IUDs have been a promising breakthrough in birth control, offering both convenience and effectiveness, and their use has exploded over the past few decades. But that progress has often come with some (painful) trade-offs. Vox senior reporter Allie Volpe has been digging into why medicine has been slow to catch up to the pain that IUD insertions can cause and doctors’ plans to make the process for more palatable for patients in the future.

It is a big reproductive rights story, at a time when those rights are increasingly under threat. I sat down and chatted with Allie about it.

Allie, are IUDs becoming more popular? What do people like about them?

They’re definitely more popular. Just over 6 million people, or 8.4 percent of contraceptive users between the ages of 15 and 49, use IUDs. It’s actually the fourth most popular form of birth control. No. 1 is tubal ligation or, as people refer to it, getting your tubes tied. The pill is No. 2, condoms are No. 3, and IUDs are No. 4. That’s a huge increase from the mid-’90s when just 1 percent of birth control users used IUDs.

People really like the IUD. It’s a set-it-and-forget-it kind of thing. Once you get past the act........

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