Hormonal IUD (IUS)

Pregnancy prevention for up to five years, remove at any time

An effective, long-acting and reversible method of contraception

The hormonal IUD or IUS (intrauterine system) is a small plastic device that prevents pregnancy for up to five years.

It looks quite similar to a non-hormonal IUD, but the main difference is that it contains hormones and works by steadily releasing small amounts of this hormone (progestin) into your body each day.

This process prevents any fertilised eggs settling down for pregnancy. This is not harmful and does not affect your long-term fertility. It stops working as soon as it is taken out.

At Marie Stopes Ghana, we recommend these types of contraception to prevent unwanted pregnancies as they are over 99% effective when used properly.


99% - If one hundred women used the hormonal IUD for a year and carried on with their normal sex life then only one of those women would fall pregnant during that period.


Hormonal IUDs are available at all of our Centre of Excellence locations.


Please contact our team for more information about pricing.

If you're starting to use contraception for the first time, or thinking about using a new method, it's a good idea to have a full consultation.

Call us toll-free for a confidential talk on

0800 20 85 85 OR WhatsApp us on 0556489090

Get in touch

Hormonal IUD advantages

The hormonal IUD can offer numerous advantages when used correctly, including:

  • Easily inserted by a trained Marie Stopes provider
  • Effective immediately
  • Very effective up to 5 years
  • Easy to use - nothing to remember after insertion
  • Can be easily removed
  • Periods usually become lighter, shorter and less painful
  • Fertility starts to return immediately after removal
  • It does not interrupt sex.

These benefits come from the correct use of a hormonal IUD when inserted by a trained provider. If using an IUD, you should also make sure to follow any product manufacturer instructions.

Looking for more information about IUDs?

Try visiting our frequently asked questions where we've provided some brief answers to some of our most commonly asked questions.

Things to consider

When deciding if a hormonal IUD is right for you, here are a few quick facts you should consider:

  • Unlike condoms, it does not protect from sexually transmitted infections
  • It requires a simple small procedure to fit and remove
  • There may be some abdominal pain for a few days as the device settles
  • Common, temporary side effects include spotty skin, headaches and breast tenderness
  • You will need to see your GP or family planning clinic 6 weeks after fitting for a coil check
  • Irregular spotting or bleeding is common within the first six months
  • After an average of 6 months, periods may be much lighter or even cease completely. This is nothing to worry about and your coil will still be effective.

If you are still unsure whether a hormonal IUD is right for you, take a look at our online contraception tool – Choice. The website uses a simple questionnaire to provide you with clear, tailored advice on your contraceptive options.

Contraception methods at a glance

Contraceptive implant

The implant is a highly effective, long-acting and reversible method of contraception.

It consists of either 1 or 2 small plastic rods that are placed in the upper arm and, depending on the product used, is effective at preventing pregnancy for 3 to 5 years.


The injectable or contraceptive injection is an effective, long-acting and reversible method of contraception.

It works by releasing a hormone that stops eggs being released by the body. Injectables are highly effective, lasting 2 to 3 months (depending on the type used), but women must remember to return for another injection around this time or risk not being protected from pregnancy.

Intrauterine device

The IUD is a highly effective (99%), long-acting and reversible method of contraception.

It is a small, T-shaped device that is made from plastic and copper and works by stopping a man's sperm from meeting an egg and/or by stopping an egg implanting in the uterus. The procedure for inserting an IUD is simple, usually only taking a few minutes by a trained person. 

Tubal ligation

Tubal ligation is a permanent, irreversible contraceptive solution for women.

It is suitable for women who are sure they don't want anymore children.

The method involves a short surgical procedure, performed by a highly trained doctor that prevents woman's eggs and the man's sperm meeting, so a pregnancy can't occur.


A surgical procedure for providing a permanent contraceptive solution for men.

A vasectomy is a contraceptive method suitable for men who are sure they don't want anymore children.

It's a popular method of family planning chosen by millions of men worldwide. It's safe, effective and offers a permanent solution to contraceptive needs.

Hormonal IUD aftercare advice

If you have a hormonal IUD fitted at the time of an abortion or on days 1-5 of a period it will work straight away.

If fitted on any other day, use condoms or abstain from sex for seven days. Please see your GP or attend your family planning/sexual health clinic after 6 weeks to have your IUS checked.

Once a month, after your period, gently insert a finger into your vagina during a bath or shower. The neck of your womb (cervix) feels a bit like the end of your nose, and you should be able to feel the threads of your IUS. If you can’t, please see your GP or attend your family planning/sexual health clinic and use condoms or abstain from sex until the presence of the IUS is confirmed.

Your partner should not be able to feel the threads during sex. If this happens, seek advice as above, as your threads might be too long.

Please contact us at any time if you have any aftercare concerns, or find out more if you're looking to learn about removing an IUD.

Contact us IUD removal

Share this method of contraception

    Find a suitable method for you

    We offer clear and comprehensive information, personalised advice and access to the full range of modern contraception methods.