What Is Intimacy Like With an IUD? Can You Enjoy Rough Sex? We Answer Your Most Urgent Questions

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When we transition into motherhood, whether for the first time or the fifth, many of us decide that we’re done having children—at least for now. We often seek the reassurance that comes from knowing we won’t face any unexpected pregnancies. Among the most favored contraception methods is the IUD (intrauterine device), a T-shaped plastic device about the size of a quarter that’s inserted into the uterus. An IUD can be placed at any point during your menstrual cycle, including right after giving birth. According to statistics, less than one in 100 couples using an IUD will experience an unplanned pregnancy.

IUDs offer a long-term and effective way to prevent pregnancy, and many women prefer them over other methods. Unlike birth control pills, which require daily doses, or condoms that can be mishandled, IUDs are set and forget.

You might have some burning questions, such as:

  • Will my partner notice if I have an IUD?
  • Is it possible for the IUD to dislodge during vigorous sex?
  • What are the signs that an IUD has shifted?

Let’s address these questions and more.

Hormonal vs. Non-Hormonal: What You Need to Know

First, it’s crucial to understand the effects of an IUD on your body. There are five FDA-approved brands of IUDs, categorized into two types:

Hormonal IUD

The hormonal IUD releases progestin (similar to progesterone) to prevent pregnancy. Depending on the brand, it can last between three to seven years. These IUDs thin the uterine lining, making it difficult for an egg to attach, and thicken cervical mucus to block sperm. In some cases, progestin may even suppress ovulation. If you experience heavy or painful periods, a hormonal IUD could help lighten your flow.

Copper IUD (Non-Hormonal)

The copper IUD can be effective for up to 12 years. It’s an excellent option for those who prefer to avoid hormones, as it uses copper to impair sperm function, making fertilization nearly impossible. However, some women find that this type can lead to longer and more painful periods, which might affect their libido. If you’re already prone to heavy flows, this may not be the best choice.

The insertion of an IUD can be uncomfortable, even painful for some, and may cause cramping. After insertion, the area may be sensitive, but you should be able to engage in intercourse without issues.

Sex and the Strings

Your partner likely won’t feel the IUD during sex. After placement, one or two thin strings, resembling fishing wire, will hang down into the vaginal canal. During intercourse, the tip of the penis may brush against these strings, which could be an odd sensation for some.

Don’t panic! This is entirely normal. The strings usually soften and curl around the cervix within a few weeks. If the strings are bothersome, here are some tips for more comfortable intimacy:

  • Have your partner wear a condom.
  • Opt for shallower thrusting.
  • Consult your doctor about trimming the strings, though be aware that this could result in sharper edges.

Can You Enjoy Rough Sex?

Many people enjoy passionate and vigorous sex. A common concern post-IUD insertion is whether the device can dislodge during rough intercourse. According to the American College of Obstetricians and Gynecologists, IUD expulsion occurs in 2 to 10 percent of individuals, depending on the type of IUD. However, it’s not likely to fall out completely; sometimes, it may only be partially expelled, which might feel like something hard protruding from the cervix.

While there’s a chance for an IUD to dislodge, it’s not usually due to sexual activity. The risk is higher shortly after insertion, possibly due to improper placement or your body rejecting the device. As time passes, the likelihood of expulsion decreases.

Signs Your IUD May Have Shifted

Although IUDs typically remain in place, they can occasionally shift. If you suspect your IUD has moved, contact your gynecologist. In about one out of every 1,000 placements, the IUD may perforate the uterine wall. Watch for these signs:

  • Severe Pain: If you experience intense pain outside of your period, something may be wrong.
  • Feeling the IUD: You shouldn’t feel the device; if it feels like plastic in your cervix, consult your doctor.
  • String Length Changes: Check the strings with clean hands. If you can’t locate them, the IUD may have moved. If they feel longer, it could have slipped down.
  • Painful Sex: If intercourse becomes painful, it might indicate a shift in the IUD, but other issues like endometriosis could also be to blame. It’s wise to get checked.

Most individuals with IUDs face no issues, and if there are concerns, your doctor can assist you. Whether you’re done having kids for good or just for now, an IUD can be an excellent birth control option.

Can Your Partner Ejaculate Inside You?

The primary purpose of an IUD is to prevent pregnancy by creating an environment in the uterus where sperm cannot survive. However, it’s important to remember that an IUD does not block semen and sperm from entering the vagina, meaning there is still a slight chance—about one percent—of pregnancy.

Do IUDs Cause Weight Gain?

Similar to other birth control methods, hormonal IUDs can lead to weight gain due to water retention from progestin. Some brands, like Mirena, list weight gain as a potential side effect, along with other common issues like acne and mood changes.

What to Avoid After Getting an IUD

After insertion, it’s best to avoid intercourse, swimming, bathing, or using tampons for at least a day or two. There’s a small chance of your IUD slipping out, particularly in the first few weeks. While you don’t need to remain on bed rest, it’s wise to refrain from strenuous activities for the first couple of days.

For more information on home insemination, check out this blog post, or for expert insights, visit Intracervical Insemination, where they provide reliable information on related topics. Additionally, the CDC offers excellent resources for understanding pregnancy and home insemination.

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In summary, an IUD can be a convenient and effective method of birth control, offering peace of mind regarding unplanned pregnancies. While there are some concerns about intimacy and potential discomfort, most women find they can enjoy a fulfilling sex life without significant issues. Always consult your healthcare provider for personalized advice and check-ups.