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Not risky as in you’ll get pregnant. Risky as in, if something goes wrong with it, like causing you pain or hormonal issues, you can’t just “stop taking it.” You have to schedule an appointment and have a professional remove it, and who knows how long they might make you wait. It’s probably not that common, but I’ve heard of them becoming slightly displaced and “stabbing” people.
A lot of doctors are absolutely dogshit at inserting them, causing a lot of unnecessary pain.
If you have a low/tilted cervix, or your partner is a bit too well endowed, it also makes sex uncomfortable or outright painful for both parties.
IUD’s only work for people with no other issues or health problems, and only if you get a doctor that cares about not making their patient uncomfortable.
Pros: It’s how I found out my spear is indeed long
Cons: it shrivels into my body when recalling that experience because painful is putting it mildly.