IUDs work as contraceptive device as they
All the above
The primary mechanism of an IUD, is based on the fact that it is a foreign object in the uterus. This stimulates a foreign body reaction in the uterus, causing an inflammatory reaction, increasing release of WBCs and prostaglandins.These attack incoming sperm and create a hostile environment. They also induce changes in the endometrium, which make it unsuitable for implantation.