What Is an IUD?

An intrauterine device (IUD) is a small, T-shaped device inserted into the uterus for birth control. There are two types: hormonal IUDs, which release progestin, and copper IUDs, which don’t use hormones.

1. How Do I Decide if an IUD Is Right for Me?

An IUD might be a good choice if:

• You want long-term birth control but are not ready for something permanent.

• You struggle to remember daily pills or don’t want to use condoms consistently.

• You experience heavy periods and want to reduce bleeding—or stop your period altogether.

• You need emergency contraception and long-term birth control.

• You want a highly effective method—IUDs are more effective than having your tubes tied.

• You prefer non-hormonal contraception (in this case, a copper IUD could work).

• You’re done having kids but don’t want permanent sterilisation.

2. Will Getting an IUD Hurt?

The level of pain during IUD insertion varies:

• If you’ve never had a baby, it may be more uncomfortable or painful.

• If you’ve had children or an IUD before, it may be less painful.

Pain Management Tips:

Take 800 mg of ibuprofen 20 minutes before the procedure to reduce cramping.

• Ask your doctor about:

• A paracervical block (numbing injection).

• Valium to ease anxiety (you’ll need someone to drive you home).

• Topical numbing sprays for the cervix.

3. What Happens During IUD Placement?

• A speculum is inserted to open the vagina.

• The cervix is cleaned with an antiseptic.

• A measuring stick (sound) is used to determine the size of your uterus.

• The IUD is inserted, and the strings are trimmed.

• If necessary, tools like a tenaculum or dilators may be used to help with placement.

What to Expect After:

• Cramping and spotting for 48-72 hours are normal.

• Use ibuprofen for pain relief if needed.

• Watch for heavy bleeding or severe pain, which could indicate a problem. Contact your doctor if this happens.

4. What If I Can’t Feel the IUD Strings?

• IUD strings may soften or tuck into the cervix, making them harder to feel.

• If you have pain or concerns, contact your doctor—they can confirm the IUD’s placement with an exam or ultrasound.

5. Will an IUD Affect My Fertility?

• IUDs typically do not affect fertility. Most people regain normal cycles within three months of removal.

• If you don’t conceive within a reasonable time after IUD removal, see your doctor.

Key Benefits of an IUD

• Long-term and highly effective contraception.

• Reduction in heavy periods (hormonal IUDs).

• Convenient—no daily reminders or frequent actions needed.

When to Contact Your Doctor

• Persistent or worsening pain.

• Heavy or unusual bleeding.

• Concern about misplaced IUD strings.