But you may want to wait six weeks, because insertion after labor requires a different technique. Risks are small but I do like patients to know what to expect. Irregular cramping and bleeding are common, but usually resolve in four to eight weeks. More rare complications include malposition or perforation. Malposition means the IUD has an abnormal position in the uterus.
Perforation is when the IUD passes through the wall of the uterus in the abdominal cavity. Care with placement helps avoid these issues. If there are concerns, an ultrasound can help reassure us of the location. IUDs today are better and safer today after doctors and manufacturers learned a few lessons learned early on. Back in the s, an IUD called Dalkon Shield was linked to pelvic infection that caused infertility and death. That IUD had multiple flaws, including a design that allowed bacteria to get into the uterus and made it difficult to insert.
Working with an empathetic doctor or nurse, who is willing to take time to discuss the procedure and offer reassurance, may help. A person may wish to consider asking a doctor what previous experience they have of inserting IUDs.
Similarly, they can tell the doctor if they are feeling nervous about what is going to happen. Some people report that taking over-the-counter OTC pain medication, such as ibuprofen, before the procedure helps reduce pain afterward.
During the procedure, a person will remove their undergarments and other clothing from the waist down. They will then lie on their back, usually with their legs in stirrups. A doctor or nurse will offer a sheet to cover the thighs to help a person feel more comfortable and less exposed. The doctor will first conduct a pelvic exam using the fingers, then cleanse the vagina and base of the cervix with an antiseptic solution.
They will then insert a speculum into the vagina to separate the walls, enabling them to see better. Using a small instrument, they will insert the IUD into the uterus through a small opening in the cervix.
Some people experience cramping similar to or sometimes more intense than menstrual cramps. If the pain feels unusual or unbearable, the person must tell the doctor. The whole process usually takes only a few minutes. Some people feel dizzy or faint after an IUD insertion, so it can be a good idea to have someone accompany them for the journey home. It is usually safe to return to work or school right away. However, if a person is feeling intense pain or cramping, they may wish to rest for a day.
Following insertion of an IUD, it is normal to notice some spotting. According to Planned Parenthood, spotting can last up to 3—6 months. The individual should ask the doctor how long to wait before having unprotected sex.
One of the main benefits of an IUD is that it requires no special care. In the days following insertion, it is common to experience some cramping and spotting. OTC medication can help reduce these symptoms.
Any pain should disappear in a few days. Pelvic inflammatory disease PID. There's a very low risk of infection from bacteria getting into the uterus during IUD insertion.
Most such infections happen in the first 20 days after placement of the IUD. IUDs are a good birth control option for many girls and women. However, IUDs aren't recommended for someone:. Experts recommend IUDs as a good birth control option for younger women and teens because they last for many years, need no daily care, and are very effective at preventing pregnancy.
An IUD must be inserted by a doctor or nurse practitioner. It can be inserted anytime during a menstrual cycle as long as she is not pregnant. The doctor or nurse practitioner puts the IUD in through the vagina, past the cervix, and into the uterus.
This only takes a few minutes from start to finish. People usually feel some cramping during the placement, but it gets better within a few minutes. When it comes to emergency contraception, there can be a lot of confusion. Natural Cycles and other fertility awareness apps can be an effective way to prevent pregnancy. Our review explains what you need to know. There are alternatives. Thinking about using the birth control ring?
Annovera is one of your options — here's how to decide whether it's right for you. Health Conditions Discover Plan Connect. What all happens during the appointment? How long does insertion take? What does insertion feel like? Is there anything you can do for anxiety or pain relief? Are there any side effects or risks to consider? Is there anything you can do in advance to prepare? How long after insertion until you can have solo or partner sex?
Is there anything else you need to know? Read this next. Medically reviewed by Fernando Mariz, MD. Medically reviewed by Janet Brito, Ph. Take Action vs.
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