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Contraception - Management
Replacing and removing a copper intrauterine device (IUD)
For how long can a copper intrauterine device (IUD) be left in place?
- The recommended duration of use for the copper intrauterine device (IUD) ranges from 5–10 years, depending on the device.
- Women who are aged 40 or more years at the time of IUD insertion may retain the device until they no longer require contraception, even if this is beyond the duration of the UK Marketing Authorisation.
In depth
When should a copper intrauterine device (IUD) be removed?
- A copper intrauterine device (IUD) can be removed at any time in the menstrual cycle.
- If the woman requires uninterrupted contraception, and is:
- Switching to a hormonal method: she should start the new method with sufficient time for it to become effective before the IUD is removed — minimum 2 days for the progesterone only pill (POP); 7 days for the other methods.
- Having her copper IUD replaced with a new copper IUD: she should use an additional method for the 7 days before removal of the device.
- Having her copper IUD replaced with the levonorgestrel-releasing intrauterine system (IUS): she should use an additional method for the 7 days before removal of the IUD, and for a further 7 days after insertion of the levonorgestrel-releasing IUS.
- If unprotected sexual intercourse takes place during the 7 days before removal of the copper IUD, the woman should consider either delaying removal or using emergency contraception (for further information see the CKS topic on Contraception - emergency).
- Postmenopausal women aged < 50 years: remove copper IUD 2 years after the last menstrual period.
- Postmenopausal women aged >= 50 years: remove copper IUD 1 year after the last menstrual period.
In depth
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