Which IUD suits me?
Kyleena, Jaydess, Mirena, copper and gold coils differ in size, duration, hormone dose and above all in what happens to your bleeding. This overview compares the coils fitted at the practice, with the actual prices of the insertion appointment.
| Coil | Hormone | Duration | Size | Effect on bleeding | Price | Per year |
|---|---|---|---|---|---|---|
|
Jaydess Hormonal coil · Pearl-Index 0,41 |
Levonorgestrel 13.5 mg about 14 µg/day initially |
3 years | 28 × 30 mm, inserter 3.8 mm | lighter and shorter; in about 12 of 100 women it stops altogether after a year | 500 € | 167 € |
|
Kyleena Hormonal coil · Pearl-Index 0,29 |
Levonorgestrel 19.5 mg about 17.5 µg/day initially |
5 years | 28 × 30 mm, inserter 3.8 mm | markedly lighter; in about 23 of 100 women it stops after a year | 600 € | 120 € |
|
Mirena Hormonal coil · Pearl-Index 0,20 |
Levonorgestrel 52 mg about 20 µg/day initially |
up to 8 years for contraception | 32 × 32 mm, inserter 4.4 mm | reduced the most; in about 20 of 100 women it stops after a year | 750 € | 94 € |
|
Kupferspirale Hormone-free coil · Pearl-Index 0,80 |
none copper ions |
5 years | depending on the model, several sizes available | usually heavier and longer, often more painful | 500 € | 100 € |
|
Goldspirale Hormone-free coil · Pearl-Index 0,80 |
none copper ions, with a gold core |
5 years | depending on the model | as with the copper coil | 600 € | 120 € |
Prices are for the insertion appointment package at this practice: check-up, ultrasound, pregnancy test, wet mount, medical preparation and insertion. The contraception consultation beforehand (250 €) is billed separately.
Which coil for whom
Jaydess
The smallest hormonal coil, with the narrowest inserter – often the first choice for young women and for those who have not given birth.
Kyleena
The same size as Jaydess but lasting five years – the compromise between a small device and a long duration.
Mirena
The only coil also licensed to treat heavy bleeding – and as the progestogen component of hormone replacement therapy in the menopause.
Kupferspirale
For when hormones are not an option. The cycle is fully preserved and ovulation takes place.
Goldspirale
The gold core is intended to slow the corrosion of the copper. No proven advantage in effectiveness or tolerability over the plain copper coil follows from that – but for women worried about copper allergy it is often still the better option.
The question everyone asks: does it hurt?
Yes, insertion is uncomfortable – there is no point in claiming otherwise. How uncomfortable depends heavily on how it is done: on preparing the cervix, on the timing within the cycle, on the diameter of the inserter, and on taking the time instead of rushing. This practice has made a point of that; it is the reason many women come here specifically for a coil.
The whole procedure takes a few minutes. Cramping afterwards, similar to strong period pain, is normal for a few hours; some women take the rest of the day off.
What changes in the first months
With a hormonal coil, irregular spotting during the first three to six months is the rule, not the exception – and it is the most common reason women have one removed early. It is worth knowing beforehand: after those months, bleeding usually becomes markedly lighter, and for about one in five it stops altogether.
With a copper or gold coil it is the other way round: periods usually become heavier, longer and more painful. Anyone who already bleeds heavily should think twice about it.
Checks afterwards
One check-up four to six weeks after insertion, then once a year. The ultrasound shows whether the coil is still in the right place – it can shift, most often in the first months and most often during a period.
Sources
- Summaries of product characteristics for Jaydess, Kyleena and Mirena (as of 2026)
- Faculty of Sexual and Reproductive Healthcare: Intrauterine Contraception
- Trussell J: Contraceptive failure in the United States. Contraception 83 (2011) 397–404
It works with averages. Your body does not. The result is a starting point for a conversation, not a finding – and it cannot see what an examination would show.
Questions about your result? Arrange an appointment.