IUD Insertion, IUD Removal & IUD Replacement With Dr Katrina Mikhail
Shire Family Medical provides consultations for intrauterine device (IUD) insertion, removal and replacement at our Sutherland medical centre.
Dr Katrina Mikhail can insert and remove all types of IUDs, including hormonal and non-hormonal options, where clinically appropriate. This may include hormonal IUDs commonly known as Mirena® and Kyleena®, as well as copper IUDs such as Mona Lisa®.
An IUD is a long-acting reversible contraceptive device placed inside the uterus by a trained medical practitioner. Depending on the type of IUD used and your individual circumstances, an IUD may be discussed for contraception, heavy menstrual bleeding, painful periods, or as part of hormone therapy planning in some perimenopause or menopause care.
This page provides general information only. Your doctor will discuss whether an IUD is suitable for your circumstances during your consultation.
A pre-insertion consultation with Dr Katrina Mikhail is required before booking an IUD insertion procedure. This appointment allows Dr Mikhail to assess whether an IUD is clinically appropriate, discuss your options, explain the procedure, and answer any questions before the insertion appointment is arranged.
The pre-insertion consultation may be available by telehealth if you are eligible.
What Is An IUD?
An intrauterine device, commonly known as an IUD, is a small device inserted into the uterus. IUDs are considered a form of long-acting reversible contraception, meaning they can provide contraception for an extended period and can be removed if required.
There are two main types of IUD:
- Hormonal IUDs
- Copper IUDs
The most suitable option depends on your medical history, symptoms, preferences and reproductive plans.
Hormonal IUDs, Including Mirena® And Kyleena®
Hormonal IUDs release a small amount of hormone locally inside the uterus. They may be discussed for contraception and, in some patients, for menstrual symptoms such as heavy bleeding or painful periods.
Some patients search for specific hormonal IUD names such as Mirena® or Kyleena®. These are examples of hormonal IUDs. Your doctor can discuss whether a hormonal IUD is suitable for you and how it compares with other contraceptive options.
Mirena® is listed in Australian consumer medicine information as being used for long-term reversible contraception, treatment of excessive menstrual bleeding, and excessive growth of the lining of the womb during hormone replacement therapy. This makes it relevant in some menopause or hormone therapy discussions, but suitability should always be assessed by a doctor.
A hormonal IUD may be discussed for:
- Long-acting contraception
- Heavy menstrual bleeding
- Painful periods
- Endometrial protection in some hormone therapy situations
- Contraception during perimenopause, where appropriate
Not every patient is suitable for a hormonal IUD. Your doctor will discuss risks, benefits, side effects and alternatives before making a recommendation.
Copper IUDs, Including Mona Lisa®
A copper IUD is a non-hormonal intrauterine device. It may be considered by patients who prefer contraception without hormones or who are not suited to hormonal contraception.
Some copper IUDs are commonly known by brand names such as Mona Lisa®. Your doctor can explain how copper IUDs work, how they differ from hormonal IUDs, and whether this option may be suitable for your circumstances.
A copper IUD may be discussed for patients looking for:
- Non-hormonal contraception
- Long-acting reversible contraception
- An alternative to hormonal contraceptive methods
- Contraception that does not require a daily tablet
Copper IUDs may not be suitable for everyone. Your doctor will discuss possible side effects, risks and alternatives during your consultation.
IUDs, Perimenopause And Menopause Care
Some patients consider an IUD during perimenopause or menopause care, particularly when discussing bleeding patterns, contraception, or hormone therapy.
In some situations, a hormonal IUD may be used as the progesterone component of menopausal hormone therapy to help protect the lining of the uterus when oestrogen therapy is used. This is a medical decision that requires individual assessment and ongoing review.
If you are experiencing perimenopause or menopause symptoms, your doctor can discuss whether an IUD is relevant to your broader care plan, alongside other treatment options.
IUD Insertion With Dr Katrina Mikhail
IUD insertion is a procedural service that requires appropriate clinical training. Dr Katrina Mikhail has completed additional training in IUD insertion procedures and provides IUD insertion, removal and replacement consultations at Shire Family Medical.
Your IUD consultation may include:
- Review of your medical history
- Discussion of contraception goals
- Discussion of menstrual symptoms
- Review of hormonal and non-hormonal options
- Explanation of possible risks and benefits
- Discussion of side effects and alternatives
- Procedure planning
- Follow-up advice
An IUD consultation does not guarantee that insertion will be recommended or performed. Dr Mikhail will only recommend an IUD procedure if it is clinically appropriate for your circumstances.
Before Your IUD Appointment
Depending on your situation, Dr Mikhail may recommend an initial consultation before booking an insertion, removal or replacement procedure.
Before an IUD procedure, your doctor may discuss:
- Pregnancy testing
- STI screening
- Cervical screening status
- Timing of the procedure
- Current contraception
- Pain relief options
- What to expect during and after insertion
- When to seek medical advice
- Follow-up care
Reception can advise whether an initial consultation is recommended before booking your procedure appointment.
IUD Removal And Replacement
Shire Family Medical provides consultations for IUD removal and IUD replacement.
You may wish to discuss removal or replacement if:
- Your IUD is due for replacement
- You are planning pregnancy
- You are experiencing side effects
- You want to change contraception
- You are unsure how long your IUD has been in place
- Your doctor has recommended review
- You no longer need the IUD
If you know which IUD you have and when it was inserted, please bring this information to your appointment.
Risks, Side Effects And Follow-Up
Like all contraceptive methods and medical procedures, IUDs can involve risks and side effects. Some patients experience cramping, spotting, bleeding changes or discomfort after insertion. Less commonly, complications can occur.
Your doctor will explain relevant risks, benefits and alternatives before any procedure. You will also be advised what to expect afterwards and when to seek medical attention.
You should seek medical care promptly if you experience severe pain, heavy bleeding, fever, unusual discharge, or if you are concerned the IUD may have moved.
Book an IUD Consultation In Sutherland
To arrange an IUD consultation, or to ask about IUD insertion, removal or replacement appointments with Dr Katrina Mikhail, contact Shire Family Medical.
Call (02) 9545 1777 to speak with reception or book an appointment.
Frequently Asked Questions
An IUD, or intrauterine device, is a small contraceptive device inserted into the uterus by a trained medical practitioner. IUDs are a form of long-acting reversible contraception and may be hormonal or non-hormonal.
There are two main types of IUDs: hormonal IUDs and copper IUDs. Hormonal IUDs include options commonly known as Mirena® and Kyleena®. Copper IUDs are non-hormonal and may include options commonly known as Mona Lisa®. Your doctor can discuss which option may be suitable for you.
Yes. Dr Katrina Mikhail provides consultations for IUD insertion, removal and replacement at Shire Family Medical. This includes hormonal and non-hormonal IUDs, where clinically appropriate.
A hormonal IUD releases a small amount of hormone locally inside the uterus. A copper IUD is non-hormonal. Both are forms of long-acting reversible contraception, but they work differently and may suit different patients. Your doctor can explain the risks, benefits and alternatives during your consultation.
Mirena® is one type of hormonal IUD. It is not the only IUD option. Other options may include Kyleena® or a non-hormonal copper IUD, depending on your medical history, symptoms and preferences.
Kyleena® is a hormonal IUD. Your doctor can discuss how it compares with other IUD options and whether it may be suitable for your circumstances.
A copper IUD is a non-hormonal intrauterine device. It may be considered by patients who prefer contraception without hormones or who are not suited to hormonal contraception. Your doctor can discuss suitability, risks and alternatives.
Mona Lisa® is a commonly known brand name associated with copper IUDs. Copper IUDs are non-hormonal. Your doctor can explain whether a copper IUD is suitable for your circumstances.
Mirena® is listed in Australian consumer medicine information as being used for long-term reversible contraception, treatment of excessive menstrual bleeding, and excessive growth of the lining of the womb during hormone replacement therapy. Your doctor will assess whether this is suitable for your symptoms and medical history.
In some situations, Mirena® may be used as the progesterone component of menopause hormone therapy to help protect the lining of the uterus when oestrogen therapy is used. This requires individual medical assessment and ongoing review.
How long an IUD lasts depends on the type of IUD and the reason it is being used. For example, the TGA has confirmed that Mirena® is approved for contraception for up to 8 years, while other uses may have different timeframes. Your doctor will discuss replacement timing based on your circumstances.
In many cases, yes. An initial consultation helps your doctor assess whether an IUD is suitable, discuss hormonal and non-hormonal options, explain the procedure, and review possible risks, benefits and alternatives.
Experiences vary. Some patients experience cramping or discomfort during insertion, while others tolerate the procedure well. Your doctor can discuss what to expect and options that may help reduce discomfort.
Yes. An IUD can be removed by a trained medical practitioner. You may request removal if you are planning pregnancy, experiencing side effects, changing contraception, or if the IUD is due for replacement.
Replacement timing depends on the type of IUD, when it was inserted and the reason it is being used. If you are unsure when your IUD is due for replacement, book a consultation and bring any information you have about the type of IUD and insertion date.
Some patients who have not had children may still be suitable for an IUD. Suitability depends on individual medical history, anatomy, preferences and clinical assessment.
Your doctor may recommend pregnancy testing, STI screening, cervical screening review, discussion of your menstrual cycle, and planning around timing of the procedure. Reception can advise whether an initial consultation is needed before booking an insertion appointment.
Some patients experience cramping, spotting, bleeding changes or discomfort after insertion. Less commonly, complications can occur. Your doctor will explain what to expect and when to seek medical advice.
You should seek medical care promptly if you experience severe pain, heavy bleeding, fever, unusual discharge, or if you are concerned the IUD may have moved.
To arrange an IUD consultation, or to ask about IUD insertion, removal or replacement appointments with Dr Katrina Mikhail, contact Shire Family Medical on (02) 9545 1777.