Long-Acting Contraception Without a Daily Pill
For women looking for a long-acting contraceptive option, an intrauterine contraceptive device (IUD) may be an option to discuss with a gynecologist. An IUD is a small device placed inside the uterus to provide ongoing contraception without requiring daily action.
At Second Spring Women’s Clinic in Gangnam, Seoul, contraceptive options are discussed according to each woman’s health history, reproductive plans, and individual preferences.
What Is an Intrauterine Contraceptive Device (IUD)?
An IUD is a small, usually T-shaped device inserted into the uterus by a trained healthcare professional. Depending on the type, an IUD may release a progestogen hormone or use copper to provide contraception.
IUDs are long-acting reversible contraceptives (LARCs), meaning they provide contraception for an extended period and can be removed when pregnancy is desired or another contraceptive method is preferred.
There are two main types:
-
Hormonal IUD: Releases a progestogen hormone inside the uterus.
-
Copper IUD: Uses copper to provide contraception without hormones.
How Does an IUD Work?
The way an IUD prevents pregnancy depends on its type.
Hormonal IUD
A hormonal IUD primarily:
-
Thickens cervical mucus
-
Interferes with sperm movement and function
-
Thins the lining of the uterus
-
May suppress ovulation in some users
Copper IUD
A copper IUD:
-
Releases copper ions inside the uterus
-
Interferes with sperm movement and function
-
Prevents fertilization
An IUD does not protect against sexually transmitted infections (STIs), so condoms may still be recommended when STI protection is needed.
What Happens During IUD Placement?
IUD insertion is a relatively brief procedure performed by a trained healthcare professional.
The general process may include:
Consultation → Medical assessment → Examination → IUD insertion → Aftercare instructions
The healthcare professional will assess whether an IUD is appropriate, explain the insertion process, discuss possible discomfort and bleeding changes, and provide instructions for follow-up and warning signs.
What About Period Changes?
Menstrual changes can occur after IUD placement, and they vary depending on the type of IUD.
With a hormonal IUD, some women may experience:
-
Irregular bleeding or spotting, particularly during the first months
-
Lighter periods
-
Less frequent periods
-
No periods
With a copper IUD, some women may experience:
-
Heavier menstrual bleeding
-
Longer periods
-
Increased menstrual cramping, particularly during the first few months
Bleeding changes should be discussed with a healthcare professional if they are persistent, severe, or concerning.
Who May Consider an IUD?
An IUD may be considered by women who:
-
Want long-acting reversible contraception
-
Prefer not to take a contraceptive pill every day
-
Want contraception that does not require regular action
-
Want a hormonal or non-hormonal contraceptive option
-
Want the option of removing the device when pregnancy is desired
Suitability should always be assessed individually. Certain medical conditions, pregnancy status, infections, uterine conditions, medications, or personal circumstances may affect whether an IUD is appropriate.
What Should You Discuss Before Choosing an IUD?
A contraceptive consultation may cover:
| Topic | Why It Matters |
|---|---|
| Medical history | Helps determine whether an IUD is suitable |
| Current medications | Helps identify factors that may affect contraceptive choice |
| Menstrual history | Helps establish expectations about possible bleeding changes |
| Pregnancy plans | Supports selection of an appropriate contraceptive method |
| Previous contraceptive experience | Helps identify preferences and concerns |
| Hormonal vs. non-hormonal preference | Helps determine whether a hormonal or copper IUD may be more suitable |
| STI and infection history | Helps assess whether additional evaluation or testing is needed |
Removal and Future Pregnancy
An IUD is reversible and can be removed by a trained healthcare professional when contraception is no longer desired or when another method is preferred.
Fertility generally returns after IUD removal. Women planning pregnancy can discuss preconception health, medications, and other individual considerations with their gynecologist.
Personalized Contraceptive Care in Seoul
Choosing contraception is a personal decision. A method that works well for one woman may not be suitable for another. A consultation allows the doctor to consider health history, reproductive goals, lifestyle, menstrual patterns, and preferences before recommending an appropriate option.
At Second Spring Women’s Clinic, Dr. Seon-Hwa Jeong, Obstetrician and Gynecologist, provides individualized contraceptive consultations for women seeking reproductive healthcare in Seoul.
The clinic offers consultations in English and Korean, supporting both local and international patients.
Second Spring Women’s Clinic
Location: Gangnam District, Seoul, South Korea Doctor: Dr. Seon-Hwa Jeong Specialty: Obstetrics and Gynecology
For women considering long-acting reversible contraception, an intrauterine contraceptive device (IUD) can be discussed alongside other available contraceptive methods. A personalized consultation can help determine whether a hormonal or copper IUD is appropriate for your individual needs.