Hello and welcome,
I understand your issue.
However there is no need to use two types of birth control measures together.
If an IUD is in place then BCP are not needed. If heavy bleeding is a cause of concern then other options like mefenamic acid
can be used. Also heavy bleeding does not occur in every patient and many women tend to get used to the IUD after a few cycles and the bleeding returns to normal. One needs to try it first to actually know if it suits you or not. So there is no need to take BCP. If you are using BCP regularly then IUD is not needed.
So choose any one method as both are equally effective if used correctly and regularly. The advantage of IUD is that there is no need to remember and take any medication daily. Once it is inserted no other BCP measure is needed.
About the risk of ectopic. The IUD does increase the risk of ectopic marginally. However as it decreases the risk of getting pregnant, the risk of having an ectopic pregnancy
is actually lower than the risk in a woman not using the IUD. Women not using IUD are more likely to get pregnant and so as the number of pregnancies is more the risk of ectopic pregnancies is also more. So the risk is actually lower than the general population.
, it has hormones in it so it either causes irregular periods
or missed periods in some women. The return to fertility
after removing it is also good and most women are fertile in the first cycle after removal. Many doctor believe that it is not a good way to have intrauterine devices in place before testing fertility by having atleast one pregnancy. The risk of infections is slighlty higher with devices and so doctors are a bit reluctant to prescribe them in nulliparous women.
Hope this satisfies your query.
Thanks for using HCM.
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist