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Select basic ads. Create a personalised ads profile. Select personalised ads. Apply market research to generate audience insights. Measure content performance. Develop and improve products. List of Partners vendors. If you've chosen an intrauterine device IUD for birth control, preparation is similar for the insertion of each type. See what to expect and understand more about this form of birth control. An IUD is a small T-shaped flexible device that is inserted into the uterus.
The Mirena , Kyleena, Liletta, and Skyla continuously are types that release a small amount of the progestin levonorgestrel and are effective for up to seven, five, four, and three years respectively. This IUD has copper which acts as a spermicide coiled around it. Before an IUD insertion, it's important to first dispel these myths in order to alleviate any worries and feel more confident during insertion.
Prior to insertion, some healthcare professionals advise taking an over-the-counter pain management medication, like non-steroidal anti-inflammatory drugs such as to milligrams of ibuprofen—Motrin or Advil an hour before the IUD is inserted.
This may help to minimize the cramps and discomfort that may be caused during the insertion. If not, make sure to bring one from home to use after the insertion in case some bleeding occurs. Your healthcare professional will have all the equipment prepared to insert the IUD. Before starting, he or she should explain the procedure to you and respond to any of your questions and concerns. This can help you to become more relaxed, which makes the insertion easier and less painful. Your healthcare provider will likely perform a pregnancy test to rule out the possibility of a pregnancy.
Then, a healthcare provider will usually perform a bimanual examination this is where your healthcare professional inserts two fingers into the vagina and uses the other hand on the abdomen to be able to feel the internal pelvic organs.
This is done to accurately determine the position, consistency, size, and mobility of the uterus and identify any tenderness, which might indicate infection. At this point, your healthcare professional will hold open the vagina by using a speculum, which resembles a metal beak of a duck.
The instrument is inserted into the vagina, then its sides are separated and held open by a special action device on the handle.
Once this is accomplished, due to the importance of having a completely sterile environment to reduce the likelihood of infections, the cervix and the adjacent anterior front and posterior back recesses in the vagina will be cleansed with an antiseptic solution. Your healthcare provider will then use a tenaculum to help stabilize the cervix and keep it steady.
The tenaculum is a long-handled, slender instrument that is attached to the cervix to steady the uterus. Your healthcare provider will now insert a sterile instrument called a sound to measure the length and direction of the cervical canal and uterus. This procedure reduces the risk of perforating the uterus having the IUD puncture through , which usually occurs because the IUD is inserted too deeply or at the wrong angle.
Your healthcare provider will make sure to avoid any contact with the vagina or speculum blades. The uterine sound has a round tip at the end to help prevent perforation puncturing the uterus. Some healthcare providers may use an endometrial aspirator as an alternative to the uterine sound, which does the same thing. It is important that the healthcare provider determines that your uterine depth is between 6 and 9 centimeters as an IUD should not be inserted if the depth of the uterus is less than 6 centimeters.
After the sound is withdrawn, the healthcare provider will prepare the IUD for insertion by removing it from its sterile packaging. The IUD is pushed into place, to the depth indicated by the sound, by a plunger in the tube.
Once out of the tube and when the IUD is in the proper position in the uterus, the arms open into the "T" shape. The insertion of an IUD is usually uncomplicated. Although there may be some discomfort, the whole procedure only takes a few minutes. A woman may experience cramping and pinching sensations while IUD insertion is taking place.
Some women may feel a bit dizzy. It may be helpful to take deep breaths. Additionally, these reactions do not affect later IUD performance. Women who have never given birth, have had few births, or have had a long interval since last giving birth are most likely to experience these problems.
Once the IUD is in place, the tube, plunger, tenaculum, and speculum are removed from the vagina. The intrauterine device will stay in place. 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. Taking it easy for the rest of the day, using a heating pad, and taking over-the-counter pain medicine can help with any discomfort after the IUD is placed.
The cost can vary depending on your health insurance and the type of IUD. Many health insurance plans cover the costs, and family planning clinics such as Planned Parenthood may charge less. Because an IUD lasts for many years, the cost works out to about the same as monthly birth control methods, such as the Pill or ring. Reviewed by: Larissa Hirsch, MD. Larger text size Large text size Regular text size.
What Is an IUD? The most common side effects of the IUD include: irregular bleeding for the first few months with the copper IUD, heavier periods with more cramps lighter and shorter periods or no periods with some kinds of progestin IUDs PMS-like symptoms such as moodiness, headaches, acne, nausea, and breast tenderness with the hormonal IUD Rare problems include: Expulsion.
However, IUDs aren't recommended for someone: with PID or an active STD infection who is already pregnant or may be pregnant who has problems with her uterus, like a disease or malformation, or has abnormal bleeding 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. When Should I Call the Doctor? If you have an IUD, call the doctor if you: might be pregnant notice a chance in the length of the IUD string have a change in the smell or color of vaginal discharge have lasting cramping or pain have unexplained fever or chills have belly or pelvic pain have pain during sex have heavy or long-lasting vaginal bleeding.
Once an IUD is placed, it can be used for 3 to 10 years depending on the type The history of IUDs also makes people understandably skeptical. An older version of the IUD , which was mainly used in the s, increased the risk for pelvic inflammatory disease PID and was discontinued 1,8.
Even though IUDs available now have a different design 1 , these concerns still exist. Discomfort is common with IUD placement 1. Taking the over-the-counter pain medication naproxen may help make IUD insertion less painful and improve the cramping in the hours after it is placed 9.
Your healthcare provider may be able to offer other medications to help decrease discomfort with IUD placement 1,9. You may experience cramping for a few days after the IUD is placed as well 1. After the first few days, you should not have pain with the IUD, although some people have increased cramping with their period with a copper IUD 1. The risk of pelvic infection associated with IUD use is very low 1.
This risk may be greatest in the first three weeks after insertion, but even during this period it is less than 1 infection per insertions After that, the hormonal IUD may actually decrease the risk for pelvic infection since it thickens cervical mucus , creating a protective barrier that keeps bacteria from moving up and into the uterus 1, Modern IUDs do not affect future fertility 1.
The typical time to becoming pregnant was four months or less for both IUD types compared to two months or less for people who had not been using a birth control method While the IUD is being placed, there is about a 1 in chance of a perforation where the IUD pushes through the uterine lining and part or all of the IUD sits outside the uterine cavity Breastfeeding can increase the risk for perforation 15 , so let your healthcare provider know if you are breastfeeding and want to have an IUD placed.
There is no evidence that a properly placed IUD will move out of the uterus on its own 1. A perforation may be apparent to the IUD user due to pain, but sometimes may go unnoticed. It is possible for an IUD to be expulsed when the uterus pushes the IUD down into the cervix or out of your body completely. You may have no symptoms at all when an expulsion occurs, or you may have abnormal cramping, bleeding, pain with sex, or noticeable change in the length of the IUD strings 1.
There is a higher risk of expulsion for copper IUD users younger than 25 years old There may be an increased risk of expulsion for hormonal IUD users younger than 25, but more research is needed In addition to younger age, there is an increased risk for IUD expulsion in people who:. Mood changes have been reported as a reason for having the hormonal IUD removed 1.
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