How does the hormonal IUD work?
The hormonal IUD works as follows:
- The hormone makes it more difficult for sperm cells to reach the mucous membrane of the cervix. The sperm cells will then have difficulties reaching the uterus, where the egg cell is located.
- The hormone prevents implantation of an egg cell.
A doctor or gynaecologist places the spiral into the woman’s uterus during the first 7 days of her cycle.
The hormonal IUD works for 5 years. After 5 years it needs to be replaced.
When the IUD is inserted, 2 short threads are left outside of the uterus. They are deep in the vagina, where you can feel them. This means that you can always check that the IUD is still in place.
Does not affect your health
There is also a copper IUD. This is an IUD with a copper thread tied around it. The copper IUD is thought to stop the sperm cells from moving. The copper stops the sperm cells from moving.
Your menstrual periods can become less heavy and often stop altogether. It is OK if your menstrual periods stop. The blood cannot accumulate in your body. For some women, periods become heavier. Others keep on having irregular menstrual periods or bleeding between 2 periods. That is also OK.
No protection against STIs and HIV
Price of a hormonal IUD
A doctor can fit a hormonal IUD for about € 119-148, depending on the brand. After 5 years you have to return to the doctor for a new hormonal IUD.
Women under the age of 21 can get a discount. A hormonal IUD costs between € 0 and € 40 for them.
Some health insurance funds repay part of the costs for contraception. Ask your health insurance fund about this.
You also have to pay a personal contribution for the visit to the doctor. Some people have a right to increased reimbursement or urgent medical care. Below are the addresses where you can see a doctor for free.