Intrauterine Device (IUD)

A small T-shaped device placed in your uterus that releases a low dose of progestin over several years.

“I don’t even think about it. It’s handled my bleeding and gives me peace of mind.”

How to Get It

Requires a prescription and in-office procedure. Some OB-GYNs and primary care providers offer placement.

Treatment Timeline

Can start working within weeks; bleeding reduction typically improves by 3–6 months

Insurance Details

Covered under most ACA-compliant plans

$0–$1,300 without insurance; often fully covered under preventive care

More about

Intrauterine Device (IUD)

What to Love

It’s a set-it-and-forget-it option that reduces bleeding and works silently in the background. It may cause spotting at first, and the insertion can be uncomfortable, but once it’s in, many women experience major relief.

How it Works

Placed by a healthcare provider during a short office visit. No action required after insertion.

Hormonal IUDs release a small amount of progestin locally to reduce bleeding, protect the uterus, and prevent pregnancy.

The hormonal IUD is often used off-label during perimenopause to manage bleeding and as a uterine lining protector when combined with estrogen therapy. Because it acts locally, systemic side effects are minimal, and it’s effective for up to 3–8 years depending on the type.