The IUD

Important information about IUDs (hormonal and non-hormonal)
If you and your healthcare provider determine the intrauterine device (IUD) will work for you, you may need to make another appointment to have the IUD inserted. 
During your patient visit, a provider will insert a speculum into your vagina to place the IUD in your uterus. 
Once inserted, IUDs can be used for 3–12 years, depending on the type. You can always choose to have it removed earlier. When it’s time for removal, make an appointment with your healthcare provider. 
Six weeks after your IUD insertion, check your IUD strings to make sure the IUD remains in place. Continue to check your strings monthly to reconfirm the IUD remains in place.
Wash your hands with soap and water. Position yourself either squatting or sitting on the edge of a stable surface. Insert your middle or index finger into your vagina until you feel your cervix which feels firm and rubbery.
IUD strings come out of your cervix, so this is where you feel for the strings. If you feel the strings this means the IUD is in place. If you can’t feel the strings, reach out to your healthcare provider, and use a secondary form of birth control. 
HOW IT WORKS 
Non-hormonal IUD: Ions from the copper decrease sperm’s ability to move and prevent sperm from reaching the egg. 

Hormonal IUD: Releases the hormone progestin which thickens cervical mucus and affects the lining of the uterus, preventing the sperm from reaching the egg. 
HOW LONG IT LASTS
Depending on which IUD you choose, it can last between 3–12 years. You should check your IUD strings monthly to make sure the IUD remains in place. 
EFFECTIVENESS 
Typically, 99% of people don’t become pregnant. 
HOW TO GET IT 
A healthcare provider inserts and removes the IUD. 
COST 
The IUD costs between $0–850. If you have insurance, the IUD is typically low- or no-cost. 
VISIBILITY 
No one will be able to see your IUD. It’s unlikely that your partner(s) will feel the strings. 
STI PROTECTION 
The IUD does not protect against STIs. Be sure to use a barrier method. 
ADDITIONAL INFORMATION
  • Low maintance 
  • Only have to remember to check your strings 
  • Irregular bleeding or spotting 
  • Procedure-related risks 
  • Cramping and pain after insertion 
If you notice any concerning changes, immediately reach out to your healthcare provider. 
This information is here to support you as you explore which birth control method (or methods) might work for you. It may take a few tries to figure out which method is best for you.