When it’s time to decide on a birth control method, it’s widespread to marvel: Will it make me gain weight? The mere notion {that a} contraceptive can deliver on additional kilos is a deal breaker for a lot of customers.

Generally this worry can prolong to IUDs, often known as intrauterine units. However there’s no proof these small T-shaped units, which a physician inserts into your uterus to prevent pregnancy long-term, will make you get heavier.

“My expertise is totally that weight achieve will not be a problem with [IUDs],” says Henry Dorn, MD, an OB/GYN in non-public apply in Excessive Level, NC. “The research principally present that there’s lower than 5% [of IUD users] who present any weight achieve, and it’s typically just a little water weight.”

Even with hormonal IUDs like Mirena, which emit progestin, so little of the hormone will get into your system that any results on weight are minor, he says.

The progestin in hormonal IUDs thickens the mucus in your cervix to dam sperm from reaching an egg. It additionally thins the liner of your uterus so it’s tougher for any sperm that does get by means of to implant. The system can work and stay within the uterus for 3 to six years. A copper IUD makes use of the metallic’s properties as an alternative of hormones to cease most sperm and forestall any that get by from implanting. This sort of IUD can keep in your uterus (and hold working) for for much longer, as much as 10 years.


Weight Achieve Not Listed as IUD Aspect Impact

The IUD is a LARC, which stands for long-acting reversible contraception. Like birth control implants, the matchstick-sized rods a physician inserts into your higher arm, the IUD works very well. Fewer than one in 100 customers of both technique will get pregnant within the first 12 months.

Each IUD varieties work about equally effectively to stop being pregnant. They will trigger related, minor negative effects for some individuals, Dorn says, like headaches and adjustments to your pores and skin, hair, or temper. You might need heavier durations on the copper IUD.

Lists of potential IUD side effects don’t embody weight achieve. Additionally, a 2013 research by the American School of Obstetricians and Gynecologists (ACOG) reported that amongst LARC customers, ladies who used implants and photographs had been extra prone to report weight achieve than those that used copper IUDs.

In keeping with the ACOG, LARC strategies work 20 occasions higher than birth control pills; the patch, which releases hormones by means of the skin; or the vaginal ring, which it is advisable to exchange each month.

“There isn’t any good birth control,” Dorn notes, “however [IUDs] are the very best we’ve received.”

It additionally is likely to be the simplest. “It takes 30 seconds to place in, and 5 seconds to take out,” he says.

Different Issues Can Deliver Weight Achieve

Even when individuals report weight achieve, Dorn says it’s vital to consider different elements which may play a task. Generally it’s merely your stage of life. For instance, in the event you begin utilizing an IUD earlier than your physique totally matures, you may assume regular physique adjustments outcome from the IUD.

“Lots of it’s timing. Lots of it’s, it coincides with the normal weight achieve of maturity,” Dorn says.

You’ll be able to cease the birth control as simply as you begin it, too. When you determine you wish to get pregnant, or in any other case don’t wish to use the strategy anymore, you solely should go to your physician or different medical skilled to have it eliminated.

IUDs Can Assist With Different Circumstances

Dorn additionally prescribes the IUD as remedy for girls who’ve heavy periods. He cites the variety of sanitary pads used as a measure. When you have an IUD, you might need to make use of 2 to three pads much less per day throughout your interval, he says.


If you’d like an IUD, a board-certified OB/GYN, licensed nurse midwife, or household physician is your best option. “Skilled practitioners do higher inserting them than much less skilled,” Dorn says. For instance, if somebody has a “tilted” uterus, which slants backward as an alternative of ahead, a extremely expert physician must insert the IUD.

However such a situation is uncommon, so don’t let discovering a well being skilled cease you. Try medical clinics in your space. And whereas IUDs ought to be coated by insurance or Medicaid, Dorn says, value shouldn’t be a barrier both. Clinics typically supply a sliding fee scale. “Virtually no one has to pay full worth,” he says, which is about $750.

When you’re executed having kids, Dorn says the very best kind of contraception is to have the male companion get a vasectomy. “A vasectomy has a zero weight achieve for girls,” he says.



Nemours Teenagers Well being: “The IUD.”

Henry Dorn, MD, OB/GYN, Excessive Level, NC.

The American School of Obstetricians and Gynecologists: “Lengthy-Appearing Reversible Contraception (LARC): Intrauterine Gadget (IUD) and Implant.”

Affected person Desire and Adherence: “Understanding advantages and addressing misperceptions and boundaries to intrauterine system entry amongst populations in the USA.”

American Journal of Obstetrics & Gynecology: “Validity of Perceived Weight Achieve in Girls utilizing Lengthy-acting Reversible Contraception and Depot Medroxyprogesterone Acetate.”

Bedsider.org: “Paragard vs. Mirena.”

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