But as a woman gets older the possibility of blood clots, stroke, heart attack, or liver tumors may increase, particularly if the woman smokes, has high blood pressure, high cholesterol levels, or diabetes. People over 50 can be quite sexually active, often with younger partners who do need birth control. And sexually active people of any age can get sexually transmitted diseases. IUD threads coming through the cervix into the vagina help check placement. IUDs generally create a condition in the fallopian tubes and uterus that hinders a pregnancy from occurring.
Some types can remain in place for a long time, if there are no problems.
Others have to be replaced periodically. A complete pelvic examination will indicate whether an IUD is appropriate and what kind may be used. The user may experience some pain during the brief time of insertion, especially if the user has never been pregnant. Some users report cramps, heavier menstrual bleeding, and spotting. Most adjust in a few months, but some may require removal for pain, bleeding, or infection.