Munson Health
 
Intrauterine Device Insertion

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by Randall B

(IUD Insertion; Insertion, Intrauterine Device; Insertion, IUD; Copper Intrauterine Device Insertion; Copper IUD Insertion; Insertion, Copper Intrauterine Device; Insertion, Copper IUD; Hormone-releasing Intrauterine Device Insertion; Hormone-releasing IUD Insertion; Insertion, Hormone-releasing Intrauterine Device; Insertion, Hormone-releasing IUD)

 

Possible Complications

Serious complications are rare, but no procedure is completely free of risk. Your doctor will review a list of possible complications, including:
Even with an IUD inserted, there is a chance that you can still get pregnant. If so, there is a possibility of an ectopic pregnancy . This happens when the fetus develops outside the uterus. Other possibilities include miscarriage, premature labor, or delivery.
An IUD is not for every woman. Certain things would make a woman a poor candidate for IUD insertion, such as :
  • Pregnancy
  • Vaginal bleeding of unknown cause
  • Deformed uterus
  • History of ectopic pregnancy
  • History of pelvic infection after childbirth or after an abortion in the last three months
  • History of pelvic inflammatory disease , unless there has been a normal pregnancy since then
  • Sexually transmitted disease or other infection in the pelvic area
  • Increased risk of pelvic infections
  • Cervical or uterine cancer
  • Liver disease or liver cancer (for the hormone-releasing IUD)
  • Breast cancer (for the hormone-releasing IUD)
  • Allergy to copper (for the copper IUD)
  • Wilson’s disease (for the copper IUD)
Discuss these risks with your doctor before the IUD insertion.
 

What to Expect

Prior to Procedure

You will be asked about your medical history. A physical exam will be done. Tests may include checking for pregnancy or infection.
You may want to ask someone to give you a ride home after the procedure.

Anesthesia

Local anesthesia is used to keep you comfortable during the procedure.

Description of the Procedure

This procedure is usually done in an office or clinic setting with no need for an overnight stay.
You will lie on an exam table and put your feet in foot holders. A speculum will be inserted into your vagina to allow access to the cervix. Your cervix and vagina will be cleansed with an antiseptic. Another instrument called a tenaculum will be used to grasp the cervix and keep the uterus in place during the procedure. The doctor will insert a special instrument to measure the depth of your uterus to make sure that it will fit the IUD.
The T-shaped IUD will be folded and inserted into a tube. The tube will be inserted into your uterus through the vagina. The tube will then be pulled back. The IUD will open into its T-shaped position inside your uterus. The tube and tenaculum will then be removed. The IUD's tiny strings will hang out of your cervix and into the far back of your vagina. The speculum will then be removed.
Insertion of IUD Into Uterus
IMAGE
Copyright © Nucleus Medical Media, Inc.

How Long Will It Take?

Actual insertion takes about five minutes.

Will It Hurt?

You may feel cramping or mild discomfort while the IUD is being inserted. You may asked to take nonsteroidal anti-inflammatory medication such as ibuprofen an hour before the procedure.

Post-procedure Care

At the Care Center
You may be given medication to ease any discomfort. When you are ready, you will be able to leave.
At Home
Be sure to follow your doctor’s instructions. When you return home:
  • Resume regular activities as soon as you feel comfortable.
  • Check that the strings are present in the back of your vagina each month.
Copper IUDs are effective right away.
Hormone-releasing IUDs are not always effective right away. Talk to your doctor about alternate methods of birth control until the IUD takes effect.
 

RESOURCES

Planned Parenthood
http://www.plannedparenthood.org

Women's Health—US Department of Health and Human Services
http://www.womenshealth.gov

 

CANADIAN RESOURCES

The Society of Obstetricians and Gynaecologists of Canada
http://www.sogc.org

Women's Health Matters
http://www.womenshealthmatters.ca

 

References


Endometrial hyperplasia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 26, 2013. Accessed March 18, 2014.


Intrauterine device (IUD). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 17, 2014. Accessed March 18, 2014.


IUD. Planned Parenthood website. Available at: http://www.plannedparenthood.org/health-topics/birth-control/iud-4245.htm. Accessed March 18, 2014.


Johnson BA. Insertion and removal of intrauterine devices. Am Fam Physician. 2005 Jan 1;71(1):95-102.


The American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 110: Noncontraceptive Uses of Hormonal Contraception. Obstet Gynecol. 2010;115(1):206-218. Reaffirmed August 2012.

 

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