Hormonal IUD
A locally acting progestin, lasting 3–8 years. Often lighter bleeding or none — very low systemic hormone load.
IUD & contraception · Konstanz
Contraception that suits deinem Leben — not the other way around.
Hormonal IUD, copper IUD, the pill, condoms, hormone-free options. We listen first, then advise — and take the time to find what fits, together with you.
+500 %
That’s how much IUD use among young women under 30 has risen since 2011 — from 3 to 18 percent.
Quelle: BZgA 20230,16
Pearl Index hormonal IUD
The lowest figure among reversible methods. Statistically, fewer than one in 1,000 women becomes pregnant unintentionally per year.
Quelle: pro familia / DGGG14 %
IUD · Germany 2023
That’s how many contracepting adults in Germany now use an IUD. The trend is rising — especially among younger women who are growing more cautious about hormones.
Quelle: BZgA 2023−26 PP
Pille · 18–29 Jahre
That’s how far pill use among young women has fallen since 2011 — from 72 to 46 percent. Tolerability matters more.
Quelle: BZgA 2023Methoden im Vergleich
Sechs Wege. Eine that fits.
Tap a method — and you’ll see at a glance: how it works, its Pearl Index, how long it lasts and who it suits. This doesn’t replace a consultation, but gives you an overview before you come to us.
Pearl-Index im Vergleich
How reliable is welche Methode?
The Pearl Index — one number, many stories.
The Pearl Index shows how many of 100 women per year become pregnant unintentionally despite using the method. The lower, the safer. Important: there’s a difference between perfekter use (under ideal conditions) and typischer use (with human error). Below we show the typical figures — they’re the more realistic ones.
The IUD does particularly well because there’s no room for daily user error. Once it’s in place, it’s in place. That’s one of the main reasons it has become so much more popular in recent years.
Kontext: Without contraception, statistically about 85 of 100 women become pregnant per year. The scale below is calibrated against this figure.
Hormonal IUD typische Anwendung
0,2
Copper IUD typische Anwendung
0,8
Pille (kombiniert) typische Anwendung
0,9
Kondom typische Anwendung
13
No contraception biologische Baseline
85
Pearl Index for typical use. Sources:
Frauenärzte im Netz,
pro familia,
DGGG-Leitlinien.
Contraception check
Zu deiner Methode.
Six questions about life stage, family planning, hormone tolerability and everyday life — and you’ll get a shortlist of methods that might suit you. No algorithm dictating to you, just a basis for our conversation.
The pill is losing ground. The IUD gewinnt.
Among women aged 18 to 29, pill use has fallen by 26 percentage points in twelve years — while IUD use in the same age group has risen from 3 to 18 percent.
The reason isn’t fashion but a changed attitude: 61 percent of respondents say hormonal contraception can have negative effects on body and mind (2018: 48 percent). Tolerability counts more than it used to. This is exactly where counselling practice is currently changing.
Source: BZgA contraceptive behaviour 2023Use among ages 18–29
in Prozent, 2011 → 2023
Pille
IUD
What we offer
Advice, insertion, support.
We don’t prescribe off-the-shelf contraception. Instead of a quick recommendation, we offer a dedicated contraception consultation — and a follow-up appointment if something needs adjusting.
Copper IUD
Completely hormone-free, lasting 5 years. Ideal if you deliberately want to avoid hormones. Bleeding can become heavier.
Pille, Ring, Pflaster
The classic hormonal methods — daily, monthly, weekly. We advise on the preparation, dose and form that suits you.
Hormonfreie Wege
Diaphragm, symptothermal method, female condom, condom — we advise on these too. Used correctly, some methods are surprisingly reliable.
Verwandte Themen
Contraception connects with mehr zusammen.
Your contraception isn’t an isolated topic. It connects with your hormone balance, your family planning, your screening. Here are the areas that link directly.
Hormone consultation
Hormone besser verstehen
Tolerability, cycle complaints, menopause — when hormones play a bigger role.
Mehr →Fertility & conception
Becoming pregnant after the IUD
Fertility returns quickly. What you should know if you’re planning.
Mehr →Cancer screening
Yearly screening anyway
The IUD is checked during screening — with us once a year anyway.
Mehr →Pregnancy
When the time comes
Support from the start — screening, ultrasound, conversations, calm.
Mehr →Tiefer einsteigen
Im Detail: How does the insertion work with us?
In the knowledge section you’ll find the companion article with all the questions patients regularly ask us before and after insertion — pain, duration, fertility, alternatives.
Zum ArtikelDoes the insertion hurt?
Noticeable but brief — most patients describe it as an intense pulling sensation for just under half a minute. Beforehand there are several options to reduce pain: local anaesthetic, NSAIDs, support. We take time for the preparation.
How long does an IUD last?
It depends on the model — in practice the effect usually lasts 3 to 5 years. Most patients opt for a new insertion after 3 to 4 years anyway, i.e. before the maximum lifespan is reached. We decide together which model suits you.
Getting pregnant after an IUD
Very possible. After the IUD is removed, fertility is quickly restored — usually immediately with hormonal IUDs, with the next cycle for copper IUDs.
Alternativen zur Pille
Patch, vaginal ring, diaphragm, condom, sterilisation, natural family planning. Which method fits depends on life stage, health and wishes — we take time to work it out.
Who is the IUD suitable for?
For most women from their mid-20s, even without completed family planning. Also after pregnancy, before and during menopause. We clarify contraindications individually.
Zeit for your decision.
Our contraception consultation takes its time. A first appointment is often enough to gain clarity — whichever direction you choose.
Sources, guidelines & further information
BZgA — contraceptive behaviour of adults 2023 · Representative repeat survey by the Federal Centre for Health Education.
bioeg.de/BZgA-Studie
bioeg.de/BZgA-Studie
AWMF S3-Leitlinie 015-015 · Hormonal contraception. German Society for Gynaecology and Obstetrics (DGGG).
awmf.org/015-015
awmf.org/015-015
pro familia — Pearl-Index-Übersicht · Comparison of the reliability of all common contraceptive methods.
profamilia.de/pearl-index
profamilia.de/pearl-index
Frauenärzte im Netz · Overview of contraceptive methods, patient information.
frauenaerzte-im-netz.de
frauenaerzte-im-netz.de
This page does not replace medical advice. Pearl Index figures are statistical approximations and can vary between individuals. Which method is right for you depends on many personal factors — we discuss these in our contraception consultation.