Hormonal IUD: Long-Acting Birth Control Explained

June 8, 2025
Illustration for Hormonal IUD: Long-Acting Birth Control Explained

Description of the Method

The hormonal IUD is a small, T-shaped device inserted into the uterus by a healthcare provider. It releases progestin to prevent pregnancy for 3-7 years, depending on the brand.

Effectiveness

Over 99% effective at preventing pregnancy.

How to Get It

Must be inserted and removed by a healthcare provider. Available at clinics and some doctor's offices.

Side Effects

Possible side effects include irregular bleeding, lighter or missed periods, ovarian cysts, and mild cramping after insertion. Serious complications are rare.

Pros and Cons

Pros:

  • Long-lasting (3-7 years)
  • Low maintenance
  • Highly effective
  • Fertility returns quickly after removal

Cons:

  • Requires a procedure for insertion and removal
  • May cause irregular bleeding initially
  • Does not protect against STIs

Contraindications

Not suitable for women with certain uterine abnormalities, active pelvic infections, or a history of breast cancer.