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Is it possible to get pregnant with an IUD?

April 15, 2025

IUDs or intrauterine devices are considered one of the most effective contraceptives in the world, achieving success rates that exceed 99%. Nonetheless, not all contraceptive methods areeffective. Some women might still get pregnant when using an IUD.

This poses some concerning questions — How does one conceive while having an IUD? What are the indicators? Should you ever find yourself in such a situation, what should you do?

At Cloudnine, we comprehend the complexities surrounding contraception and maternal care. Our expert gynaecologists provide personalised advice to support women in making informed decisions about family planning.

This article discusses the possibility of conception on IUDs, symptoms to look out for, and what to do if you think you are pregnant whilst on an IUD.

How Does Pregnancy Happen with an IUD?

Understand that the IUD in pregnancy functions in one of 2 ways — stopping fertilisation either through hormonal or non-hormonal action.

Those types suggested are notable for their high efficacy, however, there have been rare cases where pregnancy happened because:

● IUD expulsion – This is when the device slides partially or completely out of place, increasing chances of conception.

● Poor placement – Incorrect positioning means it may not fully protect against pregnancy.

● Conception before insertion – If an egg is fertilised immediately before the IUD is inserted, then a woman is likely to get pregnant.

At Cloudnine, we ensure proper insertion of IUDs and offer follow-up visits to ascertain its correct positioning, hence minimising chances of pregnancies that are unplanned.

Also Read: Birth Control & Babies: Fertility Facts

How I Knew I Was Pregnant with an IUD?

With IUDs, many women may not immediately realise that they are pregnant because its symptoms can be slight and may resemble normal hormonal changes in the body. However, if one experiences these signs below, they might indicate an IUD pregnancy.

(a) Missed periods (though certain hormonal IUDs prevent menstruation)

(b) Uncommon vaginal bleeding or spotting

(c) Nausea, fatigue, or breast tenderness

(d) Lower abdominal pain or cramping, body changes

(e) A positive pregnancy test

Many ladies who have shared their stories say that they first thought about it after having this intuition or when some minor transformations were seen on their bodies from the beginning.

If you suspect pregnancy, medical attention should be sought immediately. Cloudnine has advanced diagnostic services that include ultrasonography, which helps confirm pregnancy and ascertain the position of the IUD.

Also Read: Pregnant: Symptoms And Early Signs

What are the risks of pregnancy with an IUD?

To understand the role of an IUD in pregnancy, it is important to know if it is a normal intrauterine pregnancy or an ectopic pregnancy (where the fertilised egg implants outside the uterus, often in the fallopian tube). The latter is a medical emergency.

Potential risks include the following:

● Ectopic Pregnancy – Users of IUDs stand at greater risk of having ectopic pregnancies that require urgent medical consultation.

● Miscarriage or Infection – If the IUD keeps working during the time one is expecting, this may result in complications.

● Preterm Labour – In some instances, where a woman leaves an IUD in the uterus while pregnant, she may lead her to deliver early.

We ensure that all pregnancies are well taken care of at Cloudnine clinic. Hence, complications are detected at their early stages. Our experienced doctors carry out comprehensive assessments and advise on the best way forward for both the mother and child safety.

Book an online appointment with Dr. P Mamatha Neeli for Pregnancy & Gynecology related issues.

What should you do if you suspect you are pregnant and have an IUD?

When pregnant symptoms appear while using an intrauterine device, follow these things:

1. Carry Out A Home Pregnancy Test – A doctor can confirm this if it comes out positive at home.

2. Go To See A Gynaecologist – They need to check up and do ultrasound scanning to determine the location of the embryo and the device.

On handling unwanted pregnancies while under IUD, the gynaecologists at Cloudnine help women make informed decisions regarding their future lives.

IUD Family Planning: Is It Still a Reliable Option?

Despite the fact that there exists a slight chance of getting pregnant, IUDs are still considered as one of the best options for family planning over time. A few of the IUD family planning advantages are as follows:

● It has a very high level of effectiveness with failure rates as low as 1%.

● IUDs can last for a period of 5 to 10 years, depending on their type.

● They are easy to use because there is no need for taking daily pills and visiting doctors frequently.

● Fertility within a short time once removed.

At Cloudnine, we have a specialised department that offers family planning services through IUD consultations since everyone has different lifestyle requirements when choosing a contraceptive method.

This means we can help you choose the best form of contraception, which will suit both your lifestyle and economic condition. We have professionals who are trained in placing IUDs and follow-up care of patients, enhancing protection against pregnancy.

Final Thoughts

Pregnancy while on an IUD is rare, though it can happen. The key to preventing complications is awareness, early detection, and professional medical care. Consult with a doctor for immediate advice in case you suspect that you may be pregnant using such contraceptives.

Would you like information on IUDs, family planning, or pregnancy care? Contact Cloudnine’s professionals today! Your health and well-being are our priorities!

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