What to Expect: Intrauterine Device (IUD) Insertion

What is an IUD?

• An IUD (intrauterine device) is a small device inserted into the uterus to prevent pregnancy, and sometimes to control abnormal bleeding with your periods.
• There are several types of IUD’s, and your doctor will determine which one will work best for you.
• An IUD will last from 3-10 years before removal is necessary.

What should I do before the procedure?

• Take the Misoprostol at bedtime the night before the procedure.
• Be sure to eat a small meal prior to your appointment.
• You may also want to take 600-800 mg Ibuprofen on the morning of your procedure to help with cramping.
• It is nice to bring a driver with you, but it is not mandatory.

What should I expect during the procedure?

• A speculum will be placed in the vagina.
• The cervix is cleaned with an iodine solution.
• A measuring device is placed into the uterus so the IUD can be properly placed.
• The IUD is then inserted into the uterus.
• Most women feel mild to moderate cramping during the procedure, but it is well tolerated.
• Once the IUD is inserted, the strings will be trimmed; the strings will not hang out of the vagina.
• At home, you may use Ibuprofen or Tylenol, as well as a heating pad if needed.
• You may return to normal activities right away.
• You may use tampons or pads, as you may have light spotting or bleeding after the procedure.
• An ultrasound will be scheduled following the procedure to determine that the IUD has settled in the correct position.

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