Long-Acting Birth Control, Personalized
Hormonal and copper IUDs for reliable contraception, lighter periods, or medication-free options—placed and removed in office.
Intrauterine devices (IUDs) are small, T-shaped devices placed in the uterus for long-acting, reversible contraception. Some release a tiny amount of progestin to lighten or even stop periods; others are hormone-free copper and may be preferred if you want a non-hormonal option. Placement and removal are quick office procedures with no incisions.
Fast Facts
Highly effective, long-acting, and reversible
Hormonal IUDs often reduce bleeding and cramps
Copper IUD is hormone-free and works immediately
Insertion takes minutes; removal is typically even faster
Reasons People Choose an IUD
- Reliable contraception without daily pills
- Lighter, less painful periods with hormonal options
- Non-hormonal contraception with copper
- Convenience during perimenopause or family planning spacing
- Can be used while breastfeeding (timing individualized)
How Insertion Works
After a pregnancy test if indicated and a brief exam, a speculum is placed and the cervix is cleaned. The uterus is measured for correct fit, and the IUD is placed through a thin tube. You may feel cramping that lasts seconds to minutes. Strings are trimmed to sit just at the cervix so you or a partner typically cannot feel them.
Hormonal vs. Copper IUDs
Hormonal (Levonorgestrel) IUD
- Can lighten periods; some people stop bleeding
- Helpful for cramps and heavy flow
- Very low, local hormone exposure
- Spotting may occur in the first 1–3 months
Copper (Non-Hormonal) IUD
- Hormone-free; effective immediately after placement
- May increase flow or cramps initially
- Suitable if you prefer to avoid hormones
- Also used for emergency contraception within a defined window
Removal & Replacement
Removal is usually simple: we gently grasp the strings and the IUD folds and slides out. Cramping may occur for a few seconds. If you want ongoing contraception, a new device can often be placed the same visit. If strings are not visible, we have in-office techniques to locate and remove the device.
Safety & Considerations
IUDs are well studied and widely used. Uncommon risks include expulsion (device coming out), perforation at the time of insertion, or infection in the first weeks. We review your history—recent infections, bleeding patterns, medications—and time insertion with your cycle when helpful to reduce discomfort and confirm non-pregnant status.
Before Your Visit
- ✓Eat a light meal and hydrate
- ✓Take an NSAID 30–60 minutes before unless advised otherwise
- ✓Bring your period dates and any prior imaging or notes
- ✓Use backup contraception or abstain as directed before insertion
- ✓Plan light activity afterward in case of temporary cramping
Frequently Asked Questions
1Will insertion hurt?
Expect brief cramping during measurement and placement; many describe it as strong period cramps lasting seconds to a minute. Taking an over-the-counter pain reliever beforehand can help.
2How soon does it work?
Copper works immediately. Hormonal IUD timing depends on when it is placed in your cycle; we will advise on whether backup contraception is needed for a short period.
3Can my partner feel the strings?
Strings usually soften and curl around the cervix within a few weeks. If they are noticeable, we can adjust length at follow-up.
4Will a hormonal IUD affect my whole body?
Hormonal IUDs release a small amount of progestin mostly acting locally in the uterus. Some people notice systemic symptoms; we review options and select the device that fits your goals.
5What if I want to get pregnant?
Fertility typically returns quickly after removal. You can try to conceive right away unless we advise otherwise for a specific medical reason.
Simple, Reliable Birth Control
From choosing the right device to gentle insertion and easy removal, we'll help you find an IUD plan that fits your body and goals.
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