If you're considering an IUD for birth control, you may wonder about the pain during insertion, use, and removal. At Tia, we get it.

Our team of clinic experts are well-versed in the anxiety that often accompanies IUD insertion and IUD removal. That’s why we’ve gone to great lengths to create an atmosphere of understanding and compassion.

At Tia, we personalize the process of IUD insertion and removal to make the experience as comfortable and pain-free as possible. So let's dive into the experience of getting an IUD and, hopefully, offer a dose of relief for people who worry about the pain they face when choosing this method of birth control.

The Ins and Outs of IUDs

An IUD is a small, T-shaped device inserted into the uterus to prevent pregnancy and reduce symptoms of certain health conditions, like endometriosis and PCOS (polycystic ovary syndrome). IUDs are also one of the most effective and safest forms of reversible birth control available. Generally, there are two types of IUDs: copper (non-hormonal) and hormonal.

A copper IUD consists of a plastic “T” wrapped in a copper coil. Sperm don’t like copper and stay away, so this type of IUD primarily works by preventing sperm from reaching an egg. Copper also changes the lining of the uterus, which makes the environment less than ideal for fertilization and implantation.

Hormonal IUDs release a small amount of progestin, which also thickens cervical mucus, and blocks sperm from reaching an egg. These IUDs can also stop ovulation (eggs leaving the ovaries), so there isn’t an egg to fertilize in the first place.

No Pain, Lots to Gain

IUD insertion is a quick, in-office procedure that can cause transient discomfort, especially when the IUD is placed and the cervix is basically stretched to place the device. The pain people feel during the procedure varies widely among individuals. Some describe the sensation as a sharp pinch or cramp similar to menstrual cramps while others may find the feeling more intense.

Pain isn’t universal, so medical experts can’t always anticipate the degree of discomfort someone will feel during IUD insertion. Unfortunately, there is overwhelming evidence indicating that most healthcare providers underestimate the potential of pain during IUD insertion.

At Tia, we understand and validate the pain patients experience during an IUD procedure.

Medical research remains inconclusive about some popular options for reducing pain during IUD insertion, like timing your procedure toward the end of your period or using a topical anesthetic. However, your provider at Tia always:

• Explain the IUD insertion procedure in detail.
• Invite an open-ended conversation about anxiety and pain.
• Take every possible step to reduce physical and mental discomfort during the procedure.

Over-the-counter pain relievers, like Advil or Aleve, often help with the pain and cramping that happens with IUD insertion. Fast-acting anti-anxiety medication, which needs to be discussed with your provider and requires a prescription, might also help. However, one of the best options for reducing anxiety and discomfort during the procedure is staying calm by using breathing exercises and relaxation techniques. For most people, poses as a challenge.

At Tia, understand this too. That’s why we offer acupuncture specifically designed to reduce anxiety, discomfort, and pain during IUD insertion and removal.

Acupuncture and IUDs

A traditional Chinese medicine practice, acupuncture involves the insertion of thin needles into your skin at specific points on your body, and it’s a scientifically-proven method that can be used to relax the nervous system, release “feel-good” endorphins, reduce pain perception, and relieve stress. For these reasons, Tia takes a collaborative and integrative approach to IUD insertion and removal using acupuncture.

How can acupuncture help with IUD procedures?

Most patients who combine IUD insertion or removal with acupuncture get a drastic reduction in cramping during and after the procedure. It can be particularly helpful for people feeling anxious or triggered by past negative experiences with IUD or gynecological procedures.

How does it work?

During a pre-procedure acupuncture + IUD appointment, your acupuncturist places 10-15 thin needles in bilateral points on your hands, ears, lower legs, and abdomen while guiding you to relax.

After 20 minutes, your acupuncturist will remove most of the needles and then stay during the insertion or removal procedure. Your provider might also use essential oils, calming ocean sounds, and deep belly breathing techniques to alleviate pain during the procedure. You’re also welcome to hold their hand!

A Few Words about General Anesthesia

At Tia, we believe our holistic approach to avoiding and managing pain during IUD procedures is comprehensiveand compassionate, but we also recognize that other pain control options exist. General anesthesia (being put to sleep) is one of those options. Under our current clinic model, Tia can’t provide this service, which requires a surgery center or hospital setting staffed with anesthesiologists or nurse anesthetists. After consultation with our care team, if you feel like general anesthesia is the best choice, your provider will provide a referral to an outside medical clinic equipped to perform this procedure.

Whew. It’s In. Now what?

After IUD insertion, it’s normal to have mild cramping and spotting for a few days to weeks. Over-the-counter pain medication, heating pads, and rest usually are enough to alleviate the discomfort. You should contact your provider if the pain remains significant or intensifies, or if you develop any of the following symptoms:

• Body aches, chills, or fever greater than 100.4 Fahrenheit at any point in the month following insertion
• Strong or sharp pain in the abdomen or pelvis that doesn’t respond to comfort measures
• Heavy bleeding that soaks a pad within one hour or less
• Positive pregnancy test
• If you require pain medication 48 hours after the procedure