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Expert info on how IUDs work, how painful it is to have one inserted, options for pain management and what it's like to get one removed.
Cramping and pain: many women feel discomfort or pain during and immediately after insertion. Some women may have cramping for the first 1–2 weeks after insertion. [53] Expulsion: Sometimes the IUD can slip out of the uterus. This is termed expulsion. Around 5% of IUD users experience expulsion. If this happens a woman is not protected from ...
Another issue may be a stark disconnect between providers’ and patients’ perceptions of pain: In an earlier study in 2014 of 200 women, patients rated the average maximum pain of their IUD ...
A 2014 study of 109 IUD recipients found that 78% reported pain ranging from moderate to severe upon insertion. That range is clear on TikTok, where numerous women have shared live videos from the ...
Some of these side effects include bleeding pattern changes, expulsion, pelvic inflammatory disease (especially in the first 21 days after insertion), and rarely uterine perforation. A small probability of pregnancy remains after IUD insertion, and when it occurs, there is a greater risk of ectopic pregnancy. [54]
IUD use carries some additional risks. Both hormonal and non-hormonal IUDs may lead to developing non-cancerous ovarian cysts. [21] [25] It is also possible that an IUD may be expelled (fall out) from the uterus. [26] The IUD may also perforate (tear) the uterine wall. This is extremely rare and a medical emergency. [27]
It is estimated to affect about 1.5 percent of young women yearly. [8] In the United States, PID is estimated to affect about one million people each year. [12] A type of intrauterine device (IUD) known as the Dalkon shield led to increased rates of PID in the 1970s. [2] Current IUDs are not associated with this problem after the first month. [2]
About half of the women in a recent study on IUD placement and pain reported “intense” pain at placement, and another 47 percent reported light or moderate pain. Only 2.5 percent reported no pain.