{"id":247963,"date":"2021-07-19T10:02:59","date_gmt":"2021-07-19T14:02:59","guid":{"rendered":"https:\/\/www.oviahealth.com\/?post_type=article&#038;p=247963"},"modified":"2025-11-04T13:48:38","modified_gmt":"2025-11-04T18:48:38","slug":"the-iud-everything-you-need-to-know","status":"publish","type":"article","link":"https:\/\/www.oviahealth.com\/guide\/247963\/the-iud-everything-you-need-to-know\/","title":{"rendered":"The IUD: Everything you need to know"},"content":{"rendered":"\n<p>Looking for birth control that doesn\u2019t include taking a pill every day? An IUD (intrauterine device) might be the right fit for you. It\u2019s a small device that\u2019s placed in your uterus to prevent pregnancy. First created in 1909, IUDs are a safe and effective option approved by the FDA.&nbsp;<\/p>\n\n\n\n<p>If you have an IUD, <a href=\"oviaFertility:\/\/data-entry?section_id=87\">add it to your Ovia profile<\/a> so you never forget your insertion date!<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How an IUD works<\/strong><\/h4>\n\n\n\n<p>IUDs are either hormonal or copper. Both work to prevent sperm from getting to the egg and neither impacts your ability to become pregnant in the future. Let\u2019s start with the hormonal option.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Hormonal IUDs&nbsp;<\/strong><\/h4>\n\n\n\n<p>Hormonal IUDs are made of plastic and release the hormone progestin. The progestin thickens cervical mucus, making it harder for the sperm to reach the egg. Progestin also thins the uterine lining and stops ovulation while it\u2019s in place.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How often you need to do something with a hormonal IUD<\/strong><\/h4>\n\n\n\n<p>It depends on the type of hormonal IUD. They can last up to three, five, or eight years, making them a great long-term birth control option.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>The copper IUD<\/strong><\/h4>\n\n\n\n<p>The copper IUD is actually made of plastic with copper around the arms and stem. The brand approved in the U.S. is called Paragard. Copper in the Paragard IUD helps to prevent pregnancy by thinning the lining of the uterus, making it difficult for a fertilized egg to implant in the uterus. Also, sperm don\u2019t move well around copper, so it makes it harder for them to reach an egg in the first place.&nbsp; The copper IUD does not affect ovulation.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How often do you need to do something with the Copper IUD?<\/strong><\/h4>\n\n\n\n<p>The copper IUD can last up to 10 years. All IUDs can be removed at any time, though, if you decide you want to get pregnant. Be sure to track when you had your IUD inserted so you can replace it when the time comes.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Benefits and drawbacks<\/strong><\/h4>\n\n\n\n<p>Each type of birth control has its pluses, minuses, and potential side effects. Someone\u2019s \u201cpro\u201d might be someone else\u2019s \u201ccon\u201d. It all depends on your specific situation. Copper IUDs are approved for use for people with a variety of health conditions who cannot use hormonal birth control, and they are 99% effective.&nbsp;<\/p>\n\n\n\n<p>Here\u2019s the lowdown on IUDs:<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Pros<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lasts anywhere from 3 to 10 years<\/li>\n\n\n\n<li>Convenient with no hassle, maintenance, or partner participation<\/li>\n\n\n\n<li>One-time cost<\/li>\n\n\n\n<li>Safe for breastfeeding parents<\/li>\n\n\n\n<li>Slightly more effective at preventing pregnancy than the pill, and fertility returns immediately<\/li>\n\n\n\n<li>Doesn\u2019t interrupt sex (the strings may need to shortened if they <em>are<\/em> felt during sex)\u00a0<\/li>\n\n\n\n<li>Can be removed any time if you want to get pregnant<\/li>\n\n\n\n<li>Hormonal IUDs can decrease menstrual pain, heavy periods, and risk of endometrial cancer<\/li>\n\n\n\n<li>Copper IUDs can be used by people with health conditions that cannot safely use hormones<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Cons<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Higher risk of ectopic pregnancy if you become pregnant (though the risk is still very low)<\/li>\n\n\n\n<li>Can cause spotting in first few months<\/li>\n\n\n\n<li>Hormonal IUD can make your periods irregular and copper IUD may increase cramping and make periods heavier<\/li>\n\n\n\n<li>Possible side effects include breast tenderness, headaches, acne, and mood changes<\/li>\n\n\n\n<li>Doesn\u2019t protect you against STIs\u00a0<\/li>\n\n\n\n<li>Insertion and removal require an office visit and procedure<\/li>\n\n\n\n<li>Small risk of infection, mostly during insertion<\/li>\n\n\n\n<li>Can cause ovarian cysts which are usually benign and go away within a few months<\/li>\n\n\n\n<li>In rare cases, the device can damage your uterine wall\u00a0<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Effectiveness<\/strong><\/h4>\n\n\n\n<p>IUDs have almost immediate effectiveness within seven days from insertion (based on when in your cycle you get your IUD). They are over 99% effective in preventing pregnancy \u2014 partly because you won\u2019t need to form any consistent habits (such as remembering to take a pill). The copper IUD (Paragard) can even prevent pregnancy after unprotected sex if it is inserted within five days of intercourse.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Where and how to get it&nbsp;<\/strong><\/h4>\n\n\n\n<p>You can get an IUD inserted by a nurse practitioner, doctor, or midwife. Contact your health center, gynecologist, or family planning clinic to set up an appointment.<\/p>\n\n\n\n<p>For far too long, those who wanted an IUD often had to have one inserted without any pain control. Although for some folks, this was only slightly uncomfortable, many people said that the pain from insertion was severe. <a href=\"https:\/\/www.acog.org\/news\/news-releases\/2025\/05\/acog-releases-new-recommendations-on-pain-management-for-iud-insertions-other-in-office-gynecologic-procedures\">New guidance in 2025<\/a> encourages all providers to offer a range of pain medication and numbing options. Pain should not be a barrier to having an IUD.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Average cost<\/strong><\/h4>\n\n\n\n<p>IUDs cost between $0 and $1,400 for insertion but these expenses are usually covered by health insurance and government health plans. The total cost depends on the type of IUD and the number of medical exams and follow-up appointments. With an IUD, the cost is upfront and you won\u2019t have to pay anything else for another three to 10 years.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who\u2019s eligible<\/strong><\/h4>\n\n\n\n<p>IUDs are a great choice for most healthy women, but aren\u2019t appropriate for everyone. If you\u2019ve had certain types of cancer, pelvic infections, liver disease, or unexplained vaginal bleeding, you may not be a candidate for an IUD. Your practitioner should also ask about any allergies and review the medications you\u2019re taking. If you\u2019re allergic to copper, you should only consider hormonal IUDs.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Want to learn about other types of birth control? Check out these posts.<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.oviahealth.com\/guide\/247967\/the-birth-control-implant-everything-you-need-to-know\/\">Implant<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.oviahealth.com\/guide\/247970\/the-birth-control-shot-everything-you-need-to-know\/\">Birth Control Shot<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.oviahealth.com\/guide\/247981\/extended-cycle-birth-control-pill-everything-you-need-to-know\/\">Extended Cycle Pill<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.oviahealth.com\/guide\/247977\/combo-birth-control-pill-everything-you-need-to-know\/\">Combination Pill<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.oviahealth.com\/guide\/247974\/the-minipill-everything-you-need-to-know\/\">Minipill<\/a><\/li>\n<\/ul>\n\n\n\n<p><em>Reviewed by the Ovia Health Clinical Team<\/em><\/p>\n\n\n\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-03627597 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"oviaFertility:\/\/data-entry?section_id=87\" target=\"_blank\" rel=\"noreferrer noopener\">Add IUD tracking to your Ovia profile<\/a><\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>Read more<\/strong><\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/wp-59.oviahealth.com\/guide\/247967\/the-birth-control-implant-everything-you-need-to-know\/\">The birth control implant<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/wp-59.oviahealth.com\/guide\/247970\/the-birth-control-shot-everything-you-need-to-know\/\">The birth control shot<\/a><\/li>\n<\/ul>\n\n\n\n<h5 class=\"wp-block-heading\"><strong>Sources<\/strong><\/h5>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.webmd.com\/sex\/birth-control\/iud-intrauterine-device\">https:\/\/www.webmd.com\/sex\/birth-control\/iud-intrauterine-device<\/a>.<\/li>\n\n\n\n<li>\u201cHormonal IUD (Mirena).\u201d <em>Mayo Clinic<\/em>. Mayo Clinic. April 11 2024. <a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/mirena\/about\/pac-20391354\">https:\/\/www.mayoclinic.org\/tests-procedures\/mirena\/about\/pac-20391354<\/a>.<\/li>\n\n\n\n<li>\u201cHow can I get an IUD?\u201d <em>Planned Parenthood<\/em>. Planned Parenthood. 2020. <a href=\"https:\/\/www.plannedparenthood.org\/learn\/birth-control\/iud\/how-can-i-get-an-iud\">https:\/\/www.plannedparenthood.org\/learn\/birth-control\/iud\/how-can-i-get-an-iud<\/a><\/li>\n\n\n\n<li>\u201cIUD.\u201d <em>Planned Parenthood<\/em>. Planned Parenthood. 2020. <a href=\"https:\/\/www.plannedparenthood.org\/learn\/birth-control\/iud\">https:\/\/www.plannedparenthood.org\/learn\/birth-control\/iud<\/a>.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>IUDs are either hormonal or copper. Both work to prevent sperm from getting to the egg. Let\u2019s start with the hormonal option. <\/p>\n","protected":false},"author":1,"featured_media":247965,"template":"","format":"standard","meta":{"ovia_author_name":"","ovia_author_prefix":"","ovia_author_image":"","ovia_content_type_id":"176","ovia_product_mode":"2","ovia_days_from_signup":"5","ovia_days_from_lmp":"","ovia_days_from_baby_birth":"","ovia_days_from_enroll":"","ovia_health_module_days_from":"","ovia_article_for_email_days_from":"","ovia_health_module":"","ovia_legacy_id2":"","ovia_ttc":"2","ovia_article_subtype":"","ovia_health_symptom":"","ovia_partner_id":"","ovia_partner_custom_group":"","ovia_legacy_category":"122","ovia_legacy_category2":"","ovia_content_url_id":"247963","ovia_include_share_buttons":"","ovia_fertility_goal":"1","ovia_secondary_module":"","ovia_trimester":"","ovia_child_age":"","ovia_share_image":"","ovia_more_menu_image":"","ovia_button1_url":"","ovia_days_from_postpartum":"","footnotes":"","_links_to":"","_links_to_target":""},"fert-category":[13,33,10,16],"preg-category":[],"parent-category":[],"fert-tag":[174,161,168,162],"preg-tag":[],"parent-tag":[],"class_list":["post-247963","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","fert-category-birth-control","fert-category-health-and-wellness","fert-category-reproductive-health","fert-category-reproductive-healthcare","fert-tag-copper-iud","fert-tag-hormonal-birth-control","fert-tag-hormonal-iud","fert-tag-non-hormonal-birth-control"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The IUD: Everything you need to know - Ovia Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.oviahealth.com\/guide\/247963\/the-iud-everything-you-need-to-know\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The IUD: Everything you need to know - Ovia Health\" \/>\n<meta property=\"og:description\" content=\"IUDs are either hormonal or copper. 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