It’s very rare to get pregnant while you have an IUD, but if it does happen, it’s more likely to be an ectopic pregnancy, which can be dangerous and needs medical attention right away. If you do think you might be pregnant, take a pregnancy test and call your nurse or doctor right away if it’s positive. But you don’t really need to worry about being pregnant even if you don’t get a period, because the IUD is really good at what it does - it’s more than 99% effective at preventing pregnancy. The changes in your periods while you have your IUD can make some people worry about how they’ll know they’re not pregnant. They may need to check to make sure that your IUD is in the right place. If you have cramping that doesn’t get better or is really painful, talk with your nurse or doctor.

Over-the-counter pain medicine (like ibuprofen, naproxen, or aspirin) can usually help with IUD cramps. And they don’t happen to everyone - many people use hormonal IUDs with no problems at all. These usually go away within 3–6 months, once your body gets used to the new visitor in your uterus. Pain when the IUD is put in, and cramping or back aches for a few days after Other hormonal IUD side effects can include: In fact, many people get hormonal IUDs to help with heavy or painful periods, to treat symptoms of endometriosis or PCOS, or because they just don’t want to bleed every month. Some people stop getting their periods at all while they have their IUD (don’t worry, this is totally normal and safe). Hormonal IUDs can cut down on cramps and PMS, and they usually make your periods much lighter. But for most people, that’s actually a good thing - the most common hormonal IUD side effects usually help make your periods better. Hormonal IUDs (like Mirena, Kyleena, Liletta, and Skyla) can cause side effects.

Find Abortion Provider What hormonal IUD side effects should I expect?

I have that effect on you