An IUD is an intrauterine device used for birth control. IUDs use copper, sometimes combined with spermicides, to prevent sperm from fertilizing the eggs so you do not become pregnant. Many women prefer IUDs over birth control pills and diaphragms because the IUD remains in place and provides continual birth control, while pills must be taken every day without forgetting and diaphragms must be inserted before sex and worn for several hours afterward.

What is the IUD placement procedure like?

IUDs are placed during a simple in-office procedure that takes just a few minutes to perform. The procedure begins the same way as a routine pelvic exam. A lubricated speculum is used to gently widen the vaginal canal so the IUD can be inserted through the cervical opening. In some cases, a local anesthetic may be used to numb the cervix before insertion, but most women experience very little discomfort. Once the position of the IUD is confirmed, the speculum is removed and the procedure is complete.

How can I tell if my IUD is properly positioned?

Your IUD comes “equipped” with a long tail that extends into your vagina. Following insertion, you’ll be asked to feel for the tail so you know how to find it. Before having sex, you always should feel for the tail to ensure the IUD is still in the proper place.

Although it happens rarely, an IUD can fall out. That’s why it’s extremely important to check for the IUD tail before engaging in sex. If you cannot locate the tail, contact the office right away to schedule an appointment. In some cases, you may need a simple in-office procedure to determine if the IUD is inside your uterus or if it has fallen out completely.

IUD Placement Specialist

When considering birth control options, many women turn to intrauterine devices (IUDs) for their effectiveness and convenience. This article will guide you through everything you need to know about IUD placement.

Be sure to contact the experts at Maiden Lane Medical in New York City today to get more information!

“Everyone is friendly, informative, and thoughtful. I feel that I’m in very good hands here!”

AMY

What is an Intrauterine Device (IUD)?

An intrauterine device (IUD) is a small, T-shaped device that a healthcare provider places inside a woman’s uterus. It is one of the most effective forms of birth control available, offering long-term protection against pregnancy.

IUDs come in two main types: hormonal IUDs, which release hormones to prevent pregnancy, and copper IUDs, which use copper to create an environment in the uterus that is hostile to sperm. Both types are highly effective at preventing pregnancy and can remain in place for several years, depending on the specific device.

How Does an IUD Work?

The primary function of an IUD is to prevent pregnancy, but the way it accomplishes this depends on the type of IUD. Hormonal IUDs release a small amount of progestin, a hormone that thickens the cervical mucus to block sperm and thins the lining of the uterus to prevent implantation of a fertilized egg.

Additionally, progestin can suppress ovulation in some women. Copper IUDs, on the other hand, release copper ions that are toxic to sperm, preventing them from fertilizing an egg. The presence of the IUD itself also creates an inflammatory response in the uterus, which helps prevent pregnancy.

How Much Does an IUD Cost?

The cost of an IUD can vary widely depending on your health insurance coverage and the type of IUD you choose. On average, without insurance, the cost can range from $500 to $1,300, which includes the device itself, the insertion procedure, and follow-up visits.

However, many health insurance plans cover the full cost of an IUD as part of preventive care, meaning you might not have to pay anything out of pocket. It’s important to check with your health insurance provider to understand what is covered under your plan. If cost is a concern, discussing your options with an IUD specialist can help you find the most affordable solution.

Intrauterine Contraceptive Device

An intrauterine device, or IUD, is a small T-shaped type of birth control. It is placed in the uterus to prevent pregnancy. There are two types of IUDs: copper IUDs (Paragard) and hormonal IUDs (Mirena, Kyleena, Liletta, and Skyla).

What Should I Expect During the IUD Insertion Procedure?

IUD insertion is a relatively quick procedure that typically takes only a few minutes. Before the procedure, your healthcare provider will review your medical history, discuss the types of IUDs available, and help you choose the one that best fits your needs.

During the procedure, you will be asked to lie on an exam table as you would for a pelvic exam. Your provider will then insert a speculum to visualize your cervix, clean the area, and apply a local anesthetic to minimize discomfort.

What Should I Expect After My IUD Insertion?

After your IUD insertion, it’s common to experience mild cramping and spotting, which can last for a few days. Over-the-counter pain relievers like ibuprofen can help alleviate any discomfort. Most women can resume their normal activities immediately, although it’s advisable to avoid strenuous exercise or sexual activity for a day or two.

You should schedule a follow-up visit with your healthcare provider about 4 to 6 weeks after insertion to ensure the IUD is positioned correctly and to check for any complications. If you experience severe pain, heavy bleeding, or signs of infection (such as fever or unusual discharge), contact your provider immediately.

Have more questions?

Chat with us online! Use our webchat in the lower right hand of your screen

How Can I Tell if My IUD is Positioned Correctly?

It’s important to ensure that your IUD is correctly positioned to effectively prevent pregnancy. After your IUD is inserted, you can check its placement by having an ultrasound performed. You can additionally check the strings; however, this will not identify whether the IUD is in its normal place or potentially low in the uterus. Additionally, the IUD strings can occasionally curl inside the cervix and are not identifiable on checking it yourself—ultrasound can help identify this as well.

If you cannot feel the strings or if they feel longer or shorter than usual, the IUD may have shifted. In this case, you should contact your healthcare provider to check the device’s position.

It’s rare for an IUD to move out of place, but it’s crucial to be aware of this possibility. During your follow-up visits, your provider will confirm that the IUD remains in the correct position.

Have more questions?

Chat with us online! Use our webchat in the lower right hand of your screen

What Happens During an IUD Removal?

IUD removal is a straightforward procedure that can be performed by your healthcare provider at any time. The provider will use a speculum to view your cervix and then gently pull on the IUD strings, causing the device’s arms to fold up and allowing it to slide out of the uterus. The removal process usually takes only a minute and may cause brief cramping or discomfort.

If you wish to continue using an IUD for birth control, a new device can be inserted during the same appointment. If not, your fertility will return quickly, often within the first month after removal.

How Do I Know If an IUD is Right for Me?

Choosing the right birth control method is a personal decision that depends on various factors, including your health, lifestyle, and family planning goals. An IUD may be a good choice if you’re looking for a long-term, reversible birth control option that doesn’t require daily maintenance. It’s also an excellent option for women who cannot use estrogen-based contraceptives or prefer a hormone-free option like the copper IUD.

However, an IUD may not be suitable for women with certain health conditions, such as untreated pelvic infections or uterine abnormalities. If you’re unsure whether an IUD is right for you, consult with an IUD specialist who can provide personalized advice based on your medical history and reproductive goals.

Trust Maiden Lane Medical for Expert IUD Care

Intrauterine devices offer a convenient, effective, and long-lasting method of birth control for many women. Understanding the insertion process, what to expect afterward, and how to monitor your IUD can help you make an informed decision about whether this birth control method is right for you. If you’re considering an IUD or have questions about your options, the experts at Maiden Lane Medical are here to help.

Schedule an appointment online with Maiden Lane Medical today to discuss your birth control options with a specialist. Our team is committed to providing personalized care in a comfortable and supportive environment. Be sure to contact one of our offices in Manhattan, NY, today for more information!

Medically Reviewed By

Dena Harris, MD

Board Certified Gynecologist

Medically Reviewed By

David M. Kaufman, MD

Board Certified Urologist

Women's Health Specialists

Rachel Barr, MD

Emily Blanton, MD

Janette Davison, MD

Ilene Fischer, MD

Dena Harris, MD

Kenneth A. Levey, MD MPH FACOG FACS

Fernando Mariz, MD

Jordan Pavia, NP

Savita Sukha, WHNP

Don't know which doctor to choose? Let us help you.

“My Doctor was knowledgeable, patient, and thorough. She answered all my questions and really put me at ease. Her laidback and friendly demeanor made it easy for me to talk to her. Needless to say I’ll be going back!”

STEPHANIE L.

If you’re concerned about fibroids or have symptoms that could be caused by these benign growths, call our office or schedule a consultation online for accurate diagnosis and personalized state-of-the-art treatment.