If you have or are considering an IUD as a method of birth control, you may wonder if you or your partner will feel the device during sex.
Do sex partners feel an IUD?
It's important to know that an IUD isn't in the same area of the uterus impacted by penetration. Specifically, the IUD is located beyond the cervix within the uterine cavity, not in the vagina.
Partners might feel IUD strings
The only part of an IUD that should be visible or able to be felt is the strings. Even so, the strings are soft and flexible. They usually curl up in the back of the vagina and most partners are not able to feel them at all.
If your partner does feel strings, it shouldn't be painful and certainly isn't dangerous to you or them. In some cases, partners might describe the strings as "pokey," and that's likely because they were trimmed too close to the cervix after insertion.
Here at FPA, clinicians are trained to leave the strings about 3 cm long. This length is just long enough to allow them to curl up in the back of the vagina where they won't "poke."
Should you feel your IUD during sex?
You shouldn't feel the device and it won't move around because of intercourse.
There are very rare exceptions. If an IUD is too low in the uterus, it is possible that the stem, or hard handle-bar looking part, could be felt at the cervical opening. This uncommon occurrence is called a "partial expulsion." In these circumstances, your clinician would recommend removing and replacing the IUD.
Occasionally, certain sexual positions are more uncomfortable after an IUD is placed, especially if you have a smaller uterus and a larger device. The Kyleena IUD is the smallest IUD and might be a better option for women with a smaller uterus. Have your doctor give you their device recommendation if you're unsure.
Just know that uncomfortable sex with an IUD is not the norm. Please see your gynecologist if you or your partner are having painful experiences.
You should also note that some women feel decreased libido on an IUD. This side effect occurs because all birth control can increase your Sex Hormone Binding Globulin (SHBG), thereby decreasing levels of circulating free Testosterone.
Ultimately, an IUD is a great choice for birth control. They're over 99% effective, can last years, and require no maintenance. You can learn more about these devices on our website. If you have questions about how your IUD could affect your sex life, please make an appointment to see one of our specialists today.
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