IUD Birth Control FAQs

An Intrauterine Device (IUD) is a small t-shaped, contraceptive device that is inserted into the uterus to prevent pregnancy. Unlike other forms of birth control, the IUD offers long-lasting contraception with minimal office visits.  

Yes, you will likely experience some form of cramping and discomfort during and after the procedure. TPMG recommends taking ibuprofen for pain in the morning before insertion and every six to eight hours as needed after the procedure. Your provider will likely discuss pain management options with you during your consultation before insertion.

Expulsion occurs when your IUD either partially or completely falls out of the uterus.  An IUD that is even partially dislodged can be rendered ineffective. While IUD expulsion is possible, it’s also incredibly rare. You can check your IUD strings yourself to ensure that the device is still properly inserted or contact a TPMG provider to check and make sure, depending on your comfort level. 

Some spotting can occur following an IUD insertion and can last for several days afterward. This is completely normal and is not cause for concern. Heavy bleeding should trigger a call to your provider’s office. if you experience heavy bleeding (soaking through a pad every 30 minutes for two hours), foul smelling vaginal discharge, fever, or discomfort during intercourse, it’s a good idea to contact the office for next steps. 

Like with many other forms of birth control, there are risks and benefits associated with the IUD. Your specific risks and benefits will depend on several factors including your unique goals, contraindications, medical history, and other concerns. The best way to determine the risks and benefits associated with the IUD is to have a conversation with a trusted medical practitioner who can give you your options. 

TPMG offers hormonal and non-hormonal IUDs in addition to other forms of birth control. 

While IUDs are effective at preventing pregnancy, they provide no protection from sexually transmitted Infections (STIs) or sexually transmitted diseases (STDs). Experts recommend that couples engaging in intercourse use condoms to prevent the spread of harmful STIs and STDs. 

To prevent pregnancy, it’s advised that patients wait at least seven days post-procedure to have intercourse. In some cases, the strings of the IUD can cause discomfort during intercourse. While the strings do soften over time, they cand be uncomfortable initially. If you experience discomfort, mention it to your provider during your follow-up appointment and your provider will be able to trim the strings to prevent further discomfort. 

If, for whatever reason, you learn that you are pregnant, you should immediately contact your provider’s office for options for IUD removal. 

When considering any form of birth control, it’s important to start your decision-making process with a confidential conversation with a trusted medical provider where you discuss your goals, contraindications, medical history, and concerns. At TPMG, our trained medical professionals will be able to provide you with your options and recommend treatment that aligns with your health priorities.  

While IUDs are a long-acting form of birth control, they still need to be replaced or removed after a certain amount of time. The longevity of your IUD will vary depending on the brand. It can range anywhere from only three years to ten years, in some cases. Your provider will be able to discuss the particulars for each device you are considering in your consultation appointment. 

The gold-standard for treatment for an IUD insertion is Ibuprofen. Experts recommend you take ibuprofen the morning of your IUD insertion and every six to eight hours as needed for pain following your procedure.  

At TPMG, we can offer pre-medication like anti-anxiety and pain medication depending on your needs. If you’re experiencing fears regarding pain during IUD insertion, make sure to address them with a trusted provider during your consultation appointment. 

A commonly prescribed medication to reduce discomfort associated with device placement is cytotec which is used to help dilate the cervix, making it easier for insertion. This can be discussed with your provider.  

Ultimately, you are the best judge of what birth control option is best for you. If you have questions about whether an IUD might be the best fit for you, contact a qualified provider with TPMG Obstetrics and Gynecology or your primary care provider. 

TPMG Obstetrics and Gynecology and many of TPMG’s primary care providers offer IUD insertion and birth control management to patients who are looking for quality care. To schedule a consultation with TPMG OBGYN, call  (757) 223-9794. To connect with a TPMG primary care provider near you,  visit our Find My Provider page here.