IUD Insertion and Removal
hormonal and copper IUDs in WarsawAn IUD (intrauterine device, or coil) is a small contraceptive device placed in the uterus that provides long-term protection against pregnancy. At Aurora Medical, IUD insertion and removal are performed only after a prior gynecologist consultation: at the first visit the doctor assesses indications and issues a prescription, the procedure itself takes place at the second visit, and after insertion the doctor checks the IUD position with an ultrasound scan.
IUD advantages
- Long-term protection against pregnancy — 3 to 10 years depending on the type
- No need to remember daily contraception
- High effectiveness: copper — about 99.4%, hormonal — up to 99.8%
- Quick return of fertility after removal
- Virtually unnoticeable in everyday life
- Ultrasound check of IUD placement after insertion
Book online
What is an IUD
An IUD is a small, flexible T-shaped device that is placed inside the uterine cavity. It is made of flexible plastic, measures about 3–4 cm and protects against pregnancy for several years while remaining virtually unnoticeable to the woman.
The method is fully reversible: after the IUD is removed, fertility returns to normal. An IUD requires no daily routine, which sets it apart from the pill. There are two main types — hormonal and copper — each with its own mechanism of action.
Types of IUDs
IUDs fall into two main types: hormonal and copper. They differ in active substance, mechanism of action and duration — the right type is selected individually by the doctor during a consultation.
Hormonal IUD
- Active substance: levonorgestrel, released gradually
- Mechanism: causes atrophy of the glandular endometrium, suppresses its growth and thickens cervical mucus
- Effectiveness: about 99.8%
- Duration: 3 to 5 years
- Bonus: often makes periods lighter
Copper IUD
- Active substance: copper ions, hormone-free
- Mechanism: triggers a local reaction in the uterus, hinders implantation and has a spermicidal effect
- Effectiveness: about 99.4%
- Duration: 5 to 10 years
- Worth knowing: may cause stronger menstrual cramps and heavier bleeding
Besides IUDs, there are other long-acting contraception methods — for example, the subdermal contraceptive implant. The choice of method should always be preceded by a gynecologist consultation, taking into account the patient’s health, needs and lifestyle.
How an IUD works
An IUD works through a local reaction in the uterine cavity and thickening of the cervical mucus, which hinders sperm movement. A hormonal IUD additionally suppresses endometrial growth, while copper ions have a spermicidal effect.
Thanks to the combination of these mechanisms, an IUD provides stable, highly effective protection for many years without any daily effort.
How IUD insertion works
IUD insertion and removal are performed only after a prior gynecologist consultation. The first visit covers the assessment of indications and a prescription; the procedure itself takes place at the second visit. The IUD is inserted with a special applicator through the cervix; the process may cause discomfort but is usually quick. After insertion, the doctor performs an ultrasound scan to confirm the IUD is correctly placed.
After the procedure: what to expect
- Menstrual-type cramps and spotting are possible in the first days after insertion
- Discomfort during insertion is usually short-lived
- In case of severe pain or bleeding, contact a doctor immediately
- Follow-up visit — 4–12 weeks after insertion
IUD pros and cons
Advantages
- Long-term protection against pregnancy — 3 to 10 years depending on the type
- No daily routine — nothing to remember every day
- High effectiveness — Pearl Index above 99%
- Quick return of fertility after removal — often as early as the next menstrual cycle
Drawbacks
- Risk of pelvic inflammatory infections
- Cramps and spotting in the first days after insertion
- Possible painful, heavy and prolonged periods, especially with a copper IUD
- Risk of IUD displacement, which may require medical attention
Contraindications
An IUD is suitable for most women, but there are conditions in which insertion is not recommended:
- Suspected pregnancy
- Unexplained bleeding from the reproductive tract
- Cancer; hormonal IUDs should not be used with hormone-dependent tumors
- Anemia, endometriosis and anatomical uterine abnormalities — may interfere with use, especially of hormonal IUDs
In such cases the doctor may suggest another contraception method. A qualifying gynecological examination is required before insertion to assess each patient’s individual situation.
How reliable is an IUD
The Pearl Index of IUDs exceeds 99%, making it one of the most reliable contraception methods available today.
Effectiveness can be reduced by incorrect placement or unnoticed expulsion of the IUD — which is why regular check-ups with a gynecologist matter.
IUD and insertion cost
The price includes the insertion and an ultrasound check of the IUD position right after the procedure. You can buy the IUD at a pharmacy with the prescription issued at your first consultation.
IUDs available at the clinic
If you choose an IUD from the clinic’s stock, it costs from 600 zł depending on the type (hormonal or copper).
Given the 3–10 year lifespan, an IUD is one of the most cost-effective contraception methods per year of protection.
An IUD does not affect fertility
“An IUD can be removed at any time — fertility returns to normal, often as early as the next cycle.”
An IUD has no lasting effect on fertility. It can be removed at any time, and the ability to conceive returns to normal — often as early as the next menstrual cycle. IUDs are not teratogenic, meaning they do not cause birth defects.
Hormonal IUDs may cause headaches, nausea and mood changes — these symptoms are usually mild and resolve on their own. Serious side effects, such as infections, require prompt medical attention.
Bottom line: an IUD is a reliable, long-term and fully reversible contraception method. Insertion takes one short visit after a consultation, while the ultrasound check and regular follow-ups ensure safety and confidence in your protection for years ahead.