When we spoke to Dr Stacy Sims about contraception and performance, it was the IUD, IUS and NuvaRing (coming up soon) that she suggested, as well as barrier methods such as condoms. Both the IUD and IUS are ‘more than 99 per cent effective’ and are fine for women of all ages.
In both cases, fitting usually takes between 15 and 20 minutes.
Intrauterine device (IUD)
The IUD, also known as the coil, is a plastic and copper device that is inserted into the womb by a nurse. The copper changes the make-up of the fluids in the womb and fallopian tubes, stopping sperm surviving there.
- It can last from 5 – 10 years
- It is non-hormonal so should not effect your natural moods or performance
- It needs to be fitted and removed by a professional. The process can be uncomfortable (particularly in women who have not had children).
- Some women experience cramping or bleeding in the first weeks after insertion, so active women should consider when they have it inserted
- Periods can become heavier, and more painful. Most common reason for having an IUD removed is pain/bleeding
Intrauterine system (IUS)
The IUS is a small plastic device that is inserted into the womb, again by a nurse or doctor. Unlike the coil, it releases progestogen – but Dr Sims did comment that the dose is smaller and localised, thus has a lesser effect on the rest of the body.
- It lasts 3-5 years
- Needs to be fitted by a professional
- It can make periods lighter or make them disappear altogether – can prevent ovulation
- Fitting can result in cramps, discomfort or bleeding so active women should time the fitting around their events and training
