IUDs and Pain Management
If you're considering an intrauterine device (IUD) for birth control or period management, you're choosing one of the most effective and long-lasting methods available. We understand that while IUDs are highly effective, many women have concerns about the discomfort or pain associated with the insertion process. In this blog post, we'll walk you through what to expect during the IUD insertion procedure and how pain can be managed effectively to ensure your comfort.
What is an IUD?
The IUD is a small, T-shaped, plastic device that is inserted into and left inside the uterus. The IUD must be inserted and removed by a health care professional. There are two main types of IUDs:
Hormonal IUDs (such as Mirena, Kyleena, Liletta, and Skyla) release a small amount of progestin, which thickens cervical mucus and may also suppress ovulation.
Copper IUDs (such as Paragard) do not release hormones. Instead, the copper acts as a spermicide, making it difficult for sperm to fertilize an egg.
Implants: Small rods inserted under the skin, releasing hormones to prevent pregnancy for several years.
IUDs provide long-term protection, lasting from 3 to 12 years depending on the type. They are also reversible, meaning that once the IUD is removed, fertility typically returns quickly.
Pain Management
While IUD insertion is a quick procedure, some women experience discomfort or cramping during and shortly after the process. Pain levels can vary depending on the individual, with some women describing mild to moderate cramps, while others feel more intense discomfort.
We offer the following pain management options:
medications
numbing gels and sprays
paracervical block - lidocaine is injected into the cervix
anesthesia - this is usually not covered by insurance
A few recommendations are:
to take Ibuprofen 30 minutes to an hour before the insertion
stay away from caffeine
make sure to eat before your appointment
Watch this video of our NP, Desiree, about pain management with IUD insertions. We encourage all patients to discuss pain management options with their providers to determine which options may work best for them. If you have any questions, feel free to make an appointment.
