But until recently, IUDs were not a popular form of birth control, and thus, we know very little about them. What’s having an IUD like? What’s the insertion process like? What’s the difference between hormonal and non-hormonal? Does it hurt? Some women rave about their IUDs while others share horror stories, and let’s be real, turning to Google for answers is never comforting. So when it comes to brands and types—you’ve got options. The specific IUD you choose really depends on your individual situation and pregnancy prevention goals, which is something to talk about with your doctor. You can definitely prepare by taking ibuprofen about two hours before the procedure or getting a cervical block (with a numbing agent), which can really help to decrease the pain. But according to Dr. Howe, that’s normally not needed as the procedure only takes a few seconds and is usually well-tolerated with three to five days of cramping afterward. You shouldn’t be worried unless the pain is severe and cramping continues in full force for the week after the insertion. As for removing the IUD, it’s generally painless and a lot like removing a tampon. Sometimes the strings get flipped up in the uterus and it’s a bit more complicated. In that case, they might do another cervical block to reduce pain. Normally, there is a quick return to fertility after you remove the IUD, meaning most women are able to get pregnant right away. So basically, the insertion is a pain (literally and figuratively). But after it’s done you’re protected and you barely have to think about it, which is well worth it for many women. Short answer: Usually, but it depends on your body. Short answer: The IUD emits significantly less hormones than the pill. Short answer: the IUD is better at preventing pregnancy than the pill. And so, the answer to the question “Is an IUD the most natural and effective form of birth control?” seems to be a cautious yes. But really, the type of birth control you choose is a deeply personal decision. It’s all about weighing your options about what is right for your body, your relationship, where you are in your life right now—and deciding which option gives you the most freedom and security.
