Intrauterine Device (IUD)

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Intrauterine Device (IUD), also known as intrauterine contraceptive device is a birth control device that is inserted into the uterus. As with other contraception, an IUD serves to prevent pregnancy more effectively. With the insertion of an IUD, the device prevents sperm from passing into the uterus

An IUD is a T-shaped birth control device. The size of an IUD is relatively small — between 28 mm x 30 mm to 32 mm x 36 mm long. 

How Intrauterine Device (IUD) Works

An intrauterine device or IUD only needs to be inserted into the uterus once. The device is inserted through the vagina and can prevent pregnancy for up to 3 to 10 years. However, IUD can be easily removed when you decide to become pregnant. The device will not affect your fertility.

IUDs are considered the most effective contraception method among others. Compared to  birth control pills, an IUD will not affect your weight .

IUD can only prevent pregnancy, but it cannot prevent sexually transmitted diseases. Therefore, you are still encouraged to practice safe sex. 

IUD insertion is not allowed for smokers. It is also not allowed if you have pelvic inflammatory disease, uterine abnormalities, cervical cancer, breast cancer, liver cancer, and sexually transmitted diseases.

Types of Intrauterine Device (IUD)

There are two types of intrauterine device (IUD), namely:

Hormonal IUD

This type of IUD simultaneously releases the progestin hormone when inserted into the uterus. This hormone causes cervical mucus to become sticky and thick. This stops sperm from getting through to the uterus.  If sperm cannot make it to an egg, pregnancy cannot occur.

Hormonal IUDs can reduce pain, cramping, and menstrual bleeding. Not only that, hormonal IUDs can also prevent pregnancy.

Non-hormonal IUD

This type of IUD is also called a copper IUD — which contains no hormones. The copper will release ions which can weaken the movement of sperm so that fertilization does not occur and pregnancy can be prevented. Non-hormonal IUD is safe to use while you are breastfeeding.

Cost Estimation for Intrauterine Device Insertion (IUD)

The cost of inserting an intrauterine device (IUD) tends to be more expensive compared to other contraceptive options such as birth control pills. However, it is still relatively affordable considering that the IUD only needs to be inserted once for a long-term use

The cost for IUD insertion may vary — depending on the type of IUD chosen, the brand chosen, and the selected hospital 

For more details regarding the cost estimation for IUD insertion procedure, contact Smarter Health.

Pre-Intrauterine Device (IUD) Insertion 

Before inserting the intrauterine device (IUD), it is better if you eat first to prevent dizziness. You may eat some snacks and drink water.

Since IUD insertion is not allowed if you are pregnant, your doctor will also take a sample of your urine before inserting the IUD to ensure that you are not pregnant.

To reduce pain during the insertion procedure, you may consult your doctor about what medications you should consume — for example, ibuprofen or acetaminophen.

Be sure that you try to relax. The procedure may not run smoothly if you are not relaxed.  The device may not be inserted properly or detached itself early. 

During Intrauterine Device (IUD) Insertion

When the intrauterine device (IUD) is inserted, you will be asked to lie down on the exam chair and raise your leg. Then, your doctor will insert the speculum slowly into the vagina. This is done to widen the vaginal opening to make it easier to insert the IUD into the uterus.

During the insertion procedure, your vagina will be cleaned using an antiseptic solution.  Then, local anesthetic will be inserted into the cervix, while inserting a device called a uterine sound or endometrial aspirator which functions to measure depth of the uterine cavity  This device has been sterilized before use.

Then, your doctor will fold down the arms and place the device into an applicator tube. The tube is then inserted through the cervix into your uterus. Once the IUD is in place, it will be released from the tube. This process will automatically remove the IUD from your arm and the applicator tube will be removed from the uterus.

This process should not take more than 15 minutes. However, you may not be allowed to  go home immediately. Instead, you may have to stay in the hospital or clinic to ensure the IUD is properly inserted.

Post-Intrauterine Device (IUD) Insertion

It is preferable if you do not stand up right away after the IUD insertion is complete — as you might pass out. 

You might also feel cramping or have a headache after the IUD insertion. If you have never been pregnant, you might feel more pain. Therefore, IUD insertion is preferable for if you have had previous pregnancy. 

Risks of Intrauterine Device (IUD) Insertion

The procedure of intrauterine device (IUD) insertion is relatively safe — as long as it is done properly. However, the procedure carries some risks, such as: 

  • IUD could partially or completely move from its intended position at the top of the uterus.
  • Spotting, especially during the first few days after the insertion 
  • For those who use hormonal IUDs, you might have acne, headaches, body aches in several areas, and breast pain
  • For those who use non-hormonal or copper IUDs — you might experience menstrual bleeding and cramping

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