This is a summary of a guidance produced by the Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists on 20th March 2020
There is no evidence that leaving an IUD, IUS or Implant in for longer than its licence is harmful. Most methods can be used for longer than their licence, with a very small risk of pregnancy. If you are worried about using you method for longer than the licenced duration, please use additional precautions.
IUS (hormone coil) for contraception:
Mirena or Levosert
Pregnancy risk remains low for up to 6 years regardless of how old you were when it was inserted. After this, use additional precautions
if you were aged 45 or over when you Mirena / Levosert was inserted, it can be left until you are post-menopausal or aged 55 with no need for additional precautions.
Jaydess - additional precautions required after 3 years
Kyleena - additional precautions required after 5 years
IUS for heavy periods
Your device can stay in place for as long as it is controlling your bleeding. There is no need to have it replaced unless your bleeding returns.
If you have a sudden change in your bleeding pattern, you may need further investigation before it is changed; please contact your surgery for advice.
Mirena for HRT
Can be used for 5 years without replacing
After 5 years, a combined HRT preparation should be used until the device can be replaced.
IUD (copper coil)
If you were aged 40 or over at insertion:
ANY copper IUD can be retained until after the menopause (2 years after your last period if you were under 50 when you had your last period, or 1 year after your last period if you were 50 or older when you had your last period).
It doesn’t matter whether it is a 5 or 10 year device.
If you were aged under 40 at insertion:
10 year devices can be left for 12 years, pregnancy risk is low.
5 year devices; use additional precautions after this time
10 year devices in the UK are: TSafe380A, TSafe380QL, TT380Slimline
All other UK devices have a 5 year licence, including the Mini TT380Slimline & GyneFix
If you are not certain whether it is a 5 or 10 year device, please contact whoever inserted it, or if this is not possible, err on the side of caution and use extra precautions after 5 years.
Pregnancy risk remains low for up to 4 years. Use additional precautions after this time.
If you need to arrange additional contraception, please contact us and we will arrange a telephone appointment with you to discuss your needs.
Please note that we do not provide the IUS for heavy periods or HRT purposes.