Intrauterine Device Insertion
The IUD (intrauterine device) can be placed in the office. Currently, two devices are available in the US, Mirena (levonorgestrel-releasing intrauterine system) and Paragard (copper IUD). Prior to placement, it is important that you discuss risks, benefits, and alternatives with our health care professionals to ensure that the IUD is appropriate for you. In addition, please notify our office if you are scheduled for IUD placement and suspect that you may be pregnant, develop fever, abdominal pain, evidence of systemic, urinary tract, or vaginal infection, as these must be investigated prior to insertion of the device. If having regular periods, the placement should take place within 7 days of the start of your period to ensue that you are protected from pregnancy on the day you receive the IUD. Please make sure the provider is aware if you are breastfeeding as you may be offered a medicine to help relax the cervix to facilitate placement.
Insertion typically takes only take a few minutes which may be associated with mild cramping and spotting. These symptoms often resolve within hours of placement. You may have an atypical discharge after placement. This too should resolve within a few days of placement. We anticipate you being able to resume routine activity the day of placement, but if you develop a fever, severe pain, or heavy vaginal bleeding, please notify the office immediately. You should return to the office for evaluation approximately one month after placement.