The intrauterine device (IUD) is a popular form of reversible contraception in women.
However, a wide array of complications has been associated with IUD use, whether it’s the hormonal IUD or the copper IUD. Side effects ranging from headaches to discomfort to ectopic pregnancy to false brain tumors have all been linked to the intrauterine contraceptive device.
In fact, both popular brands of the two types of IUD already have a slew of lawsuits under their name. Mirena, the leading brand of hormonal IUD, and Paragard, the only brand of copper IUD available in the United States, have been the subjects of complaints for some time now.
According to recently filed complaints in the Paragard IUD lawsuits, the injuries that the plaintiffs sustained resulted from Paragard being defective and prone to breaking during the removal of the device.
And when an IUD breaks, side effects can rise dramatically. But aside from the known complications associated with this device, medical literature has also been investigating rising cases of the IUD migrating to the urinary bladder.
What are some of the problems that the IUD can cause once it migrates? Read the article to learn more about the leading complaints of IUD migration.
IUD and UTI: Is There a Link?
A urinary tract infection (UTI) is a common infection that happens when bacteria enter any part of your urinary system, including your kidneys, ureters, bladder, and urethra.
And even though the intrauterine device (IUD) is a form of contraception that is widely used by women, its administration still comes with several complications.
Uterine perforation is just one of the most serious yet rare complications following IUD insertion. It is a potential complication that happens when the walls of the uterus are punctured, which may result in the migration of the device from its original position to either the abdominal cavity or other organs near the uterus.
Unfortunately, when perforation happens, the urinary bladder is one of the organs where the mislocated IUD may be embedded. When this occurs, a number of complications may follow. For instance, it can lead to bacteriuria, which is the presence of bacteria in one’s urine.
The bad news?
This condition is often unaccompanied by UTI symptoms or any signs of infection, and is therefore called asymptomatic bacteriuria.
A 2005 study tested 228 women who were using various birth control methods at the time for bacteriuria. The findings of the study indicated that bacteria were present in the urine of 9.9% of women implanted with an IUD, compared to 1.3% of women who were not using any forms of contraception.
The predominant bacteria found in the urine culture was E. coli The study concluded that the use of an IUD is a risk for urinary tract infection and should be considered, especially in women with a history of recurrent urinary tract infections.
IUD and Bladder Stone Formation
Mislocated IUDs can also potentially cause bladder perforation. This presence of the medical device in the bladder can result in stone formation.
In fact, in a 2020 study, the case of a 43 year-old woman who was suffering from pelvic pain for a year along with lower urinary tract symptoms was presented.
There was nothing remarkable about her medical history, other than the fact that she had a copper IUD implanted four years ago, and since then, no regular follow-ups were done following IUD insertion.
When the patient underwent cystoscopy, no bladder stones were found. However, the procedure revealed a foreign object embedded into the muscular wall of her bladder.
You guessed it right. It’s the IUD.
In the end, the device was extracted without any complications using endoscopic forceps. A month after, the patient reported significant improvement in the lower urinary tract symptoms she experienced before the procedure.
The study concluded that an IUD migrating to the bladder is a rare complication and should be considered as a possibility in female patients who complain of chronic low urinary tract symptoms.
IUD and pH Imbalance
Research published by the Contraceptive Delivery System Journal showed that IUD contraception may alter the vaginal pH which can lead to an increased risk of developing bacterial vaginosis.
Bacterial vaginosis is a vaginal infection caused by bacteria. It may cause an abnormal vaginal discharge as well as a fishy odor and irritation in some women.
A 2012 study found that the prevalence of bacterial vaginosis was higher among copper intrauterine contraceptive device users compared to non-IUD users. Women in both groups reported vaginal pain, vaginal itching, pelvic pain, and abnormal vaginal discharge.
The study concluded that health care providers should be aware of bacterial vaginosis in IUD users.
IUD and Urinary Incontinence
Urinary incontinence is leaking of urine that you can’t control. And while it affects many people, urinary incontinence is more common in older people.
In a 2007 study, eight women were treated for urinary complications resulting from IUD migration. Five of them complained of lower urinary tract symptoms, while one patient reported urinary incontinence, and the other two suffered from right loin pain.
Moreover, the interval between insertion of IUD and onset of symptoms ranged from 1 week up to 2 years. The study concluded that persistent lower urinary tract symptoms in women who had an IUD implanted should raise the suspicions of the device migrating into the bladder.
Can Mirena Affect Your Bladder?
As it turns out, the Paragard IUD is not the only concerning IUD device available in the market.
In a way, the Mirena IUD can cause bladder problems. Aside from bowel and bladder problems being symptoms of ectopic pregnancy, which is also one of the known side effects of Mirena, this hormonal type of IUD can also potentially cause bladder infection. Here’s how:
Since Mirena is a progesterone-only form of contraception that is often prescribed for heavy periods or endometriosis, it can cause problems because of the reduction of estrogen which can lead to alterations in the vaginal pH, leading to an increased risk of developing bladder infection.
How Can You Help Prevent a UTI?
Urinary tract infections can be frustrating and painful. And while antibiotics generally help clear it up, there are also simple steps you can take to reduce your risk of having UTI in the first place.
Here are the best ways to help prevent UTIs:
- Drink plenty of water. The most basic way to keep the bacteria out of your system is by staying hydrated. By drinking plenty of water, you’ll urinate more often, which can flush the bacteria to be flushed form your bladder before an infection can begin.
- Skip potentially irritating feminine products. Avoid using products which can irritate the genital area, including scented powders or other feminine products.
- Avoid holding in your urine. Avoid holding your pee, as this may increase the possibility of bacterial growth. Try not to hold it for more than 3 to 4 hours.
- Wipe from front to back. It is best to wipe your genitals from front to back after bathroom use. In doing so, you help decrease the risk of bacteria spreading from the anal region to the urethra.
- Consider changing your birth control method. Aside from IUDs, diaphragms as well as spermicide-treated condoms are also associated with bacterial growth. If you have a history of recurrent UTIs and you happen to use one of these birth control methods, then it may be worth it for you to consider changing to another contraceptive option.
There are many ways to reduce your risk of getting a UTI. However, if you think you are suffering from recurrent UTIs and your contraceptive might be playing a role in it, it is best to discuss with your doctor what other birth control options might also work for you.