Benefits of IUDs for Perimenopausal Women

Contraceptive Benefits

Both copper and levonorgestrel IUDs provide highly effective long-term contraception with failure rates less than 1% 1

The LNG-IUD significantly reduces heavy menstrual bleeding, a common concern during perimenopause 2, 3
Evidence from studies examining treatment effects of LNG-IUD among women with heavy or prolonged bleeding reported no increase in adverse effects and found the LNG-IUD to be beneficial in treating menorrhagia 2
LNG-IUD use has been associated with reduction of dysmenorrhea, which may worsen during perimenopause 5

The LNG-IUD is effective for treating endometriosis symptoms, decreasing dysmenorrhea, pelvic pain, and dyspareunia 3
For women with uterine fibroids, the LNG-IUD helps improve serum levels of hemoglobin, hematocrit, and ferritin, as well as reduces menstrual blood loss 5
The LNG-IUD can be used for endometrial protection in women with endometrial hyperplasia, with evidence showing disease regression in most women 5
For women with severe thrombocytopenia, the LNG-IUD can be a useful treatment for menorrhagia 3

Expulsion rates may be higher in women with uterine fibroids compared to women without fibroids, though these findings were not always statistically significant 5
Women with anatomical abnormalities that distort the uterine cavity may not be good candidates for IUD placement 5