The IUD is a small T-shaped plastic device inserted into a woman’s uterus. IUDs last for years, and other than sterilization or abstinence, they are the most effective birth control method.

We carry:


  • Paraguard® has a small amount of natural, safe copper. It is effective up to 12 years. Paraguard doesn’t have hormones, unlike the others, so a woman’s period might be irregular for several months then stop all together.


  • Mirena® contains synthetic progestin hormones and lasts up to five years.
  • Skyla® is a smaller IUD that might be a good choice for women who have not had a child. It contains synthetic progestin hormones and works up to three years.
  • Liletta® contains synthetic progestin hormones and lasts up to three years.


Intra-Uterine Device (IUD)
How The IUD Works:
• A small T-shaped object containing progestin, copper or silver prevents sperm from fertilizing the egg
• Changes uterus lining so that a fertilized egg may not implant.
• Both work mainly by affecting the way sperm move so they can’t join with an egg. For some women, LNG IUD may prevent the egg from leaving the ovary. This keeps sperm from getting to the eggs. LNG IUD may also thicken a woman’s cervical mucus. The mucus blocks sperm and keeps it from joining with an egg.

How The IUD Is Used:
• An IUD is placed in the uterus by clinician.
• Woman checks IUD strings after each menstrual period.
• Must be replaced as needed (5-12 years) depending on type of IUD.
• Do not attempt to remove IUD yourself.
• See your clinician if you have fever, abdominal pain, pain when having sex, bleeding, discharge, missed period, any STI, or if the strings are missing, longer or shorter.

• Works for a long time
• Do not have to interrupt sex.
• Can be used while breastfeeding.
• Copper-releasing IUD may prevent pregnancy when inserted up to 5 days after unprotected sex.
• Copper-releasing IUD contains no hormones

Possible Problems or Disadvantages:
• No protection against STls including HIV/AIDs.
• If you get an STI, the infection may be much worse and more damaging.
• IUD may fall out without the woman knowing it.
• Not a good method for women with more than one partner.
• Not a good method for women with partners who have other partners.
• If you become pregnant, there is a higher risk of having a tubal pregnancy.
• Irregular periods or spotting between periods in the first 3 –6 months.
• Heavier periods and worse menstrual cramps — with Copper IUD

How Well Does It Prevent Pregnancy?
• With typical use, less than 1 out of 100 women get pregnant in a year while using an IUD

Birth Control Methods
  • Abstinence
  • Fertility Awareness
  • Withdrawal (“Pulling Out”)
  • Lactational Amenorrhea Method (LAM)

Access Esperanza Clinics offers:

  • Free Condoms
  • The Shot
  • The Ring
  • The Patch
  • The Pill
  • The Implant
  • The IUD
  • Emergency Contraceptive (“Plan B”)


Contact us and ask how we can help!

At Access Esperanza Clinics, we offer opportunities and hope for people to plan their futures and stay healthy. You can count on us for quality, affordable, and confidential care at all of our Health Clinics.

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You may qualify for free or low-cost services 

If you are concerned about your ability to pay for services, you may qualify for one of our programs that would pay all or most of your services. Each program has its own set of eligibility. Our clinic staff can check your eligibility, help you apply, and provide you with services all on the same day.

We offer programs that can help pay some or all of the cost of your family planning and preventive health services. Our clinic staff can check your eligibility, help you apply, and provide you with services all on the same day. Programs are for female and male adults and teens in their reproductive years. Eligibility is based on your age, household income (you and, if married, your spouse), and family size. Some programs have additional eligibility requirements. You do not have to be a U.S. citizen or have legal residency to qualify. 

To apply for for a funding program, please bring the following documents with you when you come to our clinic: 

  1. Proof of Household Income – Bring any/all you have:
  • Family member’s Children’s Medicaid card, with date of enrollment
  • WIC, TANF or Food Stamp approval letter, dated
  • 2 paystubs within 60 days
  • FAFSA (student federal aid application)
  • Award notice, letter, or written statements from Social Security Administration
  • Form H1028: Employment verification (to be completed by your employer)


  • Photo ID- Texas Driver’s License, Texas ID card, work or school ID card with photo


If you are an adult female and a U.S. citizen or Permanent U.S. Resident, also bring

  •  U.S. birth certificate, passport, passport card
  • Certificate of U.S. naturalization
  • Religious record of birth with date and place of birth, such as baptism record
  •  I-551 card (permanent resident card)
  • Social Security Cards for you, your spouse, and your children 

Household Income (You and Your Spouse) to Qualify for Free Services               

Household Size   Monthly Maximum
1 $2,603
2 $3,523
3 $4,444
4 $5,365
5 $6,286
6 $7,207