Hormonal IUD Contraception | Children by Choice

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Hormonal IUD

SUMMARY

The hormonal IUD is a small, T-shaped device placed inside your uterus by a trained nurse or doctor. It slowly releases a hormone called progestogen, which helps prevent pregnancy. It’s a long-acting and low-maintenance option for people who’d like reliable contraception.

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How it works

The hormone thickens the mucus in the cervix, making it harder for sperm to reach an egg.
It can also stop eggs from being released during ovulation.
Together, these effects make it very unlikely for pregnancy to occur.

Effectiveness

The hormonal IUD is more than 99% effective when used correctly.
It starts protecting you 7 days after being put in.

Advantages

Long-lasting protection – it works for at least 5 years, depending on the type.
Very cost effective over time, even though there may be an upfront cost.
Can make periods lighter, shorter, or less painful. For some people, periods may stop altogether.
Can also help manage heavy or difficult periods, which is why it’s sometimes recommended for medical reasons as well as contraception.

Things to keep in mind

Not all doctors and nurses are trained to insert an IUD, so you may need a referral to a specialist.
You may be asked to have a check-up about 6 weeks after insertion to make sure it’s sitting properly.
There can be an upfront cost, though it becomes one of the cheapest options in the long run.
It doesn’t protect against sexually transmitted infections (STIs), so condoms are recommended for protection against STIs.
Your periods may change – they might become lighter, irregular, or sometimes stop, which some people see as a benefit.

Will anyone know I’m using it?

The IUD has thin strings that sit just outside the cervix. These may sometimes be felt, but your nurse or doctor can cut them shorter so they’re less noticeable.
If it’s placed correctly, the stem of the IUD can’t be felt.
Period changes are common and may be a sign it’s working, but if you’re unsure, you can check in with your doctor.

Could someone tamper with it?

Yes, but only if the strings are long and can be felt. Someone could pull on them to remove it by force.
You can ask your nurse or doctor to cut the strings shorter when it’s inserted to reduce this risk.

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