IUD Insertion

An IUD, or intrauterine device, is a contraceptive that is placed inside the uterine cavity to prevent pregnancy. Presently, we offer two options:

 

  • Paraguard – hormone free, lasts for 10 years, associated with slightly heavier periods

  • Mirena – contains progesterone, lasts for 5 years, associated with no periods

 

Prior to insertion of an IUD, your doctor will do a pelvic exam to assess the size, shape, and position of your uterus. In addition, vaginal cultures may be collected to assure that you do not have any vaginal or cervical infections that could contaminate the IUD and cause a pelvic infection. On the day of your IUD appointment, you should take 2 Motrin or Advil about one hour before the scheduled insertion.
The process for IUD insertion is the same for each device.

 

  •  A speculum is placed into the vagina to allow visualization of the cervix

  • The cervix is opened, or dilated, with a small thin instrument

  • The IUD is threaded through the cervix and into place at the top of the uterus

  • The strings of the IUD are trimmed so they extend just outside the cervical opening

 

After the IUD is inserted, you may experience:

 

  • Mild abdominal cramping, which is usually relieved with Motrin or Advil

  • Vaginal spotting, which can continue for 2-4 weeks after insertion

  • Vaginal discharge, which can last 1-2 months after insertion

 

If you have severe pain, heavy bleeding, fevers, or copious discharge, you should contact your physician. You should not have sex for 72 hours after placement. Your IUD will be effective for contraception immediately.

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