How are IUDs Inserted and Removed? We Break it Down.
Asking, How are IUDs inserted and removed? If you’re considering an IUD as a form of contraception, understanding the process is essential. Here’s a breakdown:
- IUD Insertion:
- By a professional: A doctor or nurse places the IUD into the uterus through the vagina.
- Quick procedure: It usually takes around five minutes.
- Some discomfort: Cramping may occur, but it’s typically brief.
- IUD Removal:
- By a professional: An OB/GYN gently pulls on the IUD strings to remove it.
- Quick and less painful: Often, it’s quicker and less uncomfortable than insertion.
An intrauterine device, or IUD, is a small T-shaped tool that provides long-term, hassle-free birth control. It’s one of the most effective contraceptives available, being over 99% effective.
There are two main types of IUDs: copper and hormonal. Copper IUDs repel sperm naturally, while hormonal IUDs release hormones to prevent pregnancy.
Choosing the right type of IUD depends on your personal health needs and lifestyle. The good news is, once it’s in, you rarely have to think about it again until it’s time to replace or remove it.
To find out which type of IUD is best for you, reach out to the compassionate doctors at Lona Sasser Obstetrics & Gynecology. Call 954-340-1050 or book an appointment online through our booking link.
Preparing for IUD Insertion
Getting ready for an IUD insertion involves a few key steps to ensure a smooth and comfortable experience. Let’s go over what you need to know.
Pain Management
Pain management is an important part of preparing for an IUD insertion. Some women experience cramping during the procedure, while others may feel only mild discomfort. To help manage any potential pain, consider taking an over-the-counter pain reliever like ibuprofen about an hour before your appointment. This can help reduce cramps and make the process more comfortable.
Menstrual Cycle Timing
Timing your IUD insertion with your menstrual cycle can also help ease the process. Many healthcare providers recommend scheduling the insertion during your period. This is because the cervix is naturally more open, which can make the insertion easier and less painful. Plus, it provides additional reassurance that you are not pregnant.
Sexual Activity
It’s usually a good idea to avoid sexual intercourse for at least 24 hours before your IUD insertion. This helps reduce the risk of infection. If you are using a hormonal IUD, it takes up to seven days to become fully effective. During this time, use another form of contraception, like condoms, to prevent pregnancy.
Types of IUDs
There are two main types of IUDs: copper and hormonal.
- Copper IUD: This type is hormone-free and can prevent pregnancy for up to 12 years. It works by releasing copper ions, which are toxic to sperm.
- Hormonal IUDs: These IUDs release a small amount of the hormone progestin, which thickens cervical mucus and sometimes stops ovulation. They can last anywhere from 3 to 8 years, depending on the brand.
Choosing between these options depends on your personal preferences and health considerations. Talk to your healthcare provider to find out which type is best for you.
Before the Procedure
Before heading to your appointment, take a shower or bath. This helps you feel fresh and might make you more comfortable during the procedure. Wear comfortable clothing and consider arranging for someone to drive you home afterward, just in case you feel any discomfort.
How are IUDs Inserted and Removed
Understanding the process of how IUDs are inserted and removed can help you feel more at ease with the procedure. Let’s break it down into simple steps.
Insertion Process
- Positioning and Speculum Use: The first step in inserting an IUD is positioning. You will lie on your back with your feet in stirrups, similar to a regular gynecological exam. A speculum is then gently inserted into your vagina to open it up and allow the healthcare provider to see your cervix.
- Cervix Cleaning: The cervix is cleaned with an antiseptic solution to prevent infection. This is a quick and painless step.
- Insertion Tube and T-shaped Device: The IUD, a small T-shaped device, is loaded into an insertion tube. This tube is carefully passed through your cervix and into your uterus.
- Strings Positioning: Once the IUD is in place, the insertion tube is removed, leaving two thin strings hanging through the cervix into the vagina. These strings are trimmed to a suitable length. They will be used later when it’s time to remove the IUD.
Note: The entire insertion process usually takes less than five minutes and may cause some cramping or discomfort. Over-the-counter pain relief can help ease any discomfort you experience.
Removal Process
- Speculum and Grasping Tool: When it’s time to remove the IUD, the healthcare provider will use a speculum to gently open the vagina, just like during insertion.
- Gentle Pull and Folding Arms: The provider will locate the IUD strings with a special grasping tool. A gentle pull on the strings will fold the IUD’s arms upward, allowing it to slide out easily through the cervix.
The removal process is typically quicker and less painful than insertion. Most women only feel some mild cramping or discomfort.
Understanding these steps can explain the process and help you feel more confident about your decision to use an IUD.
Managing Pain and Side Effects
Aftercare and Recovery
After an IUD insertion or removal, it’s common to experience some cramping and bleeding. These side effects are usually mild and can be managed with over-the-counter pain relievers like ibuprofen or acetaminophen. Using a heating pad on your abdomen can also help soothe any discomfort.
Expect some irregular bleeding or spotting during the first few months after insertion. This is normal and should decrease over time. For some women, periods may become lighter or even stop altogether, especially with hormonal IUDs.
Normal Activities and Diet: You can resume your usual activities and eat your regular diet right after the procedure. Just be sure to rest if you feel any discomfort.
When to Contact Your Healthcare Provider
While most side effects are mild, it’s important to know when to seek medical attention. Contact your healthcare provider if you experience:
- Severe Cramps: If cramping does not improve with over-the-counter pain relief.
- Heavy Bleeding: If you soak through two or more pads an hour for more than a couple of hours.
- Foul-Smelling Discharge: This could indicate an infection.
- Fever Over 101°F: A fever might signal an infection.
These symptoms could mean there’s a problem that needs medical attention. Don’t hesitate to contact your healthcare provider if you’re concerned about any unusual symptoms.
Important Things to Remember
Immediate Fertility Return: One of the most important things to know about IUD removal is that fertility typically returns right away. If you are planning to conceive, you can start trying immediately after the IUD is removed. However, if you do not wish to become pregnant, be sure to use an alternative form of contraception as soon as the IUD is taken out.
New IUD Insertion: If you decide to continue using an IUD for birth control, the new device can often be inserted immediately after the old one is removed. This seamless transition helps maintain contraceptive protection without interruption. Discuss with your healthcare provider to ensure the timing and type of IUD align with your needs.
At Lona Sasser Obstetrics & Gynecology, we provide personalized care custom to each patient’s unique needs, from adolescence through menopause. For more information or to schedule an appointment, call us at 954-340-1050 or book online.