IUD insertion refers to the procedure of placing an intrauterine device (IUD) into the uterus as a form of contraception. An IUD is a small, T-shaped device made of plastic or copper that is inserted into the uterus by a healthcare provider.
The process of IUD insertion at Brookside Gynecology typically involves the following steps:
- The insertion itself is performed in the private ultrasound room. You will lie on an examination table with your feet in stirrups, similar to a pelvic exam. Your doctor will use a speculum to gently open the vagina and visualize the cervix. The cervix will be cleaned with iodine or another cleanser in preparation for insertion.
- Ultrasound guidance is used to carefully insert the IUD through the cervix and then opened once in the uterine cavity. Once the IUD is in place, the provider will trim the strings attached to the device to an appropriate length, which will later be used for removal or checking the placement.
- After the insertion, you may experience mild cramping or discomfort. You may use ibuprofen or acetaminophen for any pain you might experience. The doctor will review the post procedure precautions including monitoring for increasing pain, fever or abnormal discharge. A follow-up appointment after your first cycle with the IUD in place should be made to ensure the IUD working well for you.
- The removal of an IUD is usually a relatively quick and straightforward process. You will lie on an examination table with your feet in stirrups, similar to a pelvic exam. A speculum will be used to gently open the vagina and visualize the cervix. The strings will be located and using a specialized instrument, they will grasp the strings and slowly and gently withdraw the IUD from the uterus. You may experience mild cramping or discomfort during the removal, but it is generally tolerable.
- Rarely, the strings may not be visible. In this case, an ultrasound may be performed to assist in the removal procedure.