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Hormonal IUD

A hormonal IUD is a method of contraception. A hormonal IUD is a plastic tube in a T-shape which contains 1 hormone.

Hormonal IUD

How does the hormonal IUD work?

A hormonal IUD works as follows:

  • The hormone makes it more difficult for sperm cells to reach the mucous membrane of the cervix. The sperm cells will then have difficulties reaching the uterus, where the egg cell is located.
  • The hormone prevents implantation of an egg cell.

A general practitioner, midwife or gynaecologist places the IUD into the woman’s uterus during the first 7 days of her cycle.

A hormonal IUD works for 5 to 8 years. After this period it needs to be replaced.

When the IUD is inserted, 2 short threads are left outside of the uterus. They are deep in the vagina, where you can feel them. This means that you can always check that the IUD is still in place.

Detail of the woman’s pelvis: 1. hormonal IUD, 2. uterus, 3. vagina, 4. anus and 5. urinary meatus.

Woman standing. The focus is on the internal sexual organs.

IUD placed in the uterus. 2 short threads are left outside the uterus. They are deep in the vagina.

Extremely reliable

A hormonal IUD is extremely reliable. 

Extremely reliable

No damage to your health

A hormonal IUD contains 1 hormone. This hormone usually does not affect your health. However, in some cases it is better to choose a different method of contraception. Ask a doctor or midwife for advice.

There is also a copper IUD. This is an IUD with a copper thread tied. The copper stops the sperm cells from moving.

The hormonal IUD does not make you less fertile. If you want to get pregnant, you just have the IUD removed.

During the first months of use, you may have side-effects such as acne, tender breasts and headaches. These effects usually disappear spontaneously. If they do not disappear, consult a doctor.

Your menstruation can become less heavy and often stop altogether.

No protection against STIs and HIV

The hormonal IUD does not protect against STIs or HIV. Only a condom can protect you.

Condom

Price of a hormonal IUD

A doctor or midwife can fit a hormonal IUD for about € 150 – € 200, depending on the brand, and the costs of fitting the IUD. After 5, 6 or 8 years (depending on the brand) you have to return to the doctor for a new hormonal IUD.

 

What does it cost?

Until the age of 21, most forms of contraception are reimbursed by your health insurance. However, you first have to pay the excess (eigen risico) of your health insurance policy. Check with your health insurance provider to find out how much will be reimbursed. From the age of 21, contraception is only reimbursed if you have taken out additional insurance for contraception. 

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About Zanzu

Zanzu was developed by Sensoa and BZgA. Rutgers, the Dutch expertise centre for sexual health and rights, has adapted Zanzu for use in the Netherlands.