Mitch Krosch 23/2/25 Mitch Krosch 23/2/25

What to Expect During an IUD Insertion

Thinking about getting an IUD (Intrauterine Device) but feeling a bit nervous about the procedure? You’re not alone! Many people have questions about what to expect, and it’s completely normal to have some concerns. The good news is that IUD insertion is a quick, routine procedure that provides long-term, highly effective contraception.

What is an IUD?

An IUD is a small, T-shaped device that sits inside the uterus to prevent pregnancy. There are two main types:

Hormonal IUDs (Mirena or Kyleena) - These release a small amount of progestogen, which thickens cervical mucous and thins the lining of the uterus.
Copper IUDs - These are hormone-free and work by creating and environment that is toxic to sperm.

Both types are over 99% effective and can last between 5-10 years, depending on the type you choose.

Before the Appointment

1. Consultation with Your Doctor

Before getting an IUD, you’ll have a chat with your doctor to discuss your medical history, contraception needs, and which IUD is best for you. They may also perform a pelvic exam or STI screening to ensure there are no infections before insertion.

2. Preparing for the Procedure

Here are a few tips to make your appointment smoother:

Take ibuprofen and paracetamol about 30-60 minutes before your appointment to help with discomfort.
Eat a light meal beforehand to avoid feeling lightheaded.
Bring a pad or panty liner in case of light spotting afterward.
Ideally, have someone drive you to and from the appointment (in case you feel a little crampy or lightheaded afterwards).

During the insertion

The actual procedure only takes a few minutes and happens in a standard GP or clinic room. Here’s how it works:

1. Positioning & Examination

You’ll lie on an examination table (similar to a Pap smear position). The doctor will insert a speculum to gently open the vagina, allowing them to see the cervix.

2. Measuring the Uterus

The cervix is gently grasped, which can cause a pinching feeling (although a lot of people don’t feel anything). A small instrument called a sound is used to measure the depth of your uterus to ensure proper placement of the IUD. This may cause a brief cramping sensation.

3. Inserting the IUD

The IUD is introduced via a thin tube, which is inserted through the cervix into the uterus. Once in place, the arms of the IUD open up, and the tube is removed. The doctor will trim the IUD strings, which stay inside the vagina so the IUD can be checked or removed later.

4. All Done!

The entire process usually takes 5-10 minutes.

After the procedure

1. How Will I Feel?

Mild to moderate cramping (like period pain) is common for the first few hours.
Light spotting or irregular bleeding may occur for a few weeks.
Some people feel totally fine right away, while others may prefer to rest for a little while.

2. What to Watch For

While complications are rare, contact your doctor if you experience:

Severe pain or heavy bleeding
Fever or unusual discharge (possible infection)
Inability to feel the IUD strings (which may indicate it has moved)

3. When Does It Start Working?

Hormonal IUD: If inserted within the first 7 days of your cycle, it's effective immediately. Otherwise, use backup contraception for 7 days.
Copper IUD: Works immediately, even as emergency contraception.

Getting an IUD is a safe, quick, and effective way to prevent pregnancy, and for many people, the benefits far outweigh any temporary discomfort. If you’re feeling anxious, remember that your doctor is there to support you and make the experience as comfortable as possible. If you have any concerns before or after the procedure, don’t hesitate to reach out to your GP.

Thinking about getting an IUD? Book an appointment today to discuss your options and find the best contraception for you!