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Contraception Guide

Hormonal vs. Copper IUDs: Find the Right Fit for Your Contraception Needs

Compare Mirena, Kyleena, Skyla, Liletta, and Paragard IUDs to understand which long-acting reversible contraceptive matches your lifestyle and health profile.

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What to Expect

  • ✓Hormonal IUD options (Mirena, Kyleena, Skyla and Liletta) release a progestin for reliable pregnancy prevention
  • ✓The copper IUD (Paragard) provides up to 10 years of non-hormonal contraception
  • ✓All FDA-approved IUDs are more than 99% effective when properly placed
  • ✓Side effects, insertion experience and bleeding patterns vary by device type and individual tolerance
  • ✓Approved duration ranges from about 3 years to 10 years depending on the device, which affects long-term cost
  • ✓Your provider reviews your goals and health history to match you with the right device

Counseling Before Placement

All IUD options reviewed with your provider

Removal Available Any Time

Reversible contraception means control stays with you

Benefits & Outcomes

Side-by-Side Feature Review

Understand insertion time, hormone type, removal ease and clinical benefits of each FDA-approved IUD so you can make an informed choice aligned with your health priorities.

Personalized Fit Assessment

Your provider evaluates your medical history, current medications, cycle preferences and contraceptive timeline to recommend the IUD that supports your plan.

Placement and Support

IUD placement is performed in our office, with follow-up guidance on comfort, positioning and what to expect.

Frequently Asked Questions

What is the difference between hormonal and copper IUDs?▾

Hormonal IUDs (Mirena, Kyleena, Skyla, Liletta) release a small amount of progestin to prevent pregnancy and often reduce menstrual bleeding and cramping. The copper IUD (Paragard) works without hormones and suits patients who want non-hormonal contraception. Both are more than 99% effective.

How long does an IUD last?▾

Duration depends on the type. Skyla is approved for about 3 years, Kyleena for about 5 years, Mirena and Liletta for longer, and Paragard for up to 10 years. Your provider confirms the current approved duration for your device. After that period the device is removed and can be replaced if you wish to continue IUD contraception.

Is IUD insertion painful?▾

Many patients report mild to moderate cramping during insertion, similar to a strong period cramp. Pain management options are discussed at your pre-insertion visit.

Can I use an IUD if I've never been pregnant?▾

Yes. IUDs are safe and effective for people of all ages and pregnancy histories, including those who have never been pregnant. Your provider discusses any personal medical factors at your consultation.

What are the side effects of hormonal IUDs?▾

Common side effects include irregular bleeding (especially in the first 3 to 6 months), mild cramping, spotting and breast tenderness. Many patients have lighter periods or no bleeding at all. Serious problems such as perforation or expulsion are rare; your provider screens for risk factors and checks placement.

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Ready to Get Started?

Call (713) 485-4302 or send an appointment request, and our office will follow up.

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