After welcoming a child into the world, whether for the first or fifth time, many of us decide we’re finished having more kids—at least for a while. The reassurance of avoiding unexpected pregnancies becomes essential. One of the most favored methods of contraception is the IUD (intrauterine device), a T-shaped plastic device roughly the size of a quarter inserted into the uterus lining. You can have an IUD placed at any point during your cycle, even right after giving birth. For every 100 couples using an IUD for contraception, fewer than one will face an unplanned pregnancy.
The IUD is among several long-lasting and effective birth control options, often preferred over others. Unlike birth control pills, which require daily attention, or condoms that come with user errors, the IUD is hassle-free.
You might have some burning questions:
- Can my partner feel the IUD during sex?
- Is it possible for an IUD to dislodge during vigorous sex?
- What signs indicate that an IUD might be out of place?
Let’s tackle these questions and more.
Hormonal vs. Copper IUD: Which One Is Right for You?
Understanding how the IUD impacts your body is crucial. There are five FDA-approved IUD brands, categorized into two types:
Hormonal IUD: This type utilizes progestin (similar to progesterone) to avert pregnancy. Depending on the brand, it lasts between three and seven years. It works by thinning the uterine lining, preventing egg implantation, and thickening cervical mucus to block sperm. For those with heavy or painful periods, this IUD might alleviate some of those challenges.
Copper IUD (Non-Hormonal): Designed to last up to 12 years, this IUD is ideal for those who prefer to avoid hormones. It is wrapped in copper, which damages sperm, making fertilization nearly impossible. However, it may lead to longer and more painful periods, which could decrease your interest in sex. If you already experience heavy flows, this option might not suit you.
The insertion process can be uncomfortable and may cause cramping. However, once in place, there are typically no issues with sexual activity.
The IUD Strings and Sensations During Sex
During intercourse, your partner likely won’t notice the IUD itself. After insertion, one or two thin strings resembling fishing wire extend into the vaginal canal. Occasionally, the tip of the penis may brush against these strings, which some find uncomfortable.
Don’t worry, though—this is a common experience! The strings usually soften after a few weeks and tend to curl around the cervix. If the strings are bothersome, consider these options for a more comfortable experience:
- Have your partner use a condom.
- Suggest shallower thrusts.
- Consult your doctor about trimming the strings (note: this could create a sharper edge).
Can Rough Sex Cause Your IUD to Dislodge?
For those who enjoy more passionate encounters, a common concern is whether an IUD can be dislodged during rough sex. According to the American College of Obstetricians and Gynecologists, IUD expulsion occurs in 2 to 10 percent of users, depending on the type of IUD. This doesn’t mean it will fall out completely; sometimes, it is only partially expelled, which might cause some discomfort.
While an IUD can dislodge, it’s not common and is usually unrelated to sexual activity. The likelihood of expulsion is highest shortly after insertion, possibly due to improper placement or body rejection. As time goes on, the chances of expulsion decrease.
Signs Your IUD May Have Shifted
Once placed, an IUD generally remains in position, but it can occasionally shift. If you suspect this, reach out to your gynecologist. Rarely, about one in every 1,000 placements may result in the IUD perforating the uterine wall. Here are some signs to monitor:
- Are you experiencing severe pain? While the copper IUD can cause intense cramps, severe pain outside your period might indicate a problem.
- Can you feel the IUD at your cervix? You shouldn’t feel it; if you do, consult your doctor.
- Have you noticed a change in string length? You can check by gently inserting your finger into the vagina; you should feel the strings at the cervix.
- Is sex painful? This could indicate the IUD has shifted or other issues, such as endometriosis.
Most IUD users experience no problems, and if issues arise, your doctor can assist you. Whether you’re permanently done having children or just taking a break, an IUD can be a fantastic contraceptive option.
Common Questions About IUDs
- Can my partner ejaculate inside me with an IUD in place? The primary function of an IUD is to prevent pregnancy. While it creates a hostile environment for sperm in the uterus, it doesn’t block semen from entering the vagina. There’s still a small chance (about one percent) of becoming pregnant.
- Do IUDs cause weight gain? Some users may experience slight weight gain due to water retention from hormonal IUDs. Brands like Mirena specifically list weight gain as a potential side effect, along with acne and mood changes.
- What should I avoid after getting an IUD? After insertion, it’s advisable to refrain from sex, swimming, bathing, or using tampons for at least a day or two to minimize the risk of expulsion.
For more insights, you can check out this helpful blog post about home insemination. If you’re looking to boost your fertility, the experts at Make a Mom have great resources. Additionally, for a comprehensive guide on pregnancy week by week, visit March of Dimes.
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Summary
When considering an IUD for contraception, it’s essential to understand how it may affect your body and sexual experiences. Both hormonal and copper options are available, each with unique benefits and potential side effects. After insertion, your partner typically won’t notice the device, but you may experience some discomfort from the strings. It’s also crucial to be aware of signs that the IUD may have shifted or dislodged. Overall, most users find the IUD a reliable and effective birth control method.