What Is It Like to Have Sex With an IUD? Is Rough Sex Safe? Your Most Pressing Questions Answered

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After becoming a parent, whether for the first time or the fifth, many individuals decide they are finished expanding their families — at least for the time being. The desire for assurance that unplanned pregnancies won’t happen leads many to consider reliable birth control options. One of the most widely used methods is the IUD (intrauterine device), a T-shaped plastic device roughly the size of a quarter that is inserted into the uterus. An IUD can be placed at any point in your menstrual cycle, even right after giving birth. For every 100 couples using an IUD, fewer than one will experience pregnancy.

IUDs are a preferred choice among various long-term contraception methods, as they eliminate the need to remember daily pills or worry about improper use like with condoms. You might have questions such as: Can my partner feel the IUD? Could it dislodge during vigorous sex? What signs indicate that the IUD might be out of place? Let’s dive into these questions and more.

To Hormone or Not to Hormone?

Understanding how the IUD works in your body is crucial. There are five FDA-approved IUD brands, categorized into two types:

  1. Hormonal IUD
    This type uses progestin (similar to the hormone progesterone) to prevent pregnancy and can be effective for three to seven years, depending on the brand. It thins the uterine lining, making it difficult for an egg to implant, thickens cervical mucus to block sperm, and may even prevent ovulation altogether. For those suffering from heavy or painful periods, a hormonal IUD can lead to lighter menstrual flows.
  2. Copper IUD (Non-Hormonal)
    Lasting up to 12 years, the copper IUD is ideal for those who experience negative side effects from hormonal contraception. Instead of hormones, it uses copper, which is toxic to sperm and prevents it from reaching the egg. However, some women find that it results in longer and more painful periods, which can affect their overall desire for intimacy. If heavy flows are a concern, this option might not be the best fit.

The insertion process can be uncomfortable or even painful, often resulting in cramping. However, once the IUD is in place, you shouldn’t encounter any issues with sexual activity.

Sex and the IUD Strings

Your partner is unlikely to notice the IUD during intercourse. Once inserted, one or two thin plastic strings, similar to fishing line, hang into the vaginal canal. Occasionally, the tip of the penis may touch these strings, which can create an odd sensation for some. Don’t worry, though! This is a common experience. The strings usually soften and curl around the cervix after a few weeks.

If the strings are bothersome, consider these options to enhance comfort during intercourse:

  • Have your partner use a condom.
  • Encourage shallower thrusts.
  • Ask your doctor to trim the strings (note: trimming might result in sharper edges).

What About Rough Sex?

Many couples enjoy passionate encounters, leading to frequent questions about whether rough sex can dislodge the IUD. According to the American College of Obstetricians and Gynecologists, the expulsion rate of IUDs ranges from 2 to 10 percent and varies by type. This doesn’t mean it will fall out completely; sometimes it may shift partially. If you feel something hard protruding from your cervix, it could indicate partial expulsion.

While it’s possible for an IUD to move, it’s not common, and sexual activity is typically not a contributing factor. The risk of expulsion is highest shortly after insertion, particularly if the device was not placed correctly or if your body is rejecting it. Over time, the likelihood of expulsion decreases.

Signs Your IUD May Have Shifted

Although IUDs generally remain in place, they can occasionally move. If you suspect your IUD has shifted, contact your healthcare provider. Rarely, the IUD may perforate the uterine wall during placement.

Watch for these signs:

  • Severe pain: While cramping with a copper IUD can be intense, sudden, severe pain outside your menstrual cycle might indicate an issue.
  • Feeling the IUD: You shouldn’t feel the IUD. If you do, visit your doctor.
  • Changes in string length: Check the strings using clean hands. If they feel longer or shorter than before, or if you can’t find them, consult your doctor.
  • Pain during sex: If intercourse becomes painful, it could signal that the IUD has moved, or it may indicate other conditions like endometriosis.

Most individuals with IUDs experience no complications, and your doctor can assist if any concerns arise. Whether you’ve decided to stop having kids permanently or temporarily, an IUD is a reliable birth control option for many women. Enjoy your life!

Additional Considerations:

  • Can your partner ejaculate inside you with an IUD? The IUD’s function is to create an environment that prevents sperm from surviving. However, remember that while the risk is low, there is still a one percent chance of pregnancy.
  • Do IUDs cause weight gain? Some individuals may experience weight gain due to water retention from hormonal IUDs, which can also result in other side effects such as acne, spotting, and mood fluctuations.
  • What activities should you avoid after getting an IUD? For at least 24 to 48 hours post-insertion, avoid sex, swimming, baths, and tampon use to minimize the risk of expulsion.

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Summary:

In this article, we explored the nuances of having sex with an IUD, addressing common concerns like the impact of rough sex on IUD displacement, what to expect regarding strings, and how to recognize if your IUD has shifted. We also provided insights into the types of IUDs, their effects on menstruation, and considerations for post-insertion activities. Overall, an IUD is a safe and effective birth control method that many women find beneficial.

Keyphrase: IUD and sex

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