What is an intrauterine device?

An contraceptive implant inserted into the uterus.

It's also known as IUD, IUS, Coil, or Mirena.

What does an intrauterine device do?

• Menstruation

  Reduces or stops

• Fertility

  Reduces pregnancy risk

How long does an intrauterine device last?

Depending on the type of device it may last from 3 to 10 years. It can be removed by a medical professional if needed.

What kinds are there?

There are two types:

• an intrauterine device (IUD) does not release hormones
• an intrauterine system (IUS) releases hormones (progestogens), which may help to stop menstruation

Both are believed to not interfere with testosterone therapy 1.

What should I be aware of?

Combining an IUD or IUS with the use of barrier methods such as a condom will help reduce this risk.

Are there other options?

Other options that can also be used while taking testosterone include contraceptive injections, a contraceptive implant, and the progestogen-only contraceptive pill 1.

If you are not using testosterone, other options also include contraceptive patches and vaginal rings. You can read more about what types of contraception are right for you on the Contraception Choices website.

How do I get an intrauterine device?

You can ask for an IUD or IUS to be fitted at most GP surgeries, sexual health clinics, and GUM clinics.

How much does it cost?

An IUD or IUS is available for free at an NHS GP surgery, sexual health, or GUM clinic.

Where can I learn more?

You can read more on the NHS website about intrauterine devices and intrauterine systems.

You can find more information specifically for transgender and non-binary people on the FSRH website.

References

1. 1.
   FSRH Clinical Effectiveness Unit (2017) “Contraceptive Choices and Sexual Health for Transgender and Non-binary People.” Link

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