IUD insertion
IUD · coil · getting an IUD · intrauterine device
A gynecologist puts a small, flexible device into your womb to prevent pregnancy. There are copper IUDs and hormonal IUDs.
For long-lasting, reliable protection against pregnancy. A hormonal IUD is sometimes also used for heavy periods.
⏱ Duration: the insertion itself usually takes 5 to 10 minutes; the whole visit about 30 minutes
Be sure to tell your doctor
How to prepare
- Tests. Usually before insertion: an exam, swabs for infections, and sometimes an ultrasound. Your doctor will give you the list.
- Day of your cycle. It is often put in during your period or right after. Other days are possible if pregnancy is ruled out. Ask your doctor.
- Pain relief. Ask your doctor if you can take a painkiller about an hour before.
- Food. Eat before your visit. On an empty stomach you may feel dizzy.
What to bring
- Your referral and swab results
- Pads
- The IUD, if your clinic asked you to buy it ahead of time
How it goes
- You sit on the gynecology chair, and the doctor examines you
- A speculum is put in, and the cervix is cleaned with antiseptic
- The cervix is gently held in place with an instrument
- A thin probe measures the depth of the womb
- The IUD goes in through a thin tube and opens up inside
- The IUD strings are trimmed. They stay in the vagina
What you'll feel
- A feeling of pressure from the speculum
- A few strong cramps, like painful period cramps. They last seconds
- Sometimes weakness or dizziness. Lie down for a few minutes
Afterwards
- Cramps and light spotting for a few days are normal
- Sex and tampons: usually after a few days. Your doctor will tell you when
- A follow-up check: usually after 4 to 6 weeks, or after your first period
- Learn to check the strings after your period. Your doctor will show you how
Contact a doctor straight away if
- Severe pain low in the belly that does not go away with a painkiller
- A fever above 38 degrees, or discharge with a bad smell
- Heavy bleeding
- You cannot feel the strings, or you can feel the hard end of the IUD
- Signs of pregnancy: see a gynecologist right away
Common questions
Does getting an IUD hurt?
Usually there are a few strong cramps for seconds. Many people find it like painful period cramps. Tell your doctor if you are afraid of pain.
When does an IUD start to protect me?
A copper IUD, right away. A hormonal IUD, right away or after 7 days, depending on the day of your cycle. Ask your doctor.
Can an IUD fall out?
Sometimes, yes, most often in the first months. That is why it is important to check the strings and go to your follow-up check.