An IUD's effectiveness and the time it takes to work depend on the type and timing of insertion. Hormonal IUDs take up to 7 days to become effective unless inserted within the first 7 days of the menstrual cycle, in which case they work immediately. Copper IUDs provide immediate protection from pregnancy once inserted, regardless of cycle timing. If a hormonal IUD is inserted at other points in the cycle, backup contraception should be used for one week after insertion for full protection.