A Guide to IUD Insertion: What to Expect Before, During, and After the Procedure
Intrauterine Devices (IUDs) are an effective choice for many individuals seeking long-term contraception.
This contraceptive method offers a hassle-free alternative to daily pills or other temporary birth control methods.
IUD insertion is primarily an outpatient procedure that can be done in a doctor’s office or clinic setting.
In this article, we will walk you through the process of IUD insertion and provide insights into what you can expect before, during, and after the procedure.
Before the insertion
The journey to IUD insertion begins with a visit to your healthcare provider.
During this appointment, your doctor or nurse will take a detailed medical history, examine your vagina, cervix, and uterus, and may test for STIs.
To help alleviate any potential discomfort, take a shower or bath before the procedure.
To make the procedure more comfortable, you might be offered medication to open and numb your cervix.
The insertion procedure
The actual insertion of the IUD is a relatively quick procedure, typically lasting five to ten minutes.
Your doctor will use a speculum to open your vagina gently and a specialized inserter to place the IUD into the uterus.
Patients may experience some cramping during this phase. Strings attached to the IUD are a marker of proper placement and aid in removal when needed.
Once in place, the provider trims the strings, ensuring they are short yet accessible for periodic checks.
After the insertion
Immediately following the IUD insertion, many individuals feel perfectly fine, while others may experience:
Cramping or backaches
It’s normal to experience cramping and spotting in the days following the procedure, which usually resolves within 3-6 months.
Taking it easy for a while and using heating pads or over-the-counter pain medications can help alleviate discomfort.
Hormonal IUDs may lead to lighter and less crampy periods or even stopping of menstruation.
On the other hand, copper IUDs may initially cause heavier periods and increased cramping, but these symptoms often improve over time.
To know the reason, read Why Does Copper IUD Cause Heavier Periods: Unraveling the Enigmas.
Feeling dizzy
It’s not uncommon for some people to feel dizzy during or after the IUD insertion, with a small chance of fainting.
Considering this possibility, having someone accompany you to the appointment for support is advisable.
Potential IUD displacement
There’s a small chance that the IUD could slip out of place, particularly within the first 3 months.
There is a higher chance of IUD displacement during periods.
If the IUD falls out, immediate consultation with your healthcare provider is necessary, and alternative contraception should be used.
Checking for the IUD and string
After the IUD insertion, a string about 1 or 2 inches long will extend from your cervix into the top of your vagina.
This string is vital for the removal of the IUD in the future.
While you can check for the string by inserting your fingers into your vagina, it’s crucial not to tug on it, as this could displace the IUD.
If you have any concerns, report them to the healthcare provider promptly.
Risk factors
While IUDs are generally safe, there is a slightly increased risk of infection (Pelvic Inflammatory Disease) within the first 20 days post-insertion.
Rare complications include uterine perforation during insertion and IUD expulsion.
If any unusual symptoms arise, such as persistent abdominal pain or suspected IUD displacement, contacting the healthcare provider is crucial.
Conclusion
The insertion process of an IUD, while relatively quick, may entail some discomfort.
However, healthcare providers often take measures to minimize this through medication to open or numb the cervix.
Post-insertion, individuals may experience mild side effects such as cramping or dizziness, generally manageable with rest, heat application, or over-the-counter medications.
While rare, there is a small risk of displacement or expulsion, emphasizing the importance of vigilance and regular checks.
Individuals must be aware of potential risks, such as the slight increase in the risk of infection shortly after insertion.
With proper guidance from healthcare providers and attentive self-care, IUDs can offer a reliable and low-maintenance option for long-term contraception.
Frequently Asked Questions
Is the IUD insertion painful?
The level of pain experienced during IUD insertion can vary from person to person. Some individuals may feel mild discomfort, while others may experience more significant cramping. To minimize discomfort, healthcare providers often offer medications to open or numb the cervix before the procedure.
Does the IUD stop periods?
Hormonal IUDs, such as those containing Progestin, have the potential to reduce or eliminate menstrual bleeding for some individuals. The extent to which periods are affected can vary. Copper IUDs, on the other hand, are non-hormonal and do not typically impact menstrual cycles.
Can you get pregnant with an IUD?
While IUDs are effective at preventing pregnancy, no contraceptive method is foolproof. The chances of getting pregnant with an IUD are very low, but in rare cases, pregnancies can occur. Regular check-ups with healthcare providers and routine self-checks for the IUD strings can help ensure proper placement and effectiveness.
Can one’s partner feel the IUD strings?
It is generally unlikely for one’s partner to feel the IUD strings during intimate contact. The strings are typically positioned within the cervix and are designed to be minimally noticeable. However, in some cases, minor contact with the strings may be felt.
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