7 Ways to Make Intra-Uterine Device (IUD) Placement More Comfortable

An intra-uterine device is a small, T-shaped device that is placed inside the uterus. Some IUDs help reduce period bleeding so can be very helpful for someone who has heavy periods, painful periods, or just prefers to not have periods. IUDs are also one of the most effective forms of birth control. IUDs can be placed in almost anyone after periods have started; there is no minimum age.

What are the types of IUD?

There are two main types of IUD: the copper IUD and the progesterone IUD. The copper IUD does not contain any hormones and is only used for pregnancy prevention; it will not help with period concerns. There are several different brands of progesterone IUD. They vary slightly in size and dosage of hormones but are generally effective for both pregnancy prevention and period management. It is best to discuss with your healthcare clinician to find the best one for you.

How is an IUD placed?

An IUD is placed through the vagina to the top of the uterus. The procedure typically takes about 5 minutes but can feel like a lot of pressure and/or cramping. It is common to have an IUD placed at a regular office visit, even for people who have never worn tampons or never had an exam before. There are many options to help with the discomfort. Some people choose to be put to sleep in the operating room, so they don’t feel anything.

What are some options to help with pain or anxiety?

The IUD insertion procedure is uncomfortable, but there are many options that can make the process easier. Ask your clinician which of these options are available for you.

• Relaxation: Relaxing all of your muscles and thinking about melting into the bed can make the process easier. Remember, you are in control the whole time and can let your clinician know if you need to stop or take a break. Wear clothes that feel comfortable for you and focus on slow, gentle breathing throughout the procedure.
• Heat packs: Placement of heat packs on your lower belly and cold towels on your forehead can feel good.
• Pain medication: Taking pain medications, such as naproxen or ibuprofen if able, 1-2 hours before your appointment helps reduce the cramping. Some offices may offer an injection of ketorolac (a medication similar to ibuprofen) prior to your procedure.
• Numbing cream: Placement of numbing cream directly on the cervix can help with pain. This usually takes 5-7 minutes to take effect.
• Numbing injection: Numbing medication can be directly injected into the cervix. This can help numb the uterus and decrease cramping pain. The injection can also feel like cramping.
• Anxiety medication: Midazolam is a medication that is inhaled through the nose that can help with nerves and relaxation. This usually takes 10-20 minutes to take effect and wears off completely within 1-2 hours.
• Operating room: If none of these other options sound like enough, there is always the option of having the IUD placed in the operating room with help from an anesthesiologist, so you won’t remember or feel any bit of the procedure.