Can You Ejaculate Inside with an IUD? Pregnancy Risks

What is the probability of becoming pregnant after having a T-shaped intrauterine device (IUD) inserted?

Hello doctor, I would like to ask if it is safe to ejaculate inside when using an IUD (intrauterine device).

P, 20~29 year old female. Ask Date: 2020/05/12

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the effectiveness of the intrauterine device (IUD) is approximately 99%.
Among 100 women using it for one year, about 4-5 may experience contraceptive failure, so regular check-ups are necessary.
If the position and duration are normal, there is generally no need to use additional contraceptive methods.
Thank you! Wishing you peace and health, Dr.
Chang.

Reply Date: 2020/05/12

More Info

When it comes to the question of whether you can ejaculate inside a partner who has an IUD (intrauterine device) in place, the short answer is yes, it is generally safe to do so. The IUD is a highly effective form of contraception, with a success rate of over 99% in preventing pregnancy. This means that the likelihood of conception occurring while an IUD is in place is extremely low, even if ejaculation occurs inside the vagina.

The IUD works primarily by preventing sperm from fertilizing an egg. It can do this in a couple of ways, depending on the type of IUD. Copper IUDs create a toxic environment for sperm, while hormonal IUDs release progestin, which thickens cervical mucus to block sperm and thins the uterine lining to prevent implantation. Both mechanisms are effective at preventing pregnancy.

However, it is important to note that while the IUD is very effective, no contraceptive method is 100% foolproof. There is a small risk of pregnancy even with an IUD in place, particularly if the device is not positioned correctly or if it has been expelled without the user’s knowledge. Therefore, if you are considering ejaculating inside, it is wise to be aware of the potential risks, even if they are minimal.

In addition to the risk of pregnancy, it is also essential to consider sexually transmitted infections (STIs). The IUD does not provide any protection against STIs, so if you or your partner are at risk, using condoms in addition to the IUD is advisable to reduce the risk of transmission.

If you have recently had an IUD inserted, it is recommended to wait for a short period before relying solely on it for contraception. Many healthcare providers suggest waiting at least seven days after insertion before considering it fully effective, especially if the IUD was inserted during a time when you were not on your menstrual cycle.

In summary, while it is generally safe to ejaculate inside a partner with an IUD, it is crucial to ensure that the device is correctly placed and to remain aware of the small risk of pregnancy and the lack of STI protection. If you have any concerns or questions about your specific situation, it is always best to consult with a healthcare provider who can provide personalized advice based on your health history and circumstances.

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