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The copper coil afterwards: emergency contraception after ovulation

In the event of a contraceptive failure, the ‘morning-after pill’ can be taken up until shortly before ovulation. But what if the contraceptive failure occurs at a time when the morning-after pill is no longer effective? For this scenario, there is the ‘morning-after copper IUD’.

‘Emergency IUD’ instead of the ‘morning-after pill’?

The morning-after pill delays ovulation. It can therefore only be taken up to a certain point in the cycle. You can find out more in our blog post on emergency contraception and NFP.

If, for example, the contraceptive failure happens on the day of ovulation, the morning-after pill is no longer effective. In that case, another solution must be found quickly.

An alternative is the ‘(copper) IUD’ or ‘copper chain’. These can be fitted by gynaecologists up to five days after sexual intercourse.

The copper ions ensure that the sperm die off in the womb. They also alter the lining of the womb so that a fertilised egg cannot implant itself. Before insertion, however, it must be checked whether the womb meets certain criteria.

How much does the copper IUD cost?

Unlike the morning-after pill, the copper chain and copper IUD are significantly more expensive. If you wish to use them as a long-term contraceptive after insertion, this is possible for up to ten years, depending on the model and manufacturer – making it a relatively affordable contraceptive in the long run.

If you do not wish to keep it in your body, you can have the chain or IUD removed after your next period.

Who is the emergency IUD suitable for?

In principle, anyone with a uterus can have the emergency IUD fitted following a preliminary examination. The decision as to whether the IUD can be fitted depends on the size of the uterus. In the case of a copper IUD, the condition of the uterine wall is also a decisive factor, as the copper IUD is sutured into place there.

Please also bear in mind that, like any contraceptive, the copper IUD has potential side effects:

  • Very heavy or painful periods may become more severe
  • The body may reject the IUD
  • Slightly increased risk of infections and inflammation of the uterus

Our recommendation

If you experience a contraceptive failure, we recommend that you seek personalised advice from healthcare professionals to find the best solution for you.

With NFP, you’ll also know on which days of your cycle you can become pregnant – and when you cannot. This can be crucial in such situations.

More about emergency contraception | Learn NFP now

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