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 further kilos is a deal breaker for a lot of customers.

Typically this concern can lengthen to IUDs, often known as intrauterine gadgets. However there’s no proof these small T-shaped gadgets, which a health care provider inserts into your uterus to prevent pregnancy long-term, will make you get heavier.

“My expertise is totally that weight achieve is just not a problem with [IUDs],” says Henry Dorn, MD, an OB/GYN in personal follow 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 usually a bit 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 via to implant. The gadget can work and stay within the uterus for 3 to six years. A copper IUD makes use of the steel’s properties as a substitute of hormones to cease most sperm and forestall any that get by from implanting. Such a IUD can keep in your uterus (and maintain 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 health care provider inserts into your higher arm, the IUD works rather well. Fewer than one in 100 customers of both technique will get pregnant within the first yr.

Each IUD sorts work about equally properly to stop being pregnant. They’ll trigger comparable, minor unintended effects for some individuals, Dorn says, like headaches and modifications to your pores and skin, hair, or temper. You might need heavier durations on the copper IUD.

Lists of attainable IUD side effects don’t embrace weight achieve. Additionally, a 2013 examine by the American Faculty of Obstetricians and Gynecologists (ACOG) reported that amongst LARC customers, girls who used implants and pictures had been extra more likely to report weight achieve than those that used copper IUDs.

In keeping with the ACOG, LARC strategies work 20 instances higher than birth control pills; the patch, which releases hormones via the skin; or the vaginal ring, which you must change each month.

“There is no such thing as a excellent birth control,” Dorn notes, “however [IUDs] are the perfect we’ve bought.”

It additionally could be the best. “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 components that may play a task. Typically it’s merely your stage of life. For instance, should you begin utilizing an IUD earlier than your physique absolutely matures, you would possibly suppose regular physique modifications 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 possibly can cease the birth control as simply as you begin it, too. For those who resolve you wish to get pregnant, or in any other case don’t wish to use the tactic anymore, you solely must 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. In case 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 a substitute 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 needs to be lined by insurance or Medicaid, Dorn says, value shouldn’t be a barrier both. Clinics typically supply a sliding cost scale. “Nearly no one has to pay full worth,” he says, which is about $750.

For those who’re accomplished having youngsters, Dorn says the perfect sort of contraception is to have the male accomplice 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 Faculty of Obstetricians and Gynecologists: “Lengthy-Appearing Reversible Contraception (LARC): Intrauterine Gadget (IUD) and Implant.”

Affected person Choice and Adherence: “Understanding advantages and addressing misperceptions and limitations to intrauterine gadget entry amongst populations in the USA.”

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

Bedsider.org: “Paragard vs. Mirena.”

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