The hormonal IUD is made of plastic. It is inserted into the uterus by a midwife. There are three types; Kyleena and Mirena that last for five years, as well as Jaydess that lasts for three years. These can be used even if you’ve never been pregnant.
How it works
Contains only the hormone progestin. Hormonal IUDs prevent pregnancy by making the cervical mucous thicker to block the sperm from entering. The changed environment in the uterus and the fallopian tube inhibits the motility of the sperm. Some women experience changes in the uterine lining and/or that ovulation stops.
How to use it
The IUD is placed inside the uterus by a midwife and can stay in place for up to 3/5 years. If the IUD is inserted at the end of your period, the cervix is slightly more open than usual. If you take Ibux two hours before inserting the IUD, it will be less painful to insert it.
Hormonal IUDs do not increase the risk of blood clots, and can, therefore, be used by those who cannot use contraceptives containing estrogen. In a few instances, the IUD is ejected from the uterus. You can also get inflammation in the uterus just after the IUD has been inserted. In case of symptoms of pelvic inflammation, consult a doctor immediately.
Uncomfortable but harmless side effects:
- Discomfort during insertion
- Bleeding disorders/irregular periods
- Mood swings
The hormonal IUD is 99.8% effective at preventing pregnancy for 3/5 years after insertion. After that, the effectiveness is less certain.
- Unprotected sex is possible without worrying about pregnancy
- Effective from day one
- PMS, ovulation and period cramps are reduced or alleviated
- Some lose their period after a few months
- No need to worry about contraception for 3/5 years
- May cause side effects in the first few months
- Does not protect against diseases
- You can’t control your period
- Expensive (the hormonal IUD has a high initial cost, but over time it is cheaper than most other methods of contraception)
What do I need to find out before I can get a hormonal IUD?
- Checklist on your health
- Pregnancy test if there is a possibility that you might be pregnant
- Test for infection on indication; such as pain, bleeding, odour, any partner change