The IUD is one of the most reliable forms of contraception and offers women a long-term alternative to daily pills. Modern IUDs are small, well-tolerated and suitable for many life situations – including for young women.
In my office, I offer comprehensive consultations and the professional placement of various types of IUDs. Here is an overview of the most common options:
1. Copper IUD – Hormone-free & Long-Acting
Mechanism of Action:
The copper IUD continuously releases small amounts of copper into the uterus. Copper is toxic to sperm and prevents fertilization and implantation.
Advantages:
• Hormone-free
• Long duration of action (depending on the model, 3–5 years)
• Very reliable (Pearl Index: 0.3–0.8)
Possible Side Effects:
• Heavier menstrual bleeding
• Cramping or pain during menstruation (especially in the first months)
2. Hormonal IUD (e.g. Mirena®, Kyleena®, Jaydess®)
Mechanism of Action:
The hormonal IUD releases a small amount of levonorgestrel directly into the uterus. This local hormone effect thickens the cervical mucus, thins the uterine lining, and may suppress ovulation.
Advantages:
• Very high contraceptive reliability (Pearl Index: 0.1–0.3)
• Menstrual bleeding may become lighter or stop entirely
• Minimal hormonal exposure due to local action
• Especially suitable for women with heavy periods or endometriosis
Types and Duration:
• Jaydess®: up to 3 years
• Kyleena®: up to 5 years
• Mirena®: up to 8 years
Possible Side Effects:
• Spotting or irregular bleeding (especially in the first few months)
• Headaches, skin changes, or mood swings (rare)
3. Copper Chain (e.g. GyneFix®)
Mechanism of Action:
The copper chain consists of small copper cylinders attached to a thread that is anchored into the uterine wall. It works similarly to the copper IUD but is more flexible and often better tolerated.
Advantages:
• Hormone-free
• Especially suitable for young women
• Lower risk of increased bleeding compared to the classic copper IUD
• Duration: up to 5 years
• Pearl Index: 0.1–0.5
What Does the Insertion Procedure Involve?
1. Consultation & Examination
We begin with a detailed consultation, including ultrasound and cervical swabs.
2. Best Time for Insertion
Ideally, the IUD is inserted during menstruation, preferably on day 3 of the period – the cervix is slightly open and pregnancy can be safely ruled out.
3. Insertion at the office
The insertion is performed on an outpatient basis and takes only a few minutes.
4. Follow-up Check
After 4–6 weeks, an ultrasound is performed to confirm the correct position of the IUD.
Who Is the IUD Suitable For?
The IUD is an excellent choice for women who:
• Want long-term contraception (3–8 years)
• Prefer not to think about contraception every day
• Are looking for a hormone-free or low-hormone option
Risks & Contraindications (rare, but important to know)
• Infections, especially in the first few weeks after insertion
• Heavier periods or cramping (mainly with copper devices)
• Displacement or expulsion of the IUD (rare)
• Perforation of the uterine wall (extremely rare)
• Not recommended in cases of certain uterine abnormalities, acute infections, or specific medical conditions
Our Conclusion
The IUD is a modern, safe, and customizable method of contraception. Whether hormone-free or with local hormone action – we are happy to advise you in detail and help you find the option that best suits your needs.