When it comes to contraception, there’s no one-size-fits-all answer. That’s why it’s great to have options! If you’re looking for reliable, low-maintenance contraception that lasts for years, you might want to consider the IUD (Intrauterine Device) or the IUS (Intrauterine System). They’re two different methods that both offer long-lasting protection without requiring daily action. Let’s dive into what makes each one unique, how they work, and why they might just be the right choice for you.
What’s the Difference Between an IUD and an IUS?
The IUD and IUS are both small devices that a healthcare professional places in your uterus, providing effective contraception for several years. Here’s the difference:
- IUD (Intrauterine Device): Also called the “copper coil,” an IUD releases copper into the uterus. Copper is toxic to sperm, which means it stops them from fertilising an egg. There’s no hormone in an IUD, so it’s a great option for those who want a hormone-free contraceptive.
- IUS (Intrauterine System): The IUS, sometimes called the “hormonal coil,” releases a small amount of progestogen (a hormone like progesterone) into the uterus. This hormone thickens the cervical mucus to prevent sperm from entering the womb and may also thin the uterine lining to reduce the chances of a fertilised egg implanting.
How Do They Work?
Both the IUD and IUS are small, T-shaped devices that are inserted into the uterus by a trained healthcare professional. Here’s how each one prevents pregnancy:
- IUD: The copper in the IUD acts as a spermicide, creating an environment in the uterus that’s toxic to sperm. The IUD doesn’t affect your menstrual cycle, although it can make your periods heavier, especially in the first few months after insertion.
- IUS: The IUS slowly releases progestogen, which prevents pregnancy by thickening the cervical mucus and sometimes stopping ovulation. Many people find that their periods become lighter, shorter, or even stop altogether while using an IUS. This can be a great bonus if you want fewer or lighter periods!
Why Choose an IUD or IUS?
There are lots of reasons why the IUD or IUS might be a good choice. Here’s why many people find these options appealing:
- Long-Lasting: Both the IUD and IUS last for several years (the IUD can work for 5 to 10 years, and the IUS typically lasts 3 to 8 years). You don’t have to remember to take a pill every day, so it’s great for those who want reliable, long-term contraception.
- Highly Effective: The IUD and IUS are both over 99% effective at preventing pregnancy, making them some of the most reliable contraceptive options available.
- Low Maintenance: Once inserted, there’s very little you need to do! It’s a “fit and forget” method that gives you peace of mind without daily or even monthly attention.
- Hormone-Free Option with the IUD: If you’re sensitive to hormones or simply prefer a hormone-free option, the copper IUD might be ideal. It provides effective contraception without any added hormones.
- Lighter Periods with the IUS: If you struggle with heavy periods, the IUS might be especially appealing because it often makes periods lighter or can stop them completely.
What to Expect with Insertion
Getting an IUD or IUS inserted is a quick procedure, but it’s normal to feel a bit nervous. Here’s what you can expect:
- Consultation: First, you’ll have a chat with a healthcare professional. They’ll ask questions about your health and help you decide if the IUD or IUS is a good fit for you.
- Insertion: The actual insertion takes only a few minutes. It can be uncomfortable, but most people find it manageable. Taking a painkiller an hour before your appointment can help ease any discomfort. Suffolk Sexual Health Service can use local anaesthetic spray, gel and/or injection if required to help with discomfort. You might feel cramping during and after insertion, but this usually settles within a few hours.
- Follow-Up: After insertion, you may experience some cramping and spotting, which is normal. Many people are advised to return for a quick check-up after the first month to ensure everything’s in place.
Common Questions About the IUD and IUS
Can I feel the IUD/IUS inside me?
Most people can’t feel it at all once it’s in place. You might be able to feel the strings at the cervix, which are there so the healthcare professional can remove it when the time comes. The strings usually soften and curl up around the cervix over time, so they’re hardly noticeable.
Does insertion hurt?
Everyone’s experience is different. Some people find insertion uncomfortable or a bit painful, while others feel only mild discomfort. Any cramping usually eases within a day, and a painkiller beforehand can help.
What happens if I want to get pregnant?
Both the IUD and IUS are reversible, meaning you can have them removed if you decide to try for a baby. Once removed, your fertility returns to normal quickly, usually within a month.
Does it protect against STIs?
No, neither the IUD nor the IUS protects against sexually transmitted infections. It’s always a good idea to use condoms alongside your contraceptive method to stay protected from STIs. Get free condoms via the ec-card app.
Accessing the IUD or IUS in Suffolk
If you’re considering the IUD or IUS, Suffolk Sexual Health Service can help you explore your options and provide more information. Book an appointment through our online portal for a consultation. Our team is here to answer your questions, provide guidance, and make sure you feel confident about whichever contraceptive method you choose.
Finding the Right Contraceptive Method for You
Choosing contraception is a personal decision, and what works best depends on your lifestyle, health, and preferences. Whether it’s the low-maintenance convenience of the IUD or the period benefits of the IUS, Suffolk Sexual Health Service is here to help you make an informed choice.
Remember, contraception isn’t one-size-fits-all. If you want long-term, effective protection without the hassle of daily or monthly upkeep, the IUD or IUS could be a great choice. Talk to a healthcare professional, ask questions, and find out which option suits you best.
