The FDA has approved a few new ones since 1988, but distribution varies. If you're American and can't find a doctor who will recommend one or insert it, you could go to Canada to get one prescribed and inserted there, and pay for it through Blue Cross insurance. Regardless of where you get it done, it's important that whoever inserts it is an experienced gynecologist who has at least fifteen IUD insertions under his or her belt. Your doctor will perform a pelvic exam, take a detailed medical history, and describe other contraceptive options to you. Then, if your doctor still feels an IUD is the right thing for you, he or she will prescribe one that best suits your history and physical contours.
Insertion requires the utmost skill and sensitivity.
If your doctor isn't experienced or won't disclose his or her experience, find another doctor who will, or find another contraceptive method. If the device is imbedded in the muscle, most gynecologists can remove it. Improper removal can result in perforation, however. IUDs increase your risk of PID, an infection in the upper genital tract that can cause infertility. Recent studies show that the risk is highest in the first four months after insertion.