TL;DR: After your IUD insertion, plan to rest and avoid baths, swimming, tampons, menstrual cups or vaginal intercourse for at least 24 hours. Expect some cramping and spotting, especially in the first few months. For a hormonal IUD, use backup contraception for a week; a copper IUD works right away. Do a string check, and call your doctor if you experience fever, chills, heavy pain, foul discharge or suspect pregnancy.
To schedule your follow‑up or ask questions, call 954‑340‑1050 or book online at Lona Sasser Obstetrics & Gynecology.
What IUD insertion aftercare looks like and other important information
Whether you’re getting a hormonal or copper Intrauterine Device (IUD), knowing IUD insertion aftercare is an important part of making the procedure go as smoothly as possible.
At Dr. Lona Sasser Obstetrics & Gynecology, we have inserted IUDs for many women and know that aftercare is not to be overlooked. If you are in the Coral Springs area and are curious about IUDs, you can always schedule an appointment with us. And for those not in the area or just are curious about IUD insertion aftercare, we have put together a quick overview of what to expect and what to do.
The Procedure
The actual insertion of an IUD differs for every woman. Some may experience pain, while others may not feel much at all. We have seen some women experience immediate cramping, pain, dizziness, or fatigue during the procedure but that does not mean you will.
The procedure for inserting an IUD generally takes less than five minutes. Using a speculum, your doctor opens the vaginal walls, and then uses a tool to insert the IUD through your cervical opening into your uterus.
IUDs are well known for their little strings that hang down through the cervix into the vagina. Once the IUD is in place, the strings are trimmed down close to the tip of the IUD.
What to Expect: IUD Insertion Aftercare
If possible, arrange for someone to drive you home after the procedure. We also recommend planning your appointment so that you can take time to rest afterward. Though some women don’t experience much pain or discomfort after the procedure, it is very possible that you may experience cramping, irregular bleeding or spotting. You can help mitigate pain and cramping with ibuprofen, acetaminophen, or by using heat pads or hot water bottles on your abdomen.
IUD insertion aftercare for both types of IUDs are the same for the first 24 hours: abstain from taking baths, swimming, using tampons or menstrual cups, and vaginal intercourse. After the first 24 hours, vaginal intercoruse is safe: the copper IUD (non-hormnal) begins working immediately after insertion but the hormonal IUD takes a week (7 days) to establish contraceptive efficacy, so make sure you plan to use other contraceptive methods during this time to avoid pregnancy. IUDs do not protect against STIs.
Heavier bleeding and more painful cramps are common for the first 3-6 months of IUD insertion. With the hormonal IUD, this lessens over time, and some may stop having their periods after 1-2 years. However, with the copper IUD, your periods may continue to stay heavy as long as you have it inserted.
String Check!
You can check for the strings of your IUD by inserting your fingers up your vaginal canal and feel for the cervix. Sometimes they are hard to find, but if you find your cervix (feels like the tip of your nose), the strings should be there.
You should see a doctor if…
If you are not experiencing any extreme pain or symptoms and can feel your strings, you are OK, though you can definitely request an IUD insertion aftercare follow-up appointment at any time! However, if you experience fever, chills, or sharp pain in the first three weeks, or if at any time you think you may be pregnant, miss your period (if you have periods), think you have been exposed to an STI, or have foul-smelling discharge, contact a doctor immediately.
Have more questions? Learn more here or contact us to schedule an appointment with one of our great doctors!
FAQs About IUD Insertation Aftercare
Q: What should I expect right after my IUD insertion?
A: Some cramping, dizziness or fatigue are common—every person reacts differently. The procedure is usually under five minutes.
Q: When can I resume swimming or have intercourse?
A: After the first 24 hours you may resume vaginal intercourse. Avoid baths, swimming, tampons or menstrual cups in the first 24 hours.
Q: When is the IUD effective as birth control?
A: For a copper IUD, effectiveness begins immediately. For a hormonal IUD, use backup contraception for 7 days after insertion.
Q: What about spotting or heavier bleeding?
A: It’s normal to have heavier bleeding and more painful cramps for the first 3–6 months. With a hormonal IUD, bleeding often lightens over time; with a copper IUD, your periods may remain heavier.
Q: How do I check my IUD strings?
A: Once inserted, you can feel for the strings by inserting your finger into the vaginal canal to locate your cervix (feels like the tip of your nose). The strings should hang down.
Q: When should I call the doctor?
A: Contact your doctor if you experience fever, chills, sharp pain (especially in the first three weeks), miss your period (if you normally get one), suspect pregnancy, were exposed to an STI, or have foul‑smelling discharge.
Photo by Reproductive Health Supplies Coalition on Unsplash