When considering a woman’s contraceptive options, IUDs bear discussion. Some women have familiarity with IUD use, others have “heard of them”, but don’t have a real concept of how they’re used or how they work. An IUD (Intra-Uterine-Device) is a contraceptive device placed inside the uterus, in an in-office procedure, that generally takes less than 5 minutes for your doctor to insert. Pregnancy prevention occurs by a ‘foreign body’ inflammatory reaction that occurs based on the metal or plastic frame (T-shaped, about the size of an open paperclip) and by the local effect of the medication released by the IUD (either copper or progesterone.) This ‘inflammatory reaction’ likely creates a toxic environment for sperm (spermicidal), as well, likely inhibits implantation.
In a recent ruling from the Hobby Lobby case, The Supreme Court has ruled that ‘for-profit’ businesses can now evoke the religious rights disclaimer regarding contraceptive coverage. This means that non-religious business can now forgo the previous ACA mandates requiring contraceptive (no co-pay) coverage for women, an exception previously afforded only to religious based business with objection to this mandate for religious reasons. According to a recent article in Medscape.com, “The Court ruled 5-4 that closely held corporations, or companies with a small group of shareholders, may refuse to cover methods of contraception that they oppose for religious reasons.”