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An intrauterine device (IUD) is a small, T-shaped device placed inside the uterus by a healthcare provider. Hormonal IUDs (such as Mirena, Kyleena, and Skyla) release low levels of levonorgestrel to prevent pregnancy primarily by thickening cervical mucus and thinning the uterine lining. The copper IUD (Paragard) works without hormones by creating an environment toxic to sperm.

Most people with a uterus who want long-acting reversible contraception are candidates for an IUD. Your physician will review your medical history, uterine anatomy, and any contraindications such as unexplained vaginal bleeding, active pelvic infection, or certain uterine abnormalities before recommending a specific device.

Hormonal IUDs release a small amount of progestin locally and are often associated with lighter periods or no periods over time. Copper IUDs contain no hormones and work through the copper ion's effect on sperm motility. The best choice depends on your health history, hormone sensitivity, and personal preferences.

Lifespan varies by device. Mirena is approved for up to 8 years, Kyleena for up to 5 years, Skyla for up to 3 years, and Paragard (copper) for up to 10 years. All can be removed earlier if desired, and fertility typically returns quickly after removal.

Cramping and spotting in the days following insertion are very common. Hormonal IUDs may cause irregular bleeding for the first few months before periods become lighter or stop. Copper IUDs may increase menstrual flow and cramping, especially in the first few cycles. Serious complications such as expulsion or perforation are rare but should be discussed with your physician.

Yes. The copper IUD (Paragard) is one of the most effective forms of emergency contraception available and can be placed within 5 days of unprotected intercourse. Hormonal IUDs are not indicated for emergency contraception use.

Doctronic uses an AI-driven evaluation to gather your health history and reproductive goals before connecting you with a licensed physician. Your physician reviews your information, provides personalized counseling, and creates a treatment or referral plan tailored to your needs.

Yes. Doctronic connects patients with fully licensed physicians whose consultations are doctor-reviewed and audited for quality. The platform is HIPAA-compliant, and IUD counseling visits are available to adults 18 and older in any U.S. state.