The information below has been compiled using Australian guidelines. It is intended to serve as an adjunct to a consultation with Dr. Nagubandi.
An IUD insertion is a procedure that involves placing a small, T-shaped device into the uterus. It typically takes five to ten minutes and involves:
1. Positioning - During an IUD insertion, the woman will lie on an examination table and her legs will be placed in leg supports. These can be adjusted to minimise discomfort
2. Speculum Examination - A speculum is inserted to visualise the cervix and hold the vaginal tissues open
3. Cervical Cleaning - The healthcare provider cleans the cervix with an antiseptic solution
4. Measurement - The length of the uterus is measured using a small instrument. The cervix may need to be grasped to facilitate this, which may cause a brief pinching sensation
5. Biopsy - On occasion, a sample of the lining of the uterus may need to be performed. This is achieved with a Pipelle device which is inserted through the cervix into the uterus. The sample is then sent to the laboratory for testing.
6. IUD Insertion - The IUD, housed in an inserter (a thin tube), is inserted through the cervix into the uterus. The inserter is then withdrawn, leaving the IUD in place.
7. String Cut - The IUD has strings that hang down into the vagina. These are typically cut to a length of 2 cm to facilitate string checks and to facilitate removal when needed.
An IUD is small and T-shaped. The size can vary slightly depending on the type of IUD but they typically measure less than 4 cm in length and width.
The devices are typically supplied in larger boxes with sterile packaging.
The insertion process can cause some discomfort, including cramping or pinching sensations. The process is better tolerated if you relax as much as possible and continue to engage in deep breathing.
Pain relief options include:
1. Over-the-Counter Pain Relief - Taking paracetamol and ibuprofen approximately 30 minutes prior to the planned insertion can help minimise discomfort.
2. Local Anaesthetic - In some cases, a local anaesthetic gel may be utilised during the insertion.
It is important to disclose any prior negative experiences prior to the procedure, as additional pain relief options can be discussed and prescribed as appropriate. These may include methoxyflurane or organising the procedure under general anaesthetic.
An IUD insertion can be performed in the context of menstruation. On occasion, insertion at the end of the menses can make the procedure easier.
If you are, however, expecting your menses to be heavy with clots larger than 20 cent pieces on the day of your planned procedure, this can increase the chances of expulsion of the device. If you are anticipating heavy menses on the day of your procedure or you are not comfortable to proceed, please contact the clinic well in advance to reschedule your appointment.
Most women can return to work or normal activities immediately after their procedure.
Immediate effects include mild cramping, spotting or light bleeding. Cramping typically resolves within 48 hours. Paracetamol and ibuprofen may be required to alleviate discomfort.
Dr. Nagubandi will provide further written information regarding post-procedure considerations once the IUD has been inserted.
It is important to avoid tampons, menstrual cups, swimming, baths and engaging in intercourse for 48-72 hours following an IUD insertion.
Dr. Nagubandi will provide further written information regarding post-procedure considerations once the IUD has been inserted.
The following complications are rare but can occur:
- Infection
- Expulsion - The IUD can be expelled from the uterus. This typically occurs within the first few months of insertion. This may also occur without any symptoms.
- Perforation - An IUD can occasionally puncture the uterine wall during insertion
It is important to get in touch with Dr. Nagubandi if you experience heavy bleeding, severe pain, fever, unusual discharge or if you cannot feel the IUD strings.
The following resources may provide further information. Please note that online information can change and we accept no responsibility for the accuracy and currency of the information provided on external websites.