IUD insertion and contraception in Brisbane

An IUD, or intrauterine device, is a small device placed inside the uterus to prevent pregnancy. It is one of the most effective forms of contraception available – more than 99% effective – and once it is in, there is nothing to remember day to day. That is why IUDs are often described as “fit and forget” contraception.

There are two kinds, and they work quite differently.

Hormonal IUDs release a small amount of progestogen directly into the uterus. Very little reaches the rest of your body, which is why many women who have not tolerated the pill do well with a hormonal IUD. Most women find their periods become much lighter, and some stop altogether.

Copper IUDs contain no hormones at all. They work through copper, which prevents sperm from fertilising an egg. This is a good option if you would rather avoid hormones entirely, or if hormonal contraception is not suitable for you. Periods usually continue as normal, and can be heavier for the first few months.

An IUD does not protect against sexually transmitted infections, so condoms are still worth using where that is a consideration. We are happy to arrange STI screening at the same appointment.

Which one is right for you? That depends on your periods, your medical history, whether you want to avoid hormones, and how long you would like cover for. It is exactly the kind of conversation our doctors are here for – bring your questions.

An IUD is not the right answer for everyone, and we are just as happy to help you with any of the alternatives.

Contraceptive implant. A small rod inserted under the skin of your upper arm, effective for three years. Insertion and removal both take a few minutes under local anaesthetic, and we do them here on site.

The contraceptive pill. Combined or progestogen-only, with a range of formulations. If your current pill is not agreeing with you, it is often a matter of trying a different one rather than giving up on the pill altogether.

The vaginal ring. Inserted and replaced by you at home, with a monthly cycle.

The contraceptive injection. Given every twelve weeks, in the arm or buttock.

Emergency contraception. If you need emergency contraception, contact us as early as you can – the options widen the sooner you are seen, and a copper IUD is one of them.

Switching or stopping. Changing from one method to another needs a little planning so you are not left without cover, and stopping contraception when you are hoping to conceive is worth a conversation too. Either way, book in and we will map it out with you.

Removal is much quicker and more comfortable than insertion – usually a matter of seconds, and most women are surprised by how straightforward it is.

We can help if:

• Your IUD is due for replacement, and you would like a new one placed at the same appointment
• You are ready to try for a pregnancy – fertility returns quickly after removal
• You are not happy with how you have been getting on with your device
• Your IUD was inserted elsewhere and you would simply like it removed or replaced here
• You cannot feel the threads, or something does not feel right – we can check the position, including with point-of-care ultrasound here on site if needed

You do not need to have been a patient with us before, and you do not need a referral. If your device was inserted at another clinic, bring whatever details you have about it and we will take it from there.

Do I need a referral for an IUD insertion?

No. You can book directly with us – no referral and no gynaecologist appointment required. Our GPs insert IUDs here at the clinic.

How long does an IUD insertion take?

The insertion itself takes only a few minutes. We book a longer appointment so that nothing is rushed and you can rest afterwards.

Does IUD insertion hurt?

Most women feel strong period-like cramping that builds briefly and then eases. We offer local anaesthetic, inhaled pain relief and a longer appointment with a nurse present, and we agree on your pain relief plan before the day.

Can I have local anaesthetic or the green whistle for my IUD?

Yes. We can numb the cervix with local anaesthetic, and the green whistle is available for you to use yourself during the procedure. We will discuss which suits you at your first appointment.

Can I drive home afterwards?

Most women drive themselves home. If you use Penthrox you will need to wait until it has worn off, and we will tell you when you are safe to drive. You are welcome to bring someone with you.

How much does an IUD cost in Brisbane?

We are a private billing practice, so a fee applies to each appointment with a Medicare rebate, and the device is dispensed on a PBS-subsidised script from a pharmacy. Please call reception on (07) 3507 1110 for current fees.

Can I have an IUD if I have not had children?

Yes. Insertion can be a little more uncomfortable, which is exactly why we take pain relief seriously and allow a longer appointment.

Will an IUD stop my periods?

With a hormonal IUD, periods usually become much lighter and some women’s periods stop altogether. Copper IUDs do not change your hormones, so periods continue and may be heavier at first.

How soon does an IUD start working?

A copper IUD works immediately. A hormonal IUD works immediately if inserted in the first seven days of your cycle; otherwise use additional contraception for seven days.

How quickly can I get pregnant after removal?

Fertility returns quickly once the device is out – usually straight away.

Can I have my IUD removed if it was inserted somewhere else?

Yes. You do not need to have been a patient with us before. Bring any details you have about the device.

Is there a female doctor available?

Yes, we have female GPs who insert IUDs, and you are welcome to request one when you book.

Can I have cervical screening at the same time?

Yes. If your cervical screening test is due, we can do it at the same visit.