Medical IUD Insertion – Step by Step Guide on How Your IUD IS Inserted

Medical IUD Insertion – Step by Step Guide on How Your IUD IS Inserted

Medical IUD Insertion – Step by Step Guide on How Your IUD IS Inserted

IUDs are very effective, convenient, long acting, and have high satisfaction rates compared to other methods. They don’t require remembering anything (like taking a pill every day) and are safe for people who cannot use birth control containing oestrogen.

They can be removed at any time by a health care provider if you do not like them or want to get pregnant. IUDs are rapidly reversible, meaning that fertility will return very quickly after removal.


Many women concern themselves over the actual fitment procedure; we clarify, step-by-step, the medical procedure when fitting an IUD, and what precautionary measures one can take to make it just that little bit more comfortable.


IUD Insertion Procedure

A woman who has chosen the IUD needs to know what will happen during insertion. The following description can help explain the procedure to her. Learning IUD insertion requires training and practice under direct supervision. Therefore, this description is a summary and not detailed instructions.

1)       The provider conducts a pelvic examination to assess eligibility. The provider first does the bimanual examination and then inserts a speculum into the vagina to inspect the cervix.

2)       The provider cleans the cervix and vagina with appropriate antiseptic.

3)      The provider slowly inserts the tenaculum through the speculum and closes the tenaculum just enough to gently hold the cervix and uterus steady.

4)      The provider slowly and gently passes the uterine sound through the cervix to measure the depth and position of the uterus.

5)      The provider loads the IUD into the inserter while both are still in the unopened sterile package.

6)      The provider slowly and gently inserts the IUD and removes the inserter.

7)      The provider cuts the strings on the IUD, leaving about 3 centimeters hanging out of the cervix.

8)      After the insertion, the woman rests. She remains on the examination table until she feels ready to get dressed.


Tips to Help IUD Insertion Pain

Expect cramping and pain for a few days after insertion.

It is suggested that ibuprofen (200–400 mg), paracetamol (325–1000 mg), or other pain relievers are used as needed; a hot water bottle gently applied to the area may help in alleviating some pain, too.

Also, expect some bleeding or spotting immediately after insertion. This may continue for 3 to 6 months.

One should check the strings; continue to check the IUD strings from time to time, especially in the first few months and after monthly bleeding, to confirm that her IUD is still in place.


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Cover Image Credit: Good Housekeeping