Are you thinking about getting an IUD? Worried about the process, or even thinking about an IUD removal? It’s wise to ask these kinds of questions — good on you! Something like an IUD can really affect your health as a whole, so it’s a good idea to learn all you can before making your decision. You always have options, no matter what you’re going through. ThriVe is a safe space to talk about your options and ask questions. For questions about birth control or your cycle, our blog section is full of information to support you.
If you’re looking at birth control options like an IUD, it’s likely that you’re trying to protect your future and your health. As women, it’s super important to think about goals and plans for the future. So let’s look more into IUDs, insertion, their risks, and ways to protect your health and future.

What Exactly is an IUD?
An IUD (intrauterine device) is a small, T-shaped piece of plastic or copper that a doctor places inside a woman’s uterus (through the vagina) to prevent pregnancy. There are two types:
Hormonal IUDs: These release progestin, which thickens cervical mucus to block sperm, partly stops the release of an egg from a woman’s body, and thins the lining of the uterus.1
Non-hormonal (Copper) IUDs: The copper creates inflammation in the uterus, making it toxic to sperm and eggs.2
Like any form of birth control (except delaying sex), these come with their own set of side effects and risks.
So, what are the risks of IUD specifically?
If you’re thinking about getting an IUD insertion, it’s important to understand the risks. Here are some to consider:
Perforated uterus: It’s possible for an IUD to puncture the uterine wall or cervix.2 |
Expulsion: Sometimes, the IUD can partially or fully slip out of place. A woman might not feel this |
Ectopic pregnancy: If a woman gets pregnant with an IUD, the pregnancy might occur outside the uterus, which can be dangerous.1 If you think you might be pregnant and have an IUD, it’s very important to make an appointment with the doctor who inserted the device. |
PID (Pelvic Inflammatory Disease): Sometimes, bacteria can get into the uterus when an IUD is inserted. PID can cause chronic pain and trouble getting pregnant in the future when a woman wants to.3 |
Severe menstrual pain, cramps, and heavy bleeding.2 |
Headaches: Some women report hormonal changes causing headaches.1 |
Mood changes1 |
No protection against STIs: An IUD doesn’t guard against sexually transmitted infections. |
It’s worth noting that some of these side effects overlap with early pregnancy symptoms (like tender breasts, pain, or irregular bleeding), which can lead to uncertainty if you’ve been sexually active. Make sure to talk with the provider who inserted the IUD if you think you’re pregnant
When to Consider Removing an IUD
There are plenty of reasons why women may decide on IUD removal. Maybe it’s the side effects (like severe cramping or heavy bleeding) or simply making the choice to delay sex. Whatever your reason, it’s good to know that the process of having an IUD removed is usually simple and quick. A doctor can remove it in the office, using forceps. Light bleeding from the vagina and light pain are common during removal.2
You can always contact your doctor beforehand to ask questions about how to remove the IUD. It’s a quick, simple step towards a more holistic, natural cycle.
Is it Pregnancy or IUD Side Effects?
One of the most confusing things about having an IUD is that the side effects can mimic early pregnancy symptoms. Confusing, I know. If you’ve been sexually active, keep an eye out for these things. If you’re noticing:
Missed periods | Nausea |
Tender breasts | Cramps3 |
It’s important to talk with the doctor who inserted it if you think you might be pregnant with an IUD.
If you don’t have an IUD but have been sexually active and missed a period, ThriVe offers no-cost, lab-quality pregnancy tests. You deserve to get clarity without the guesswork. We’re here to empower you with information and help you feel confident in your choice. ThriVe services are by women, for women. We get it. Come see us if you need to get some answers.

Get more confidence in your health
There’s a growing movement among women to delay or skip sex altogether as a form of control and empowerment. Not only does this eliminate the need for birth control like IUDs, but it’s also a way to take back control over your body and your choices. It’s always your call on what feels right for you. No one gets to decide this but you. Even if you’ve been sexually active in the past, you still get to choose what you want to do now. You always have a choice.
Your body and your cycle are powerful. Learning to track and understand your cycle is one of the best ways to take control of your reproductive health. Unsure about IUDs, pregnancy, or your health in general? ThriVe’s blog section is a great source for medically-accurate information and a judgment-free space for support.
Need Support? We’re Here for You!
If you think you might be pregnant, ThriVe offers no-cost pregnancy tests, ultrasounds, and STI screenings. Our team of women’s advocates is here to walk with you through the tough questions and help you make informed choices.
Sources:
1https://www.mayoclinic.org/tests-procedures/mirena/about/pac-20391354
2https://www.mayoclinic.org/tests-procedures/paragard/about/pac-20391270