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Do copper IUDs cause my mood changes and cramps?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 29 and had a copper IUD inserted six months ago. Since then, I have noticed increased menstrual cramping and a drop in my mood around my period. I wanted to ask whether these are common side effects.

Is it typical for mood changes to occur with a copper IUD, or would a hormonal IUD be less likely to cause this? I am hoping to avoid returning to oral contraceptives.

Thank you for your guidance.

Answered by Dr. Ashraf Ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I understand your concern.

During the initial months following the insertion of a copper IUD (intrauterine device), it is not uncommon to experience heavier menstruation and increased menstrual cramping. These are well-known side effects since the copper IUD is non-hormonal and functions by inducing a localized inflammatory response in the uterus to prevent pregnancy. This response can exacerbate cramping and bleeding.

Also, certain women experience mood fluctuations during their menstrual cycle when employing a copper IUD. The device is not directly associated with hormonal mood changes and does not affect hormone levels. However, it can indirectly affect mood and overall well-being by causing increased pain or discomfort during periods.

If these symptoms are persistent or have a substantial impact on your quality of life, you may wish to investigate the use of a hormonal IUD. Hormonal IUDs often reduce menstrual bleeding and cramping and release a small amount of progestin locally in the uterus, with minimal systemic effects compared to oral contraceptive pills. Many women are able to tolerate them well.

A hormonal IUD may be an appropriate alternative for you, as you are opposed to reverting to birth control pills. I recommend discussing your symptoms and options with your healthcare provider to determine the most appropriate choice for your needs and lifestyle.

I hope this answers your questions.

We appreciate your comments and use them to make patient care better.

Thanks.

Medically reviewed by iCliniq medical review team
Published At April 21, 2026
Reviewed At April 24, 2026

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Ashraf Ghani is a dedicated general medicine physician committed to providing comprehensive and evidence-based healthcare for adult patients. He has experience in diagnosing and managing a wide range of acute and chronic medical conditions, including diabetes, hypertension, infections, respiratory illnesses, and lifestyle-related disorders. Dr. Ashraf Ghani focuses on accurate diagnosis, preventive care, and personalized treatment plans tailored to each patient's needs. Known for his compassionate and patient-centered approach, Dr. Ashraf Ghani strives to help patients achieve better health through clear communication and quality medical care.  

This doctor is not available for online consultations on the platform anymore.

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