Many premenopausal women can safely use IUDs for contraception. Also, women who have severe menstrual bleeding and cramps or who have fibroid pain are sometimes prescribed hormonal IUDs because progestin can help with these symptoms.Always discuss this with your healthcare provider, but in general, you should not use a hormonal IUD if you have or had certain health conditions. These include: Breast, uterine or cervical cancerLiver diseaseMigraine disease A history of blood clotsPelvic infections or unexplained vaginal bleeding Heart conditionsIf you have recently given birthIf you’ve had an IUD before and your body expelled it People with an allergy to copper should not use the non-hormonal IUD.