Services
IUCD / IUD Insertion
Long-Term Birth Control Without a Daily Pill
If you are looking for reliable contraception without having to remember a pill every day, an IUCD / IUD may be an option worth considering.
An intrauterine contraceptive device (IUCD), commonly called an IUD, is a small device placed inside the uterus to prevent pregnancy.
There are two main types:
- Copper IUCD – a hormone-free option
- Mirena – a hormonal IUD that releases a small amount of levonorgestrel
Both provide highly effective, long-term and reversible contraception.
At Klinik Caring, Taman Impian Emas, Skudai, Johor Bahru, our female doctors provide private contraceptive counselling to help you understand the differences and decide which option may suit you better.
What Is an IUCD / IUD?
An IUCD or IUD is a small, flexible device placed inside the uterus by a trained healthcare professional.
Once inserted, it provides ongoing contraception without requiring you to take medication every day.
IUDs are among the most effective reversible contraceptive methods available, with fewer than 1 pregnancy per 100 women during the first year of use.
The device can also be removed whenever you decide to stop using it or when you are ready to plan for pregnancy.
What Is the Difference Between Copper IUCD and Mirena?
Both devices are placed inside the uterus, but they work differently.
| Copper IUCD | Mirena | |
|---|---|---|
| Contains hormones? | No | Yes |
| Main component | Copper | Levonorgestrel |
| Long-term contraception | Yes | Yes |
| Daily pill needed | No | No |
| Effect on periods | May become heavier or more crampy | Often becomes lighter |
| Hormone-free option | Yes | No |
| May help heavy periods | No | Yes |
| Reversible | Yes | Yes |
The best choice depends on your health, menstrual pattern, personal preference and future family planning goals.
Copper IUCD
A Copper IUCD, sometimes called a Copper IUD or copper coil, provides contraception without using hormones.
The copper helps prevent fertilisation by affecting sperm movement and function.
Why Do Women Choose a Copper IUCD?
A Copper IUCD may be suitable if you:
- Prefer hormone-free contraception
- Want long-term birth control
- Do not want to remember a daily contraceptive pill
- Prefer a reversible method
- Cannot or prefer not to use hormonal contraception
The duration of protection depends on the specific Copper IUCD used.
What Happens to My Period With a Copper IUCD?
Because the Copper IUCD does not contain hormones, your natural menstrual cycle usually continues.
However, some women may experience:
- Heavier periods
- Longer periods
- Stronger menstrual cramps
These changes are often more noticeable during the first few months after insertion.
If you already experience very heavy or painful periods, our doctor may discuss whether another option such as Mirena may be more suitable.
Mirena Hormonal IUD
Mirena is a hormonal intrauterine system that is placed inside the uterus.
It slowly releases a small amount of levonorgestrel, a type of progestogen.
Mirena provides highly effective, long-term contraception and may also help women who experience heavy menstrual bleeding.
Why Do Women Choose Mirena?
Mirena may be suitable if you:
- Want long-term reversible contraception
- Prefer not to take a contraceptive pill every day
- Have heavy menstrual periods
- Would like your periods to become lighter
- Prefer a contraceptive method without estrogen
What Happens to My Period With Mirena?
During the first few months, irregular spotting or bleeding may occur while your body adjusts.
Over time, many women find that their periods become:
- Lighter
- Shorter
- Less painful
- Less frequent
Some women may eventually have very little bleeding or no period while using Mirena.
Copper IUCD or Mirena: Which One Should I Choose?
There is no single IUCD that is best for every woman.
If your priority is avoiding hormones, you may prefer a Copper IUCD.
If you experience heavy or painful periods, Mirena may be worth considering because it often reduces menstrual bleeding.
Our doctor will also consider factors such as:
- Your current menstrual pattern
- Previous pregnancies
- Medical history
- Medication history
- Previous contraceptive experience
- Plans for future pregnancy
- Risk of sexually transmitted infections
- Any history of pelvic or uterine conditions
At Klinik Caring, we encourage you to discuss your concerns openly before making a decision.
You do not need to choose between Copper IUCD and Mirena before coming for your consultation.
What Happens During IUCD / IUD Insertion?
Before insertion, our doctor will discuss your medical history and make sure that an IUCD is appropriate for you.
A pelvic examination may be performed when necessary.
During the procedure:
- A speculum is gently inserted into the vagina, similar to a Pap smear examination.
- The cervix is cleaned.
- The uterus may be measured to guide safe placement.
- The IUCD is gently passed through the cervix and placed inside the uterus.
- Two thin threads remain near the cervix so the IUCD can later be checked or removed.
The actual insertion procedure usually takes only a few minutes.
Is IUCD Insertion Painful?
Everyone experiences IUCD insertion differently.
Some women feel mild discomfort, while others may experience stronger cramping when the device passes through the cervix.
The cramping usually settles after the procedure.
You may also experience:
- Mild lower abdominal cramps
- Light spotting
- Mild vaginal bleeding
Our doctor will explain what to expect and discuss suitable pain relief when needed.
Do I Need an Ultrasound Before or After IUCD Insertion?
A pelvic ultrasound is not required for every IUCD insertion.
However, our doctor may recommend a gynae scan / pelvic ultrasound if there is concern about:
- Fibroids
- The shape of the uterus
- Pelvic pain
- Abnormal vaginal bleeding
- Difficulty during insertion
- The position of the IUCD
- IUCD threads that cannot be seen or felt
At Klinik Caring, pelvic ultrasound is available in our clinic when further assessment is clinically indicated.
👉 [Learn More about Gynae Scan / Pelvic Ultrasound →]
When Can an IUCD Be Inserted?
An IUCD does not always have to be inserted during your period.
It may be inserted at different times during the menstrual cycle, as long as our doctor can be reasonably confident that you are not pregnant.
Our doctor will consider:
- The first day of your last menstrual period
- Recent sexual activity
- Your current contraceptive method
- Possibility of pregnancy
- Recent childbirth or pregnancy
If you are unsure about the timing, contact our clinic before your appointment and our team can advise you.
Can Copper IUCD Be Used as Emergency Contraception?
Yes.
A Copper IUCD can also be used as emergency contraception in suitable patients when inserted within 5 days after unprotected sexual intercourse.
It is one of the most effective methods of emergency contraception available.
Once inserted, it can continue to provide ongoing contraception afterwards.
Because timing is important, please contact our clinic as soon as possible if you are considering a Copper IUCD for emergency contraception.
Who May Not Be Suitable for an IUCD?
IUCDs are suitable for many women, but they may not be appropriate in certain situations.
Our doctor will assess you carefully if there is:
- Known or possible pregnancy
- Current pelvic infection
- Untreated sexually transmitted infection
- Unexplained abnormal vaginal bleeding
- Certain abnormalities of the uterus
- Certain gynaecological conditions
Mirena contains a hormone, so our doctor will also review your medical history to determine whether hormonal contraception is appropriate for you.
A consultation is important because suitability varies from person to person.
What Should I Expect After IUCD Insertion?
Mild cramping or spotting can occur after insertion.
With a Copper IUCD, periods may initially become heavier or more painful.
With Mirena, spotting and irregular bleeding are common during the first few months before periods often become lighter.
Our doctor will explain what to expect after insertion and when a follow-up review may be recommended.
When Should I See a Doctor After IUCD Insertion?
Please arrange a medical review if you develop:
- Severe or worsening lower abdominal pain
- Fever
- Foul-smelling vaginal discharge
- Very heavy vaginal bleeding
- Possible pregnancy symptoms
- Significant pain during intercourse
- IUCD threads that you previously felt but can no longer feel
- A noticeable change in the length of the IUCD threads
- Part of the device can be felt
These symptoms do not always mean there is a serious problem, but the position of the IUCD may need to be checked.
Can an IUCD Move or Fall Out?
IUCD expulsion is uncommon, but it can happen, particularly during the first few months after insertion.
Rarely, an IUCD may perforate the wall of the uterus during insertion.
If you suddenly cannot feel the threads, notice that the threads feel much longer or shorter, or experience unusual pain or bleeding, arrange a medical review.
Our doctor may perform an examination or pelvic ultrasound to check the position of the IUCD.
Does an IUCD Cause Infertility?
No.
IUCDs are reversible contraceptive methods.
Fertility generally returns quickly after the IUCD is removed.
If you decide that you would like to become pregnant, the device can be removed by a trained healthcare professional.
Can I Remove My IUCD Before It Expires?
Yes.
You do not have to keep an IUCD for its full duration.
It can be removed earlier if:
- You want to become pregnant
- You want to change your contraceptive method
- You experience side effects
- Your medical circumstances change
- You simply no longer want to use it
If you would like to continue using an IUCD, a replacement device can sometimes be inserted during the same visit.
Does an IUCD Protect Against Sexually Transmitted Infections?
No.
Copper IUCD and Mirena do not protect against sexually transmitted infections (STIs) such as chlamydia, gonorrhoea or HIV.
Condoms are still recommended when protection against STIs is needed.
Frequently Asked Questions
Is IUD the Same as IUCD?
Yes.
The terms IUD and IUCD are commonly used to describe an intrauterine contraceptive device placed inside the uterus.
You may also hear it referred to as a “coil”.
Is Copper IUCD Better Than Mirena?
Neither option is automatically better.
A Copper IUCD may be preferred if you want hormone-free contraception.
Mirena may be preferred if you want long-term contraception and also experience heavy menstrual bleeding.
Our doctor can help you compare the advantages and possible side effects of each option.
How Effective Is an IUCD?
Both Copper IUCD and hormonal IUDs are among the most effective reversible contraceptive methods available.
Fewer than 1 in 100 women become pregnant during the first year of use.
How Long Does Mirena Last?
Mirena can provide contraception for up to 8 years.
It may be removed earlier at any time if you want to change contraception or plan for pregnancy.
Will Mirena Stop My Period?
Not necessarily.
Some women continue to have periods, but they may become lighter or shorter.
Some women eventually experience very little bleeding or no menstrual bleeding while using Mirena.
Irregular spotting is common during the first few months.
Can I Use an IUCD If I Have Never Had Children?
Yes, having never given birth does not automatically mean that you cannot use an IUCD.
Our doctor can assess whether it is suitable for you based on your medical history and individual circumstances.
Can I Get Pregnant After Removing My IUCD?
Yes.
Fertility can return quickly after an IUCD is removed, so pregnancy may be possible soon afterwards.
If you do not want to become pregnant, discuss another contraceptive method with our doctor before removal.
How Do I Know If My IUCD Is Still in the Correct Position?
Two thin threads extend from the IUCD through the cervix.
Our doctor may explain how to check for the threads if appropriate.
If you cannot feel them, notice a significant change in their length, or experience unusual pain or bleeding, arrange a review.
A pelvic ultrasound may be performed if the position needs to be confirmed.
Do I Need a Pap Smear Before IUCD Insertion?
A Pap smear is not automatically required simply because you are having an IUCD inserted.
However, regular cervical screening remains important for women who are due for screening.
Our doctor can advise you based on your age, screening history and individual needs.
Can an IUCD Be Removed at Klinik Caring?
Yes.
Klinik Caring provides IUCD / IUD removal as well as consultation and insertion.
If the threads are visible and there are no complications, removal is usually a quick procedure.
If the threads cannot be seen or there is concern about the position of the device, further assessment such as a pelvic ultrasound may be recommended.
IUCD / IUD Consultation at Klinik Caring Johor Bahru
Choosing contraception is a personal decision.
At Klinik Caring, Taman Impian Emas, Skudai, Johor Bahru, our female doctors provide a private and comfortable environment where you can discuss your contraceptive options openly.
We provide:
- Copper IUCD consultation and insertion
- Mirena consultation and insertion
- IUCD / IUD removal
- Family planning and contraceptive counselling
- Pelvic examination when required
- Pelvic ultrasound when clinically indicated
- Follow-up assessment when needed
Our doctor will explain the differences clearly so you can make an informed decision that suits your health, lifestyle and future family planning goals.
Not Sure Whether Copper IUCD or Mirena Is Right for You?
You do not need to decide on your own.
Speak with our female doctor to understand the differences between Copper IUCD and Mirena and choose an option that better suits your needs.
👉 [Book an IUCD / IUD Consultation]
📍 Klinik Caring, Taman Impian Emas, Skudai, Johor Bahru