Impact and Management of IUD Period

Amisha Jain
Medically reviewed by
Dr. Kaushal

Review medical content on WOW Rx Pharmacy, so that accurate drug use information is easily accessible to everybody.
Dr. Akansha is a licensed Clinical Pharmacologist. She possesses remarkable knowledge in Pharmacovigilance, prescription analysis, drug information, and drug safety services. Additionally, she is a keen learner and an educator.

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iud period

Intrauterine Devices (IUDs) have become a popular and effective long-term reversible contraceptive option for many women. 

While these devices offer reliable birth control, some individuals may experience certain side effects as a result
of the insertion.

One such change is in their menstrual cycles. Both hormonal and copper IUDs work differently and, hence, have different impacts on periods. 

This article aims to explore IUD period in detail, shedding light on the potential alterations and providing insights into what individuals can do to manage those changes.

Do you get a period with an IUD

Yes, individuals with an IUD may still experience a period, but the characteristics can change.

For those with hormonal IUDs, changes in the length of the menstrual cycle are possible. 

Some individuals may experience longer or shorter cycles, while others may notice irregularities in the timing of their periods. 

We will discuss it in detail in the next section.

It’s essential to recognize that these changes are typically temporary and may stabilize as the body adjusts to the IUD.

Hormonal IUD period

Hormonal Intrauterine Devices (IUDs), such as Mirena, Skyla, or Kyleena, often bring about noticeable changes in menstrual patterns for individuals who use them. 

The hormonal IUD Mirena, in addition to providing contraceptive benefits, is also FDA-approved to treat heavy menstrual bleeding.

Lighter period

Many individuals using hormonal IUDs may experience lighter menstrual flow over time. 

The key player in this process is Progestin, a synthetic form of the hormone Progesterone, released by the IUD. 

Progestin works to thin the uterine lining, creating an environment less conducive to the typical shedding of blood and tissue during menstruation. 

This thinning effect often leads to lighter periods over time.

Hormonal IUDs are often also known to reduce cramps and PMS symptoms.

Irregular period

Another common occurrence with hormonal IUDs is irregular bleeding or spotting between periods. 

This is often more prevalent in the initial months after insertion and is a temporary side effect as the body adjusts to the hormonal changes introduced by the IUD.

Copper IUDs

Strings too shortSource: SOMNATH_MAHATA_from_GettyImages
Copper IUD

Unlike hormonal IUDs, copper IUDs do not release hormones. 

Instead, they contain copper, which has a different impact on the menstrual cycle. 

One common observation among users of copper IUDs is an increase in menstrual flow. 

The presence of copper in the uterus creates an inflammatory response, leading to heavier periods for some individuals.

This inflammatory response can also contribute to intense menstrual cramping.

How to manage period with IUD

The irregularities and cramps usually settle after a few months as the body gets used to the IUD.

However, the following tips can help one transition through this period smoothly:

Over-the-counter medications

Over-the-counter pain medications can help with IUD cramps.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) like Ibuprofen can be purchased without a prescription for relief.

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Patience during the adjustment period

Recognizing that changes in menstrual patterns are common during the initial months after IUD insertion can help individuals navigate this period with patience. 

It is advisable to allow the body sufficient time to adapt to the presence of the device.

Monitoring and communication

Keeping track of menstrual cycles, including changes in flow, duration, and any irregular bleeding, can help individuals and their healthcare providers monitor the impact of the IUD. 

Open communication with a healthcare expert is crucial to address any concerns or unusual symptoms.

Seeking medical advice

If the changes in menstrual patterns are severe, persistent, or causing significant discomfort, individuals should consult their healthcare provider. 

There might be underlying factors that need to be addressed, and adjustments to the IUD or exploring alternative contraceptive options may be considered.


Intrauterine Devices (IUDs) stand as a reliable and effective long-term contraceptive option for many women. 

Hormonal IUDs can cause lighter or irregular periods, while copper IUDs cause heavy menstrual bleeding.

It is crucial for individuals to recognize that these changes are typically temporary, and with patience, the body tends to adapt to the presence of the IUD.

Managing these changes involves a proactive approach, including monitoring menstrual cycles, maintaining open communication with healthcare providers, and seeking medical advice if needed. 

Over-the-counter medications, such as NSAIDs, can be valuable in alleviating cramps associated with IUD use. 

By navigating the adjustment period patiently and staying informed, individuals can ensure a smoother experience with their IUDs and make informed decisions about their reproductive health.

If pregnancy is suspected, seek immediate medical attention to prevent complications. Pregnancy with an IUD poses serious risks, including ectopic pregnancy. 

Frequently Asked Questions

Do you get a period with an IUD?

Yes, individuals with an IUD may still have a period, but the characteristics can change. Hormonal IUDs can cause lighter or irregular periods, while copper IUDs typically cause heavy menstrual bleeding.

How long does it take to get a period after IUD?

The timing of getting a period after IUD insertion varies. Some may experience changes immediately, while for others, it may take a few months for a new pattern to be established.

What do periods look like on IUD?

Periods on an IUD can vary. With hormonal IUDs, periods may become lighter, and some may experience irregular bleeding or spotting between periods. With copper IUDs, periods may be heavier. The appearance and flow of periods can differ based on individual responses and the type of IUD used.

Where does period blood go when you have an IUD?

When you have an IUD, period blood exits the uterus through the cervix and is expelled from the body in the usual way. The presence of the IUD, whether hormonal or copper, does not alter the natural flow of menstrual blood. 

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