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Intrauterine devices & systems (IUDs & IUSs)

Ngā taputapu

An intrauterine device (IUD) is a plastic and copper device that is placed in your womb through the natural opening in your cervix at the top of your vagina. It works by stopping sperm reaching your egg and may also stop a fertilised egg implanting in your uterus. It doesn't contain any hormones.

An intrauterine system (IUS, Mirena or Jaydess) is a plastic IUD that also releases a small amount of the hormone progestogen into your womb. This thins the lining of your womb and thickens your cervical mucus so an egg cannot be fertilised or implant into your womb and grow. It prevents some women from ovulating (releasing eggs).

Because an IUS thins your womb lining, most women using one have much lighter periods or no bleeding at all. This means it can also be used to control heavy periods.

An IUD can be inserted as emergency contraception up to five days after unprotected sex. This is the recommended option for women who weigh over 70 kg.

An IUD or IUS is effective for at least three to five years, and you can get it taken out at any time. It's a suitable long-term contraception for most women.

These devices are funded for all women, but you need to pay the cost of having them fitted or removed. There is a subsidy for this if you meet the criteria.

A trained GP, practice nurse or gynaecologist fits an IUD or IUS in a simple procedure. See Inserting an IUD or IUS (Mirena or Jaydess) for details of how this is done.

An IUD can cause cramps and heavier periods.

An IUS may give you irregular or light periods.

Very rarely, there can be a problem when the IUD or IUS is inserted. Also rarely, the device can fall out without you noticing.

You can check if the device is still present by feeling for the soft strings that sit in the top of your vagina.

See your general practice, Sexual Wellbeing Aotearoa Clinic, school clinic or Te Tahi Youth to find out if an IUD or IUS is right for you.

Sexual health visits with your general practice team may be free. Ask your general practice team if you are eligible.

Appointments at Sexual Wellbeing Aotearoa Clinics are free for New Zealand residents if you are under 22.

Te Tahi Youth offers free medical care and counselling for those aged 10 to 24.

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On the next page: Inserting an IUD or IUS

Written by HealthInfo clinical advisers. Last reviewed July 2022.


Page reference: 54617

Review key: HICAS-53138