Intrauterine contraception

Background: In recent years, interest in hormone-free contraception has grown as skepticism towards hormonal methods has increased. Copper-releasing intrauterine devices (IUD) provide an effective and comfortable contraceptive method. Objective: To meet the growing need for information on hormone-free methods, the S2k guidelines on non-hormonal contraception were published by the Association of Scientific Medical Societies in Germany (AWMF). The guideline development group identified clinical aspects of high relevance concerning intrauterine contraception, e.g., effectiveness, risks, side effects and potential influencing factors, such as the type of IUD, age and parity. Material and methods: Based on international recommendations, systematic reviews and individual studies on intrauterine contraception, statements and recommendations were formulated. Results: A total of 24 recommendations on the insertion, application in general and in special situations as well as on complications of intrauterine contraceptives were processed and agreed by consensus. Conclusion: Hormone-free IUDs are safe and effective for prevention of unwanted pregnancies. After considering both the advantages and disadvantages of intrauterine contraception methods, women can make informed decisions on using an IUD that suits their individual needs and preferences. As part of the AWMF guidelines on "non-hormonal contraception", practical recommendations on intrauterine hormone-free contraception have been developed to provide guidance for health professionals and users.