This instrument is inserted into your vagina to help open the canal and allow your doctor to see your cervix. This reduces the risk of infection. Some healthcare professionals may apply a local anesthesia, such as lidocaine, after the cleaning is complete to help minimize any discomfort you might feel. If your IUD is inserted incorrectly, it could perforate your uterus.
Your physician will remove the IUD from its sterile packaging, bend its arms back, and use a tube or slider to insert it through your vaginal canal and cervix into your uterus to the depth indicated by the sound. The tube or slider will have a plunger to move the IUD into place. Your physician will trim those strings so that only about one to two inches hang into the vaginal canal.
These strings will allow your physician to check that the IUD is still in place — you might be able to feel them if you insert your finger into your vaginal canal, but many folks do not. If your healthcare practitioner is concerned about the placement of your IUD or suspects it may have been inserted too far in, they may perform a transvaginal or abdominal ultrasound to check its position.
Once the IUD is inserted, your physician will give you a card with information about your IUD type, date of placement, and when it should be replaced. Some people may also feel a little dizzy or experience vertigo after the procedure. The actual insertion process should only take about a minute or two, though your appointment from start to finish could take up to a half-hour or so. Some people also feel a pinching sensation during insertion, though this is generally over fairly quick.
Others experience moderate to severe pain during the process, including intense cramping and pressure on the abdomen. You might also break out into a sweat, feel nauseous or vomit, or, in some cases, faint. Depending on your reaction, your practitioner may be able to prescribe something to offer relief or otherwise advise you on next steps.
Oftentimes, they can prescribe medication that you can take in advance and after the procedure to help minimize discomfort and aid in your recovery. They can also utilize the following during your appointment to help minimize pain and discomfort:. Heating pads can help too. Some people experience spotting after getting an IUD, but this should go away within three to six months.
You might also experience worse menstrual cramps. And your cramps might be a lot lighter. This is most common in the first three months, though it could happen anytime. If this happens, you might need surgery to remove it. It also usually happens during the actual insertion process. The longer the IUD remains inside your uterus, the higher the risk of an ectopic pregnancy and other serious complications.
Getting an IUD does not involve surgery, but instead, can be placed during a routine in-office visit or immediately after giving birth. Once in place, it provides continuous, highly effective birth control. You may experience pain, bleeding, or dizziness during and after placement. If your symptoms do not pass within 30 minutes after placement, Mirena may not have been placed correctly. Your healthcare professional will examine you to see if Mirena needs to be removed or replaced.
If pain is a concern for you, ask your healthcare professional about taking over-the-counter pain medication before the procedure. Find more information about the insertion process. Mirena can be removed at any time by your healthcare professional. You could become pregnant as soon as Mirena is removed, so you should use another method of birth control if you do not want to become pregnant. Ectopic pregnancy and intrauterine pregnancy risks. Call your healthcare professional immediately if you develop severe pain or fever shortly after Mirena is placed.
Pelvic inflammatory disease PID. Some IUD users get a serious pelvic infection called pelvic inflammatory disease. PID is usually sexually transmitted. You have a higher chance of getting PID if you or your partner has sex with other partners. PID can cause serious problems such as infertility, ectopic pregnancy or pelvic pain that does not go away.
PID is usually treated with antibiotics. More serious cases of PID may require surgery including removal of the uterus hysterectomy. In rare cases, infections that start as PID can even cause death. Tell your healthcare professional right away if you have any of these signs of PID: long-lasting or heavy bleeding, unusual vaginal discharge, low abdominal stomach area pain, painful sex, chills, fever, genital lesions or sores.
Mirena may go into the wall of the uterus become embedded or go through the wall of the uterus. This is called perforation. If this occurs, Mirena may no longer prevent pregnancy. If perforation occurs, Mirena may move outside the uterus and can cause internal scarring, infection, or damage to other organs, and you may need surgery to have Mirena removed.
Excessive pain or vaginal bleeding during placement of Mirena, pain or bleeding that gets worse after placement, or not being able to feel the threads may happen with perforation. The risk of perforation is increased if Mirena is inserted while you are breastfeeding, or if you have recently given birth. Mirena may come out by itself. This is called expulsion. Excessive pain or vaginal bleeding during placement of Mirena, pain or bleeding that gets worse after placement, or not being able to feel the threads may happen with expulsion.
You may become pregnant if Mirena comes out. If you think that Mirena has come out, avoid intercourse or use a non-hormonal back-up birth control such as condoms or spermicide and call your healthcare professional. The risk of expulsion is increased with insertion right after delivery or second-trimester abortion. Pain, bleeding, or dizziness during and after placement.
If these symptoms do not stop 30 minutes after placement, Mirena may not have been placed correctly. Changes in bleeding. You may have bleeding and spotting between menstrual periods, especially during the first 3 to 6 months. Sometimes the bleeding is heavier than usual at first. However, the bleeding usually becomes lighter than usual and may be irregular. Call your healthcare professional if the bleeding remains heavier than usual or increases after it has been light for a while.
Missed menstrual periods. About 2 out of 10 women stop having periods after 1 year of Mirena use. If you have any concerns that you may be pregnant while using Mirena, do a urine pregnancy test and call your healthcare professional. If you do not have a period for 6 weeks during Mirena use, call your healthcare professional.
When Mirena is removed, your menstrual periods should return. Cysts on the ovary. Some women using Mirena develop a painful cyst on the ovary. These cysts usually disappear on their own in 2 to 3 months. However, cysts can cause pain and sometimes cysts will need surgery. These are not all of the possible side effects with Mirena.
In order to place the IUD, the device must be passed through the vagina and cervix and into the uterus. The insertion of the IUD may cause some discomfort or pain. Some women also experience cramps or bleeding after their IUD is inserted. These symptoms should subside within about 48 to 72 hours.
However, the type of IUD you choose and the timing of the IUD insertion affect whether the device begins protecting against pregnancy right away. Copper IUDs like Paragard are effective immediately after insertion.
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