Insertion of an intrauterine device (IUD)

An intrauterine device (IUD) is a type of female contraception that is implanted by a gynecologist into the uterine cavity. The IUD prevents pregnancy with up to 99% effectiveness and also helps reduce the frequency of inflammatory diseases. However, the IUD does not protect against sexually transmitted infections.

Today, there are several types of contraceptive coils. They can be hormonal or mechanical, and they differ in shape and duration of use. Only an experienced gynecologist can determine whether this method of contraception is suitable for a woman and select the appropriate IUD based on individual characteristics.

At “Oxford Medical,” highly qualified gynecologists with many years of experience are available for consultations. Make an appointment at a time convenient for you.

Gynecological IUDs can be:

• Hormonal – these contain a specific amount of a hormonal agent, small doses of which are regularly released into the uterine cavity. The hormone suppresses ovulation, alters the structure of the endometrium, changes the properties of cervical mucus, and disrupts sperm function. This prevents conception, and in case of fertilization, implantation of the embryo.

• Mechanical or non-hormonal – these do not contain any medicinal substances. Their effect is based on altering the chemical composition of cervical mucus (due to copper or silver coating) and irritating the uterine lining. This impedes sperm movement and prevents implantation of the egg if fertilized.

IUDs also vary in shape. They may be:

• T-shaped;

• F-shaped;

• ring-shaped.

Most often, when a woman chooses to insert an IUD for birth control, a T-shaped device is selected. The upper arms of this device are positioned near the fallopian tubes, providing highly targeted action.

IUDs also vary in lifespan. They can be used from 1 year up to 10 years, but typically need to be replaced after 3–5 years.

Before having an IUD inserted for pregnancy prevention, it is necessary to schedule a consultation with a gynecologist and undergo a comprehensive examination to rule out contraindications.

For diagnostics, the doctor may prescribe:

• a gynecological exam with speculums;

• vaginal flora analysis for infections;

• cytological smear from the cervix;

• general blood and urine tests;

• pelvic ultrasound;

• uterine sounding to determine size and choose an IUD.

Based on the examination results, the doctor selects the appropriate IUD for the woman and schedules the insertion for day 3–4 of the menstrual cycle. The evaluation also helps rule out contraindications such as hyperkeratosis, endometrial hyperplasia, tumors, and some other conditions.

2–3 days before the procedure, it is recommended to:

• refrain from sexual intercourse;

• avoid using local medications (suppositories, etc.);

• not perform vaginal douching.

The IUD is inserted using a special applicator, which is introduced through the vagina into the uterus. Once the doctor ensures the IUD is correctly positioned and does not cause discomfort, the applicator is removed.

The insertion procedure may cause discomfort, so local anesthesia can be applied at the patient’s request.

The IUD is usually inserted on the 3rd or 4th day of the menstrual cycle, as the cervix is naturally dilated during this time, facilitating the process.

The height of the IUD is about 4 cm, and the thread attached to its end is approximately the same length. After insertion, the thread remains in the vagina, allowing the user to check the device's position and enabling easy removal later by a doctor. The IUD should never be removed independently, as this can injure the cervix and cervical canal.

In the first few days after IUD insertion, mild lower abdominal pain may occur. There may also be heavier and longer menstrual bleeding. Typically, the condition normalizes after 3–4 cycles.

After IUD placement, it is recommended to:

• rest at the clinic for 30–60 minutes after the procedure;

• abstain from sexual activity for 5–10 days;

• avoid heavy physical activity for 1 week;

• consult a doctor in case of severe pain, heavy bleeding, or menstruation lasting more than 7 days;

• visit a gynecologist for a check-up every 3 months;

• after menstruation, check for the presence of the thread in the vagina (the risk of IUD expulsion is higher during this period due to cervical dilation).

At “Oxford Medical,” you can complete all examinations and lab tests needed for IUD selection in just one day. The clinic has an in-house laboratory and state-of-the-art diagnostic equipment, ensuring high accuracy and fast results.

The selection and insertion of intrauterine devices are performed by experienced obstetrician-gynecologists, so every patient can be confident in receiving quality medical care.

The advantages of IUD insertion at “Oxford Medical” include:

• individual selection of the device;

• comprehensive examinations and testing in one visit;

• insertion performed by an experienced obstetrician-gynecologist;

• use of local anesthesia (upon request);

• comfortable conditions at the clinic;

• loyalty program for regular patients.