When it’s time to decide on a birth control method, it’s frequent to surprise: 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 prolong to IUDs, also referred to as intrauterine units. However there’s no proof these small T-shaped units, 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 isn’t a problem with [IUDs],” says Henry Dorn, MD, an OB/GYN in personal observe in Excessive Level, NC. “The research mainly present that there’s lower than 5% [of IUD users] who present any weight achieve, and it’s usually a little 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 more durable 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 metallic’s properties as a substitute of hormones to cease most sperm and forestall any that get by from implanting. This sort of IUD can keep in your uterus (and hold working) for for much longer, as much as 10 years.


Weight Acquire 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 very well. Fewer than one in 100 customers of both technique will get pregnant within the first 12 months.

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

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

In accordance 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 should exchange each month.

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

It additionally may be the best. “It takes 30 seconds to place in, and 5 seconds to take out,” he says.

Different Issues Can Convey Weight Acquire

Even when folks report weight achieve, Dorn says it’s essential to consider different components which may play a job. Typically it’s merely your stage of life. For instance, in case you begin utilizing an IUD earlier than your physique absolutely matures, you may assume regular physique adjustments consequence from the IUD.

“Loads of it’s timing. Loads of it’s, it coincides with the normal weight achieve of maturity,” Dorn says.

You’ll be able to cease the birth control as simply as you begin it, too. In the event you resolve you need to get pregnant, or in any other case don’t need to use the tactic anymore, you solely should 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. You probably have an IUD, you might need to make use of 2 to three pads much less per day throughout your interval, he says.


In order for you an IUD, a board-certified OB/GYN, licensed nurse midwife, or household physician is your best option. “Skilled practitioners do higher putting 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 must be coated by insurance or Medicaid, Dorn says, value shouldn’t be a barrier both. Clinics typically provide a sliding cost scale. “Nearly no person has to pay full worth,” he says, which is about $750.

In the event you’re accomplished having kids, Dorn says the very best kind 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 School of Obstetricians and Gynecologists: “Lengthy-Performing Reversible Contraception (LARC): Intrauterine Gadget (IUD) and Implant.”

Affected person Desire and Adherence: “Understanding advantages and addressing misperceptions and boundaries to intrauterine gadget entry amongst populations in the US.”

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

Bedsider.org: “Paragard vs. Mirena.”

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