Insertion and Removal of IUDs (coils)

Hayden can insert and remove intrauterine contraceptive devices like Mirena, Kyleena, or copper (non-hormonal) IUCDs. This is one of the most common consultations and procedures Hayden performs.

There are subtle differences in the IUCDs available in Australia.

Mirena is the most common device used. The ‘T’ shaped frame contains a hormone called levonorgestrel which is a synthetic relative to the naturally occurring hormone progesterone. The dose of levonorgestrel released daily from the device is 20 micrograms. This dose is much lower than “the pill” which contains 150 micrograms. The device can remain in the uterus for 5 years before it should be removed or replaced. Most women find the device acceptable and Hayden has outlined the common experiences of changes in bleeding patterns in this video.

As of 2020 the device cost $41.30 and can be purchased with a script from a local pharmacy. The out of pocket cost for insertion is about $190 depending on Medicare safety net status. You do not need private health insurance.

iud insertion Melbourne
Kyleena is a newer and slightly smaller (by 2-4mm) device. The ‘T’ shaped frame contains the same hormone as that in Mirena (levonorgestrel) but the dose is even lower at 12.6 micrograms. Like Mirena the device can remain in place for 5 years. Kyleena has a very similar efficacy to Mirena with similar tolerance and side effect profile.

As of 2020 the device cost $41.30 and can be purchased with a script from a local pharmacy. The out of pocket fee for insertion is about $190 depending on Medicare safety net status. You do not need private health insurance.

Copper devices are an alternative to Mirena/Kyleena. They are non-hormonal but contain a small copper wire in the ‘T’ shaped frame which prevents pregnancy in 99.5% of cases. Given the device does not contain any hormone there is very little effect on menstrual bleeding and these devices are not used as treatment for heavy periods.

There are two copper IUDs available in Australia.
Copper TT380 can be used for up to 10 years
Multiload cu375 can be used for up to 5 years.

Copper devices are not available on the PBS and are therefore more expensive. The device is available with a valid script from your doctor for between $70 -100. The out of pocket fee for insertion is about $190. You do not need private health insurance.

mirena insertion Melbourne

More information and fact sheets are available at www.fpv.org.au and www.fpnsw.org.au