What Is an Intrauterine Device and How Does It Work?
An IUD is a small, T-shaped device placed inside the uterus by a clinician to prevent pregnancy. It requires no daily action and may remain effective for several years, depending on the type. Two main categories are available: hormonal and copper.
Hormonal options such as Mirena and Kyleena release a low dose of progestin to thicken cervical mucus and thin the uterine lining, reducing the chance of fertilization. Mirena provides protection for up to 8 years, while Kyleena is approved for up to 5 years and has a slightly smaller frame. The copper IUD, Paragard, uses no hormones. Instead, copper ions create an environment toxic to sperm. Paragard can remain effective for up to 10 years and is also approved as emergency contraception when placed within a few days of unprotected sex.
Hormonal vs. Copper IUD
Which Option Is Right for You?
West End Obstetrics & Gynecology offers consultations to help women in Williamsburg, VA, choose between hormonal and non-hormonal IUD options. Both are long-acting, reversible forms of contraception that your provider can place and remove in the office. Hormonal devices use progestin to prevent pregnancy. Common brands include Mirena, Kyleena, Liletta, and Skyla, each varying in progestin dose and approved duration. Lighter or absent periods are a common benefit. The copper option, Paragard, contains no hormones and may suit women who prefer to avoid systemic hormones or who have medical conditions that make hormonal contraception unsuitable.
Your provider will review your health history, contraceptive goals, and family planning timeline to guide the decision. A personalized consultation is the best starting point.
▸ Mirena: hormonal, up to 8 years, may reduce or stop periods.
▸ Kyleena: hormonal, up to 5 years, lower hormone dose, smaller frame.
▸ Paragard: hormone-free copper, up to 10 years, periods may be heavier initially.
What to Expect During IUD Insertion
Placement at West End Obstetrics & Gynecology is a brief in-office procedure that typically takes only a few minutes. Our team walks every patient through what will happen before, during, and after placement.
Here is a general outline of the process:
▸ A pelvic exam confirms uterine position before placement begins.
▸ The cervix is cleansed and a speculum is used to access the uterine canal.
▸ The device is placed through the cervix using a slender applicator, and the strings are trimmed to length.
▸ Mild cramping or spotting after insertion is common and typically resolves within a few days.
▸ A brief follow-up may be recommended to confirm correct placement.
Pain management options can be discussed at your appointment. Some patients find it helpful to take an over-the-counter pain reliever before their appointment. To schedule a consultation, contact us at
804-282-9479.
Who May Be a Good Candidate?
IUD placement can be appropriate for a wide range of patients, including those who have never been pregnant. It may be a good fit if you want long-term, low-maintenance contraception, prefer to avoid daily pills, or need a hormone-free option. Certain conditions, such as unexplained vaginal bleeding or a uterine abnormality, may affect candidacy, which is why an in-office consultation is essential.
What to Expect During Insertion and Removal
The placement procedure is done in-office and typically takes only a few minutes.
List of services
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1. Your provider reviews your health history and confirms the best IUD type for you. Write a description for this list item and include information that will interest site visitors. For example, you may want to describe a team member's experience, what makes a product special or a unique service that you offer.List Item 1
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2. A speculum is inserted and the cervix is gently cleaned. Write a description for this list item and include information that will interest site visitors. For example, you may want to describe a team member's experience, what makes a product special or a unique service that you offer.List Item 2
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3. The uterus is measured and the device is placed through the cervical opening. Write a description for this list item and include information that will interest site visitors. For example, you may want to describe a team member's experience, what makes a product special or a unique service that you offer.List Item 3
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4. The provider trims the strings to a comfortable length. Write a description for this list item and include information that will interest site visitors. For example, you may want to describe a team member's experience, what makes a product special or a unique service that you offer.List Item 4
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5. You may experience brief cramping after placement; most patients resume normal activity the same day. Write a description for this list item and include information that will interest site visitors. For example, you may want to describe a team member's experience, what makes a product special, or a unique service that you offer.
Removal is also quick, and fertility often returns promptly afterward.
Frequently Asked Questions
Is the IUD Insertion Painful?
Most patients feel pressure and cramping similar to menstrual cramps during and just after placement. Discomfort typically resolves within a few hours.
Can I Get One If I Have Never Been Pregnant?
Yes. IUD placement is approved for patients regardless of pregnancy history. Frame size and hormone dose may be adjusted based on individual anatomy.
What Are the Most Common Side Effects?
Hormonal devices may cause spotting or lighter periods. Paragard may temporarily increase period flow. Serious complications are rare and will be discussed at your consultation.
How Long Does an IUD Last?
Hormonal options are generally approved for three to eight years, depending on the brand. The copper Paragard may remain effective for ten to twelve years. Your provider will review the approved lifespan of whichever device you choose.
Can the Device Be Removed If I Want to Get Pregnant?
Yes. An IUD can be removed at any time, and fertility returns relatively quickly. Many women conceive within a few months. Let your provider know if you are planning a pregnancy so timing can be discussed.
What Is the Difference Between a Hormonal and a Copper IUD?
Hormonal devices release progestin locally and may reduce or eliminate periods. The copper option works without hormones and suits women who prefer hormone-free contraception, though some experience heavier periods.
Schedule Your Consultation
The gynecological care team at West End Obstetrics & Gynecology can walk you through every IUD option in a comfortable, judgment-free setting.
Patients in Williamsburg, VA, and the wider Richmond area are welcome. Call
804-282-9479 today to book your appointment.