Menopause: The Inside Info

Menopause: The Inside Info

When an IUD is Your Post Menopause Plan

Your Questions Answered

Lauren Streicher MD's avatar
Lauren Streicher MD
Sep 23, 2025
∙ Paid

My recent post titled The Case For Every Perimenopausal Woman Having an IUD lists 5 reasons why every perimenopausal woman should consider a progestogen IUD as part of her toolbox. Contraception, decreasing the risk of uterine cancer, and controlling out-of-control bleeding are all on the list of reasons why an IUD can be an excellent option for perimenopausal women.

Also on my list is that a progestogen IUD can be an excellent strategy for women using postmenopausal systemic estrogen who either don’t tolerate oral progestogens or have problems with bleeding.

Since I ran that post, questions keep coming in about using an IUD as part of a menopausal hormone therapy regimen, so I decided to write a post to address the following issues:

  • Why would a post-menopausal woman who no longer needs contraception use a levonorgestrel IUD?

  • Are levonorgestrel IUDs FDA-approved in postmenopausal women?

  • What do studies show as far as uterine protection in women using systemic estrogen?

  • How long will a levonorgestrel IUD provide endometrial protection?

  • If someone uses an IUD for more than 5 years, is there a way to know if it is still working?

  • How much progestogen gets in the bloodstream?

  • Can the lower-dose IUDs also be used for endometrial protection?

  • Will a progestogen IUD increase the risk of breast cancer?

  • Will insurance and Medicare/Medicaid cover an IUD in post-menopausal women?

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