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Known to be painful, the insertion of the IUD is especially very brief. Is it really painful? How does the pose take place? And what is going on in the womb at this time? We will explain everything to you.

That’s it, you have decided on the IUD. Using copper or hormones, this T-shaped form of birth control is placed deep in the uterus, where it works for five years or more. But before being quiet for a certain number of years, you have to go to the gynecologist to have it fitted. And if the IUD (intrauterine device) has many advantages, its insertion can generate a lot of fears and apprehensions, to the point of making more than one hesitate.

Reading the many stories of painful poses abounding the web can quickly cause panic, but be reassured: it is not so terrible. The insertion of the IUD is certainly rarely pleasant, but the potential pain is normally largely bearable, in addition to being very brief.

before IUD insertion

Once the choice has been made on the IUD, a first appointment with his general practitioner, gynecologist or midwife is necessary. This consultation will make it possible to decide on the IUD that is best suited to his body, his needs and his expectations in terms of contraception.

The next step is to choose the date of insertion, which will depend on the type of IUD chosen. A hormonal IUD is usually inserted during the first seven days of your period, but it doesn’t have to be. The copper IUD can be inserted at any time, but the maneuver is easier if it takes place during menstruation, when the cervix is ​​slightly open.

During this appointment, the practitioner cannot also prescribe an analgesic or an anti-inflammatory to be taken one or two hours before the installation in order to reduce the pain.

With his prescription, all that remains is to get his IUD and potential painkillers at the pharmacy.

On the day of installation, it is better not to come on an empty stomach. A snack in preparation for leaving the date can also be a good idea.

The installation takes place in the doctor’s office: as during a gynecological examination, the patient is lying on the examination table with her feet installed in the stirrups. Once the cervix has been disinfected, the caregiver can start by performing a hysterometry, which consists of measuring the depth and dimensions of the uterus using a thin graduated rod.

Using a speculum, the caregiver will push the walls of the vagina apart to pass the IUD through the vagina and then through the cervix. If it is difficult to pass through the cervix, the healthcare professional may use Pozzi forceps, a gynecological instrument that grasp the cervix to access the uterine cavity. easily.

Once the cervix is ​​crossed, the IUD, whose horizontal arms were not deployed until then, then unfolds to place itself at the bottom of the uterus.

Finally, the caregiver cuts the IUD thread so that it is visible at the entrance to the uterus but does not cause discomfort, especially during sexual intercourse.

is this moment painful?

Contact with the cervix can cause contractions, discomfort or even discomfort in the vagina. “Passing the cervix to place the IUD into the uterine cavity almost always causes a ‘reflex’ uterine contraction. It is this contraction that is the most painful when inserting the IUD ”, explains Noémi, midwife.

Pozzi’s pincers are also notorious for not being pleasant. “This forceps is a kind of hook with which you grab the cervix, which allows you to gently pull on it to orient the uterus. It’s the traction that’s unpleasant ” details the midwife. However, the use of this instrument is not compulsory, and not all caregivers use it systematically.

Also, Noémi wants to be reassuring: “The pain does not last long and can be alleviated with analgesics or by having the IUD inserted during your period. As the collar is open to allow blood to pass through, fitting is a bit easier. ”

If the pain felt varies according to the tolerance of each one, women who have never given birth are generally more sensitive to it since their cervix has never been relaxed.

In general, if the caregiver takes the time to explain what he is doing and reassures the patient, all the conditions are in place for the pose to take place. goes well.

are there any side effects?

As a precautionary measure, the patient is invited to stay for about fifteen minutes in the office of the healthcare professional after insertion of the IUD.

Inserting the IUD may cause slight bleeding. To anticipate the blow, better to slide a sanitary napkin in his bag before the meeting or wearing period panties.

After the appointment, it is possible to feel cramps in the lower abdomen. These usually go away in the hours that follow, but anti-inflammatory drugs or pain relievers can help them pass.

If the pain and cramps do not go away, you have pain during sex, have a fever, bleeding, or have unusual vaginal discharge, see your doctor or emergency room right away. Infection is rare, but this possibility cannot be ruled out. A risk of expulsion of the IUD, also rare, exists in the months following insertion.

what to do after inserting the IUD?

In the 24 hours following the insertion of the IUD, it is better to avoid anything that can enter the vagina: tampons, cup, cream, ovum, penetration during intercourse.

A copper IUD is effective as soon as it is inserted : no need to continue with your old method of contraception. As for the hormonal IUD, it is effective directly if it is inserted within a week after your period. If it is installed at another time in the cycle, it is best to use a condom while waiting for your next period.

A follow-up appointment is recommended within three months of fitting, to check that the IUD is in place. Afterwards, an annual meeting is sufficient. The IUD is usually effective for five years (sometimes up to ten years), but it can be removed at any time.

and withdrawal?

During removal, the caregiver gently pulls on the IUD wire with forceps, which only takes a few seconds. Withdrawal, which can be done at any time during the cycle, can cause a feeling of discomfort or a very brief slight pinching.

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