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What is an IUD insertion?

An IUD insertion is a quick in-office procedure performed by an OB-GYN or other trained provider, who places a small T-shaped device, called an intrauterine device, into the uterus to prevent pregnancy. An IUD is one of the most effective forms of birth control, and once it's in place, it works for several years, depending on the type.

How do I prepare for an IUD insertion?

Many providers suggest a few simple steps to make the appointment easier:

• Take an over-the-counter pain reliever such as ibuprofen about an hour before, if your provider approves it
• Ask about pain management for the insertion itself, since CDC guidance notes that clinicians may offer options such as lidocaine to help reduce pain, given as a numbing injection or as a topical gel, cream, or spray
• Eat beforehand so you are less likely to feel lightheaded
• Bring a sanitary pad, since light bleeding is common afterward
• Ask your provider about timing, since insertion is often scheduled around your period when the cervix is naturally softer
• Set aside time afterward to rest if you can

What happens during an IUD insertion, and how long does it take?

The insertion itself takes only a few minutes, and the full appointment usually lasts 15 to 30 minutes. The steps are straightforward:

• You lie back as you would for a pelvic exam
• The provider inserts a speculum and cleans the cervix
• The IUD is passed through the cervix into the uterus using a thin applicator
• The applicator is removed, leaving two short strings that rest in the upper vagina

Most people feel cramping during placement that fades quickly once it is done.

What should I expect after an IUD insertion?

Cramping and spotting are normal in the hours and days after insertion. Here is the typical timeline:

• First few days: cramping that eases with rest, a heating pad, or pain relievers
• First few weeks to months: irregular spotting or bleeding as your body adjusts
• Longer term: lighter periods with hormonal IUDs, or slightly heavier periods with the copper IUD

Bleeding after insertion is expected. Heavy bleeding that soaks a pad in an hour, severe pain, fever, or unusual discharge is not, and a provider should check it.

What should I avoid after an IUD insertion?

To stay comfortable and lower infection risk in the first day or two, many providers suggest you:

• Avoid inserting anything into the vagina, including tampons and menstrual cups, if advised
• Hold off on sex until any cramping settles or as your provider directs
• Skip strenuous exercise if you feel crampy
• Avoid pulling on or checking for the strings repeatedly

Follow the specific instructions your provider gives you, since guidance varies by IUD type.

Where can I get an IUD inserted?

An OB-GYN or other trained provider can review your options, place the IUD, and confirm it's positioned correctly before you leave. Use Zocdoc to find a provider near you for an IUD insertion and book a visit based on your insurance and availability.

Sources

• American College of Obstetricians and Gynecologists: Long-Acting Reversible Contraception (IUD and Implant)
• Cleveland Clinic: Hormonal IUD
• Centers for Disease Control and Prevention: Contraception and Birth Control Methods
• Centers for Disease Control and Prevention: U.S. Selected Practice Recommendations for Contraceptive Use, 2024

The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 immediately.