Copper IUD and libido: facts, myths, and real experiences

Ah, contraception… that delightful subject that presents women with a truly agonizing choice: between the lesser of two evils. Just when you think you've found the right contraceptive method, you usually discover its side effects right away .

Pill, contraceptive implant, hormonal IUD, copper IUD, patch, ring and other devices… if this nice range of contraception seems wide to you, the side effects it hides are generally 10x greater!

Do you find us harsh? Know that, thankfully, there are a handful of lucky women for whom contraception isn't synonymous with hassle, pain, or discomfort. Fortunately, some of you (too few) seem to have found a contraceptive method that doesn't cause you any problems. But is contraception completely without any repercussions, AT ALL?

While the link between certain disorders or health problems has already been established, what about more specific topics such as overall well-being, mental health, or libido? Yet, these topics are central to a woman's life.
In short, there is so much to say about these methods, which are certainly essential, but which are most often experienced as an ordeal by the women themselves.

Today, we're offering a very specific focus on the link that exists (or doesn't exist) between the copper IUD and libido!

The mysteries surrounding the copper IUD

The copper IUD is something of a model student of non-hormonal contraception . It ticks all the boxes: no daily intake, zero hormones, very long duration of action (up to 10 years depending on the model) and formidable effectiveness in preventing pregnancy.

While its advantages are often discussed, its impact on sexual life is much less so . Nevertheless, many women wonder: can the copper IUD influence libido ? Can it alter desire, lubrication , or cause pain during intercourse?

As you know, at Puissante, we're committed to providing you with reliable information, as well as real-life testimonials. So today we're telling you everything, not just what the leaflet says. We believe women deserve clear, honest, straightforward, and compassionate information about the side effects of contraceptives (hormonal or otherwise). Including their impact on sexuality!

Copper IUD and libido: the essentials

What is a copper IUD?

The copper intrauterine device (IUD), also called a copper coil, is a non-hormonal contraceptive method that relies on a small plastic device coated with copper, placed in the uterus by a healthcare professional.

• It works by creating a toxic environment for sperm and prevents fertilization.

• It does not prevent ovulation, nor the production of natural hormones.

• It is very reliable: over 99% contraceptive effectiveness.

• It is often recommended for those who do not want hormonal contraceptives (pill, implant, patch, etc.), or who do not tolerate them well.

But here's the thing: even without hormones, the copper IUD can have an impact on the body... and partly on sexuality .

IUD, copper and libido: what does science say?

It's tempting to think that a copper IUD can't affect sexual desire since it doesn't contain hormones. But the reality is more nuanced: many women report a decrease in libido, vaginal dryness , or discomfort during intercourse after IUD insertion.

“I thought a hormone-free contraceptive wouldn't change anything about my sex life. But after it was inserted, I felt less interested. And most importantly, I experienced pain during intercourse. It was only later that I made the connection. ” Elise, 32

What does science say about it?

No direct effect of copper on libido has been scientifically proven.

On the other hand, the side effects of the IUD ( heavy periods , pelvic pain, hormonal acne, inflammation) can indirectly influence sexual desire.

And that changes everything!

Because desire is directly linked to pain, fatigue, stress , or one's body image. In cases of mood swings, weight gain, and acne, in particular, self-esteem tends to decrease, and desire along with it .

IUD, copper and libido: and what about the feelings involved?

Here are the most commonly reported testimonials and observations regarding the copper IUD and in comparison with another contraceptive used previously (pill, hormonal intrauterine device, etc.):

• Pain during sexual intercourse ( dyspareunia ), especially in deep positions or at certain times of the cycle .

• Particularly heavy and painful periods, or even hemorrhagic periods that may require removal

• Post-intercourse bleeding, especially right after insertion or in case of heavy periods.

• Imbalance of vaginal pH, which can promote inflammation, vaginosis or recurrent infections.

• Decreased libido linked to physical discomfort or stress from a poorly tolerated contraceptive.

• Libido remained unchanged, or even boosted in some women , particularly in comparison with hormonal contraceptives which reduced their desire.
  
  

In short, as you've gathered from the lines above: there is no universal truth, but rather personal feelings stemming from a unique situation! The common thread? An essential need for listening, observation… and self-compassion.

The choice of contraception is therefore not without effect, even if on paper or “scientifically speaking”, all the indicators are green.

Copper IUDs VS hormonal IUDs: the battle of libido?

When comparing the hormonal IUD (such as Mirena or Kyleena) with the copper IUD, the differences are significant. Below is a small table by Puissante to better understand the differences between the two types of IUDs (use, symptoms, etc.).

Many women who switch from hormonal contraception to the copper IUD say they feel more connected to their cycle , their desires, and their sensations. Indeed, they generally feel more in tune with their bodies and what's happening within them!

But for others, it's the opposite effect: severe pain, uterine cramps, hormonal fatigue linked to very heavy periods... which spoil the party and decrease desire.

As you may have gathered, copper IUDs don't directly and scientifically cause a decrease in libido, but they do cause other associated effects that impact sexual appetite. The link isn't direct, but it does exist.

Why do some women experience a change in their libido when switching to a copper IUD?

Libido is multifactorial. It depends on:

• hormones (estrogen, progesterone, testosterone),

• the level of stress, fatigue, and mental workload,

• of gynecological health (pain, inflammation, dryness),

• of the state of the vaginal flora and vaginal microbiota,

• the quality of the emotional and sexual relationship (communication, trust, listening),

• and overall comfort with its contraceptive!
  
  

However, the copper IUD, even without hormones, can promote imbalances:

• recurrent urinary or vaginal infections,

• inflammation of the mucous membranes,

• sensation of a foreign body

• uterine spasms.

Thus, as explained above, all these elements can alter sexual comfort, and therefore desire.

Focus on the post-insertion period of the copper IUD

Is it possible to have intercourse immediately after the IUD is inserted?

Let's now talk about a particular period when libido, desire, and natural lubrication can be especially impacted: the weeks following the insertion of the copper IUD!

Let's be honest: IUD insertion is sometimes experienced as painful, daunting, and uncomfortable. The effects on sex drive in the days, or even weeks, that follow are real, and that's perfectly normal!

The important thing here is to listen to your body, be patient, and not rush things. Wait as long as it takes to reintegrate moments of intimacy.

If you are in a relationship, communicate with your partner: a small object has just been implanted in your uterus, and you need time to readjust to this area. Make sure they are patient, gentle, and attentive in the future. Communicate!

Copper IUD and pain

Some women experience lower abdominal pain for weeks (sometimes months) after IUD insertion. This pain may be cyclical, more pronounced around ovulation or menstruation , or may occur during sexual intercourse.

This is due to strong uterine contractions in reaction to the presence of a foreign body. The body, which eventually gets used to it, tries in the first few weeks to fight against it, and therefore, to expel it.

These pains are “normal” in the first few weeks and have real consequences on sexual appetite!

However, if this persists, or if you experience severe, sudden and debilitating pain, contact a healthcare professional immediately (general practitioner, midwife, gynecologist).

Also keep in mind that these pains are not inevitable.

Don't hesitate to discuss with your gynecologist or midwife the existing solutions to better cope with this situation AT ANY TIME after the insertion!

There will always be solutions adapted to your situation: control, repositioning, removal, additional treatment, gentle and natural alternatives, plants…

Copper IUD and libido: what the experts think

“ The copper IUD is an excellent method, but like any contraceptive, it must be suited to the woman using it. Comfort and sexuality are essential considerations when choosing a contraceptive. ” Dr. Laura Berlingo, gynecologist-obstetrician

“ We have too often ignored the impact of contraceptives on sexual desire. Libido must be reintegrated into the medical dialogue. Contraception should never be synonymous with a decrease in pleasure .” Dr. Camille Froidevaux-Metterie, philosopher of the female body

Quick FAQ: Copper IUD & Sexuality

Does the copper IUD always cause a decrease in libido?

No. Some women experience a decrease, others do not. It all depends on individual tolerance and context.

Is it possible to experience pain during intercourse with a copper IUD?

Yes, especially if the IUD is incorrectly positioned or if the cervix is sensitive. In this case, consult a doctor promptly.

Can my partner feel the IUD strings?

Sometimes yes. But it's rare and it depends on their length. They can be cut if necessary.

Can I use sex toys with an IUD?

Yes, no problem, provided they are not suction-based or very powerful in the cervical area. If in doubt, ask your gynecologist. And if you experience any pain, stop using them immediately.

Our advice if you have a copper IUD and your libido is fluctuating

Listen to yourself: you're the only one who knows what's going on in your body. Trust yourself , and if you don't feel listened to or taken seriously, seek a second medical opinion!

You have the right to withdraw or go back to using a pill, for example. There is a way to live better!

Record any significant changes in a menstrual cycle journal: pain, libido, vaginal discharge, mood. Don't forget the dates to better document these changes for your doctor if needed!

Try a suitable lubricant if you experience dryness or discomfort during intercourse. Explore other forms of pleasure: masturbation , slow sex , massages , sex toys , etc.

Change your contraception if needed. There's no wrong decision when it's aligned with your needs.

As you've probably gathered, choosing a method based solely on pragmatic criteria such as usage, administration, duration, and average price is no longer enough! Today, it's essential to learn about yourself and listen to your body , its symptoms, and its needs to be able to choose a contraceptive method that's right for you!

The copper IUD (copper intrauterine device) does not contain hormones, but it can still indirectly impact sexual desire. It is essential to listen to your body, to be willing to question your experience, and to refuse to dismiss any discomfort or persistent decrease in libido.

At Puissante, we advocate for desiring, free, and informed bodies. We remind you that sexual pleasure is a right. And that your contraceptive method should never extinguish your inner fire. Reclaim your power over your body!

Need a gentle lubricant that's compatible with a copper IUD? A sex toy that respects your anatomy and comfort? A space to talk about sexuality without embarrassment?
You're in the right place. Remember: your comfort is priceless!