Managing Hormonal Changes During Perimenopause with IUDs

As women approach their late 40s and early 50s, they often enter a transitional phase known as perimenopause. This period can bring about various hormonal changes and symptoms that may be challenging to manage. At MAIA Gynecology in Chicago, Dr. Karen Wolowick and Dr. Susan Mitchell specialize in helping women navigate this phase with effective solutions, including the use of Intrauterine Devices (IUDs).

Understanding Perimenopause and Its Challenges

Perimenopause typically begins several years before menopause, bringing with it a range of symptoms due to fluctuating hormone levels. These may include:

• Irregular periods
• Hot flashes
• Mood swings
• Changes in libido
• Sleep disturbances

Many women also experience heavier or more frequent periods during this time, which can be both uncomfortable and inconvenient.

How IUDs Can Help Manage Perimenopausal Symptoms

Intrauterine Devices (IUDs) have emerged as a valuable tool in helping to manage perimenopausal symptoms, particularly for women seeking both contraception and symptom relief. Dr. Wolowick at MAIA Gynecology in Chicago often recommends hormonal IUDs for perimenopausal women due to their multiple benefits:

1. Reduced Menstrual Flow

Many women experience lighter periods or even absence of periods (amenorrhea) with hormonal IUDs, providing relief from heavy bleeding often associated with perimenopause.

2. Endometrial Protection

The progestin in hormonal IUDs helps protect the uterine lining, reducing the risk of endometrial hyperplasia or cancer.

3. Long-Term Contraception

IUDs provide highly effective, long-term contraception, which is crucial as women in perimenopause can still become pregnant.

Types of IUDs Available at MAIA Gynecology

At our Chicago clinic, we offer various types of IUDs to suit individual needs:

• Mirena: A hormonal IUD effective for up to 8 years
• Kyleena: A smaller hormonal IUD, effective up to 5 years
• Skyla:  A small IUD, effective up to 3 years
• Paragard: A non-hormonal, copper IUD effective for up to 10 years (for contraception only – does not help with periods)

Dr. Wolowick and Dr. Mitchell will help you choose the most suitable option based on your specific symptoms, medical history, and preferences.

The IUD Insertion Process at MAIA Gynecology

Getting an IUD inserted at our Chicago clinic is a quick and relatively simple procedure. Here’s what you can expect:

1. A thorough consultation to discuss your options and address any concerns
2. Anesthesia options including oral sedation and numbing spray if desired
3. A brief insertion procedure by a very experienced doctor, which typically takes just a few minutes
4. Possible mild discomfort or cramping during and shortly after insertion.  We recommend you take it easy the day of insertion

Our team at MAIA Gynecology prioritizes your comfort and offers various pain management options, including anesthesia options if needed.

Benefits Beyond Perimenopause Management

While IUDs are an excellent adjunct for helping to manage perimenopausal symptoms, they offer additional benefits:

• Reduced risk of endometrial cancers
• Improvement in conditions like endometriosis and adenomyosis
• Convenience and cost-effectiveness compared to daily contraceptive methods
• Less heavy and painful periods

Is an IUD Right for You?

Every woman’s experience with perimenopause is unique, and what works for one may not be ideal for another. Dr. Wolowick and Dr. Mitchell at MAIA Gynecology in Chicago are committed to providing personalized care and helping you make an informed decision about whether an IUD is the right choice for managing your perimenopausal symptoms.

Schedule a consultation with Dr. Karen Wolowick or Dr. Susan Mitchell at MAIA Gynecology in Chicago today. Visit our online scheduler or call our office to book your appointment. Don’t let perimenopause disrupt your life – let us help you find the right solution for your unique needs.