrauterine Systems, or IUSs) is that they have potentially sharp-ended strings which rest in the vaginal canal. The strings are used in removal of the devices, but they can be sharp enough to irritate vaginal walls, and they could also compromise condoms. When my wife got an IUS, neither of these issues were mentioned as a possibility, perhaps because the doctors assumed that we were monogamous, but I also doubt that unmarried women would be informed of this drawback. Therefore it's possible that having an IUD/S can put a woman at a higher risk of contracting an STI even if her partner is using a condom.
In response to the person who said that having an IUD is like being a man: it's certainly convenient, but that first year of unbelievably piercing cramps during Lady Time (after a painful insertion procedure) was a constant reminder that men don't have to do things like this.
I went to read the article you quoted, and saw the price tag of $1,000 and almost fell over, so I just thought I'd add my 2c on how this is yet another example of how Americans are paying way too much for health care.
I currently live in Israel for my husband's work, and so I went to an ob/gyn here that was recommended to me. They have universal health care here, but this woman was a private insurance provider; aka, the most expensive you could get in Israel. My universal health care refused to pay for the service as an "optional" one (bastards) so I paid the total cost myself: $250 total, appointment and IUD both. How can they justify a $1000 price tag for the same thing back home? Really?!
We are HUGE fans of the non-hormonal IUD and it has been our BC of choice, especially given the fact that my wife is extra sensitive to the various hormone filled options. By the time we got to the IUD we had tried various types of the Pill, the shot (Depoprovera), and one of the rings. The shot was by far the worst in terms of side-effects.
But, like the pieces you link to today, we did get pregnant while using the IUD. According to the doctor the chances of that happening over the 10-year life is 0.18%. We also got pregnant while on the Pill and the shot. At this point it's been 5 years since the birth of our last child and the IUD has worked without fail, but it is something we keep in the back of our minds, especially when her period is late. Since we're finished having children it's now my turn to step up to the plate and I'll be getting snipped soon.