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It may be inserted in the immediate postpartum period (shortly after delivery of the placenta), and after an induced or spontaneous abortion provided a genital tract infection can be reliably excluded. [33] [5] NSAIDs taken prior to the procedure and use of local anesthesia are recommended to reduce pain at the time of insertion. [13] [34] [27]
Some women describe the insertion as cramps, some as a pinch, and others do not feel anything. Only 9% of nulliparous women considered the procedure painless, 72% moderately painful, and 17% experience substantial pain with insertion that needs active management. [66] Approximately 11% of parous women feel similar pain. [67]
After IUD insertion, users may experience irregular periods in the first 3–6 months with Mirena, and sometimes heavier periods and worse menstrual cramps with ParaGard. However, continuation rates are much higher with IUDs compared to non-long-acting methods. [ 12 ]
For women undergoing a medication abortion during the second trimester, having an IUD inserted early (five to 14 days after) vs. delayed (three to four weeks after) carries a slightly higher risk ...
A recent study has, for the first time, looked at how hormonal intrauterine device (IUD) use can affect a person's risk of breast cancer.
Additionally, a copper IUD can be used as emergency contraception if inserted within five days of unprotected sex. This timeframe may be extended if the date of ovulation is known; the copper IUD must be inserted within 5 days of ovulation.
“The pain occurs directly at the opening of the vagina ... “Even if you want to insert a tampon or have intercourse with a partner, the vagina is acting as a reflexive response, just like your ...
Vaginal ultrasonography showing a Mirena in optimal place in the uterus, as viewed from angle shown in schematic depiction. Insertion of a hormonal IUD Removal of a hormonal IUD. The hormonal IUD is inserted in a similar procedure to the nonhormonal copper IUD, and can only be inserted by a qualified medical practitioner. [53]