IUD Insertion & Removal

What is an IUD?

An IUD, or intrauterine device, is a small, T-shaped contraceptive device that is inserted into a woman's uterus to prevent pregnancy. IUDs are classified as

Hormonal IUDs

These IUDs release a synthetic hormone called levonorgestrel, which is a progestin. Hormonal IUDs work primarily by thickening cervical mucus, making it difficult for sperm to reach and fertilize an egg. They also have an impact on the uterine lining, making it less receptive to implantation. The hormonal IUDs available in the United States are usually effective for 3 to 8 years, depending on the specific brand. Mirena is effective for up to 8 years, Kyleena for up to 5 years, Liletta for up to 8 years, and Skyla for up to 3 years. Hormonal IUDs can also be used to manage heavy, irregular and painful periods.

Copper IUDs

Copper IUDs do not contain hormones. Instead, they have a copper wire wound around the stem of the T-shaped device. Copper is toxic to sperm, so it creates an environment in the uterus that is hostile to sperm survival and fertilization. Copper IUDs are highly effective and can provide contraception for up to 12 years, depending on the specific brand. The most well-known copper IUD brand in the United States is ParaGard.

When should you book an IUD appointment?

What to expect during an IUD insertion or removal appointment

Before your appointment

When you go for your contraception consultation, your healthcare provider may talk to you about ways to reduce any pain that you may experience during the IUD insertion process. This may include taking over-the-counter pain medication before your appointment or being prescribed medication to help open your cervix and make the procedure easier. We also offer IUD placement with the assistance of acupuncture, which can help you feel more comfortable and at ease during the appointment. Be sure to eat a meal or snack and drink plenty of water before your appointment. Follow all pre-visit instructions given by your provider.

During your appointment

Upon your arrival for your appointment, your healthcare provider will conduct a thorough examination, which includes assessing your vaginal health, cervix, and uterus. Additionally, they may perform a screening for sexually transmitted infections (STIs) as part of the comprehensive care.

To insert the intrauterine device (IUD), your provider will first gently place a speculum into your vagina, allowing them to access the cervix. Subsequently, they will utilize a specialized inserter to carefully position the IUD through the cervical opening and into your uterine cavity. This entire procedure typically lasts for less than five minutes.

IUDs can be inserted at any point during your menstrual cycle. Moreover, you can typically have one placed immediately after giving birth or following a miscarriage or abortion, ensuring convenient and flexible access to this highly effective form of contraception.

How does it feel to get an IUD put in?

Getting an IUD can cause cramping or discomfort, with varying intensity that usually lasts only a few minutes. Having the IUD placed while you are on your period can reduce the discomfort for some people

Occasionally, people may feel dizzy during or after the procedure, with a small risk of fainting. To ensure your safety and well-being, consider having someone accompany you to the appointment, both to avoid driving alone and to allow for some relaxation time afterward.

After IUD Insertion

After receiving an intrauterine device (IUD), individuals' experiences can vary. Some may feel perfectly fine immediately afterward, while others might experience cramping and backaches. It's advisable to plan for some rest and relaxation at home after your appointment, providing an excellent opportunity to unwind with your favorite book or movie. Using heating pads and over-the-counter pain medications can also help alleviate cramps.

Cramping and spotting can occur after IUD insertion, but these symptoms typically subside within 3 to 6 months. Hormonal IUDs often lead to lighter and less painful periods, and in some cases, menstruation may cease altogether. On the other hand, copper IUDs may result in heavier periods and increased cramping initially, though these effects tend to diminish with time. If your IUD causes discomfort, pain, or unwanted side effects, it's essential to contact your doctor for guidance.

Following IUD insertion, a string, approximately 1 to 2 inches long, extends from your cervix into the upper part of your vagina. Rest assured, you won't notice it in your day-to-day activities. This string serves the purpose of allowing a nurse or doctor to remove the IUD when necessary. While you can feel the string by gently inserting your fingers into your vagina and reaching towards your cervix, it's crucial not to tug on it, as this could displace or even remove the IUD unintentionally.