Choosing to get an intrauterine device (IUD) is a big decision, and it’s completely natural to feel a mix of curiosity, nerves, and questions about the process.

Whether you’re leaning toward a hormonal or copper IUD, understanding what to expect during insertion may help ease your mind and make you feel more confident about your choice. Here’s a step-by-step guide to walk you through the IUD insertion experience.

Step 1: Pre-Insertion Consultation

Before your actual insertion appointment, your healthcare provider will schedule a consultation. During this visit, they will:

• Review your medical history
• Discuss the types of IUDs available (hormonal vs. copper)
• Explain the risks, benefits, and potential effectiveness of each type
• Answer any questions or concerns you may have

Depending on your cycle and overall health, they might perform a pelvic exam or a test for sexually transmitted infections (STIs) to help determine whether you’re a good candidate for an IUD.

Step 2: Scheduling the Insertion

Your provider might suggest scheduling your IUD insertion during your period, as your cervix is often more open at that time, which could help ease discomfort. However, it can be inserted at any point in your cycle as long as you’re not pregnant.

Step 3: Preparing for the Appointment

The day before or the morning of your appointment, your doctor might recommend:

• Taking an over-the-counter pain reliever like ibuprofen to help minimize cramping
• Eating a light meal beforehand to reduce the chance of lightheadedness
• Arranging for a ride home, particularly if you’re concerned about discomfort afterward

Dress comfortably and try to relax. Bringing a friend or support person for emotional reassurance (if allowed) might also be helpful.

Step 4: The Insertion Procedure

Here’s what generally happens during the actual IUD insertion:

Pelvic Exam

You’ll lie back on the exam table, much like during a Pap smear. Your provider will insert a speculum to open the vaginal walls and may clean the cervix with an antiseptic solution.

Measuring the Uterus

A thin instrument called a sound is used to measure the depth of your uterus to help ensure the IUD is positioned correctly. You might feel a sharp cramp for a few seconds during this step.

Inserting the IUD

The IUD, which is T-shaped and only a few centimeters long, is loaded into a narrow applicator tube. The tube is gently inserted through the cervix and into the uterus. Once in place, the IUD is released and the applicator is removed. This part can sometimes cause intense cramping for a few seconds to a minute, but it often subsides quickly.

Trimming the Strings

The IUD has small strings that hang through the cervix into the vagina. Your provider will trim these strings so you can check them later, but they typically won’t be intrusive.

The entire procedure usually takes no more than 5–10 minutes.

Step 5: Recovery and Aftercare

After the procedure, you might experience cramping, spotting, or dizziness. These symptoms are frequently reported and often improve within a few hours. Over-the-counter pain relief, rest, and a heating pad may help with any lingering discomfort.

In the days following insertion:

• Avoid using tampons or having penetrative sex for about 24–48 hours (unless advised otherwise).
• You could experience irregular bleeding or spotting for the first few weeks to months, especially with hormonal IUDs.
• Your doctor might schedule a follow-up appointment after a few weeks to check the placement.

Step 6: Long-Term Maintenance

IUDs are low-maintenance but not completely hands-off. Here’s what you may want to do:

• Check the strings monthly after your period to help confirm the IUD is in place.
• Report any unusual symptoms like heavy bleeding, severe pain, or signs of infection.
• Know when it’s time for replacement – hormonal IUDs typically last 3–8 years, while copper IUDs often last up to 10 years.

Final Thoughts

IUD insertion is a quick, often effective procedure that can provide years of long-term birth control. While some discomfort is possible, many people find the experience manageable and feel the long-term benefits are worthwhile. Talking openly with your healthcare provider and preparing ahead of time can contribute to how comfortable you feel during the process.

If you’re considering an IUD, don’t hesitate to ask questions, voice concerns, and take the time you need to make the decision that’s best for your body and lifestyle.

Disclaimer: This article is intended for informational purposes only and does not substitute for professional medical advice. The experiences described in this guide may vary from person to person. It is important to consult with a healthcare provider to discuss individual health conditions, options, and any concerns before undergoing an IUD insertion.

Published by Mark V.