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The IUD at a Glance
- Small, "T-shaped" device inserted into the uterus to prevent pregnancy
- Safe, effective, and long lasting
- Must be inserted by a health care provider
- Costs between $0 and $1,000 up front, but lasts up to 12 years
What's an IUD?
An IUD is a tiny device that's inserted in your uterus to prevent pregnancy. It's long-term, reversible, and one of the most effective birth control methods out there.
What does IUD stand for?
IUD stands for Intrauterine Device (basically: a device inside your uterus). It's a small piece of flexible plastic shaped like a T. Sometimes it's called an IUC — intrauterine contraception.
What are the types of IUDs?
There are 5 different brands of IUDs that are FDA approved for use in the United States: ParaGard, Liletta, Mirena, Skyla, and Kyleena.
These IUDs are divided into 2 types: copper IUDs (ParaGard) and hormonal IUDs (Liletta, Mirena, Skyla, and Kyleena).
The ParaGard IUD doesn't have hormones. It's wrapped in a tiny bit of copper, and it protects you from pregnancy for up to 12 years.
The Liletta, Mirena, Skyla, and Kyleena IUDs use the hormone progestin to prevent pregnancy. Progestin is very similar to the hormone progesterone that our bodies make naturally. Mirena works for up to 6 years. Kyleena works for up to 5 years. Skyla and Liletta work for up to 3 years.
How do IUDs work?
Both copper IUDs and hormonal IUDs prevent pregnancy by changing the way sperm move so they can't get to an egg. If sperm can't make it to an egg, pregnancy can't happen.
The ParaGard IUD uses copper to prevent pregnancy. Sperm don't like copper, so the ParaGard IUD makes it almost impossible for sperm to get to that egg.
The hormones in Liletta, Mirena, Skyla, and Kyleena IUDs prevent pregnancy in two ways: 1) they thicken the mucus that lives on the cervix, which blocks and traps the sperm, and 2) the hormones also sometimes stop eggs from leaving your ovaries (called ovulation), which means there's no egg for a sperm to fertilize. No egg, no pregnancy.
One of the awesome things about IUDs is that they last for years — but they're not permanent. If you decide to get pregnant or you just don't want to have your IUD anymore, your nurse or doctor can quickly and easily take it out. You're able to get pregnant right after the IUD is removed.
Can IUDs be used as emergency contraception?
Yes! The ParaGard IUD works super well as emergency contraception. If you get it inserted within 120 hours (5 days) after unprotected sex, it's more than 99.9% effective. It's actually the most effective way to prevent pregnancy after sex.
Another great thing about using the copper IUD as emergency contraception: you can keep it and have really effective birth control that you can use for up to 12 years.
The other kind of emergency contraception is the morning-after pill. You can take it up to 5 days after unprotected sex to reduce the risk of pregnancy.
Find Dr. Cullins' Answers to Common Sexual Health Questions
Q&A with Dr. Cullins