IUD Cramps: Causes, Treatments, and More

Rahul Gupta
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Dr. Kaushal

Review medical content on WOW Rx Pharmacy, so that accurate drug use information is easily accessible to everybody.
Dr. Akansha is a licensed Clinical Pharmacologist. She possesses remarkable knowledge in Pharmacovigilance, prescription analysis, drug information, and drug safety services. Additionally, she is a keen learner and an educator.

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IUD cramp causes treatments and more

IUD cramps, commonly associated with Intrauterine Device use, are a prevalent concern for many individuals. These cramps, often occurring after insertion, may vary in intensity and duration, affecting people differently. However, it is said that if you have had children, you may have less cramping because your uterus may be larger and less sensitive.

So, if you are considering getting an IUD, have just gotten one, or are experiencing some cramps and wondering what’s going on, you are at the right place. This article will give you a deep understanding of IUD cramps—what they are, why they happen, and most importantly, how you can manage them. 

IUD and cramping

Cramping after IUD insertion is a common occurrence, with many women experiencing discomfort during and after the procedure. 

IUD cramps can vary from person to person, but generally, they feel like strong menstrual cramps. They can range from mild to severe and might be accompanied by spotting or bleeding, especially in the first few days to weeks after insertion.

Some women describe the cramps as a dull, throbbing pain in the lower abdomen, while others might feel sharp pains that come and go. It’s also common to feel some back pain, similar to what you might experience during your period.

How long does cramping last after an IUD?

For some women, cramping lasts for 1-7 days after the IUD is inserted.

While for others, it may persist for several weeks or even up to six months as the body adjusts to the presence of the IUD. 

The intensity of the cramps also depends on factors such as the individual’s pain tolerance, hormonal changes due to the IUD, etc.

If cramping is severe, lasts longer than 3 months, or you have foul-smelling discharge or heavy bleeding, consult your doctor immediately to avoid any complications.

Causes of cramps with an IUD

The common causes of IUD cramps can be attributed to several factors:

  • Cervix opening: Cramping during and after an IUD insertion is a normal reaction to the cervix opening. Your uterus (womb) is a muscle, and inserting a foreign object can cause it to contract (tighten)
  • Hormonal changes: For hormonal IUDs, the release of hormones can cause temporary changes  in the menstrual cycle and lead to cramping in some individuals
  • Used a copper IUD: Particularly a copper IUD can make your menstrual cramps worse, especially during the first several months after your IUD is inserted
  • Anxiety and pain sensitivity: The intensity of cramps and discomfort during the procedure can be influenced by anxiety and an individual’s pain sensitivity
In 1909, Dr. Richard Richter in Germany conducted the first documented IUD insertions. Using a silkworm gut ring with protruding ends, he pioneered a method for checking and removing the device through the cervical os.

Managing severe cramping with an IUD

Now, let’s get to the part you’re probably most interested in—how to manage these cramps. Here are some practical tips:

  • Pain relief medications: Taking Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) like Brufen 400mg (Ibuprofen) or Naprosyn 500 + (Naproxen) can provide relief from cramping
  • Gentle exercise: Engaging in gentle activities such as stretching, yoga, or walking may help alleviate cramping
  • Heat therapy: Applying a heating pad or using warm baths can help soothe cramping pain that may occur after IUD insertion
  • Massage: Gently massaging the area around the cramping area may provide some relief
  • Hydration and rest: Staying well-hydrated and getting plenty of rest can help the body adjust to the IUD, potentially reducing cramping
  • It’s important to note that cramping after IUD insertion typically subsides as the body adjusts to the presence of the device.


While IUD cramps are a common experience for many individuals after insertion, they generally diminish over time as the body adjusts. Understanding the causes and effective management strategies, such as pain relief medications, gentle exercise, and heat therapy, can significantly alleviate discomfort. 

If cramping persists beyond a few months or is accompanied by severe symptoms, seeking medical advice is crucial to ensure there are no underlying complications. By being well-informed and proactive, you can better navigate and manage the IUD cramps, leading to a more comfortable and confident contraception experience.

Frequently Asked Questions

Is it normal to have random cramps with an IUD?

Yes, experiencing occasional cramps with an IUD is normal. The body adjusts to the device, and mild cramping may occur, especially during the initial months. If severe or persistent, consult your healthcare provider as soon as possible.

How long do cramps from an IUD last?

Cramps from an IUD typically last for a few hours to a couple of days after insertion. However, for some, cramping may persist for several weeks or up to six months as the body adapts. If severe or prolonged, consult your healthcare provider.

What do normal IUD cramps feel like?

Normal IUD cramps may feel like mild to moderate menstrual cramps and are usually temporary. If you encounter prolonged or intense cramping, seek guidance from your healthcare provider to rule out potential complications.

When should I be worried about IUD cramps?

If IUD cramps are severe, persist for an extended period, or are accompanied by concerning symptoms, such as fever or heavy bleeding, it’s a sign for you to consult your doctor. 

How to get rid of bad cramps with an IUD?

To relieve bad cramps with an IUD, try over-the-counter pain relievers like Brufen 400mg (Ibuprofen), use a heating pad on your lower abdomen, practice relaxation techniques, and stay hydrated. Consult your doctor if the pain persists or worsens.

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