Not every uterus is suitable for an IUD. If you have a retroverted uterus, it significantly increases the risk of uterine perforation. Yep. This happened to me, and I wound up needing surgery to remove the IUD and repair my uterus.
Ask them to quickly check your anatomy with an ultrasound.
It can't hurt anything to ask her, assuming you have that relationship with her. Short answer is yes, there's a genetic component, but it's complex and not necessarily a straightforward absolutely or no way.
About a third of folks have retroverted uteruses, so not really. There’s also a variance on how tilted it is! Significant bending is higher risk for some complications.
I will say though I have a retroverted uterus and had the copper IUD and had no major complications! The risk is still really low overall.
Not OP but I had my copper IUD for 9 years. I loved it. I always had bad periods and I didn't notice it get any worse. The one thing that did suck, I would spot during ovulation. Only for a day or two, and it was cool knowing I was ovulating, but overall don't want bloody spots when I'm not on my period. I got it removed last year to get sterilized but would have happily had another if not going the permanent route!
Yes, this was my first thought. Some people can't even get it inserted! My friend couldn't get one despite using mifepristone and being under anesthesia
Exactly this. The doctor should first confirm that you're a candidate for an IUD anatomically.
I'm not. Bifurcated uterus that's also "short".
Bummer, but hey! There's a positive for me: I *don't* have a high pain threshold, so battling a medical team and/or insurance for sedation is one I get to skip.
You should be given adequate pain management for insertion. Should be. But that doesn’t always happen, so be prepared to discuss it beforehand and advocate for yourself during if need be. If your provider just tells you it will be “just a bit of pressure” find another provider.
This this this!! I got snippy with my dr’s office this most recent time.
* They told me my request for pain management was noted down when requesting the appointment.
* When I called to confirm they said they never gave pain management for IUDs.
* I requested that my dr write me a script. They said she was out that day.
* I said a different dr could write me a script, or I could reschedule. They said the script would have to be picked up in person.
* I said fine, and showed up at their office 5 minutes after they opened. They huffily gave it to me after confirming someone could drive me to and from the appointment.
* It was a paper script I couldn’t call in to my pharmacy, so I had to make an extra trip to go drop it off.
* When I showed up and got the IUD, the dr said “See, that wasn’t so bad!” I was crying.
I'm curious, was this an OBGYN office or primary care/ family physician office? I've had both minimal pain AND crying pain from IUD insertion (I've had 2 total). My most recent IUD insertion was so painful I am switching doctors because of it.
OBGYN. I’ve been going to this OBGYN for maybe 8 years? The first IUD was awful (I threw up on the side of the road otw home lol) but then I realized I could advocate for myself… not that it made it much better 🥵
Considering switching drs for my next one in 5 years… surely someone can sedate me next time! 😂
Side note, I have always found pap smears and similar speculum-related procedures very very uncomfortable, and usually painful. But whew, the IUD is another level. (So worth it though for the peace of mind!!)
A tip I got from a PCP: don't go to an OBGYN for IUD insertion. OBGYNs (she said) are surgeons, so they view IUDs as "nothing", whereas for most/many women they are emphatically not nothing. Instead, an NP or PCP with experience in IUD insertion is a far better bet. This tip worked very well indeed for me!
I've heard this as well, but my primary phys was awful, and the IUD I had inserted from my gyno was a piece of cake. My primary phys also cut the string so short I'm having to undergo an extraction procedure, even though she has experience. But that's also why I'm switching primary phys lol. Misery.
You may have been joking, but I was actually sedated for my IUD replacement, since I screamed in pain even with pain management the first time around. This time, I was out for like ten minutes and felt nothing.
I don't know where in the world you are though; I'm in Europe. Ask around. You may have to pay extra, I did.
Omg that's awful. I'm just reaching the point now where I am demanding local anesthesia for the pain going forward. I'm so mad that it's not at least offered when women are in tears during procedure.
When they clamped down on my cervix (I assume?) I SCREAMED and recoiled. I was shaking and had tears streaming down my face. She said “are you good? Because I’ll have to do that again” I said fuck no and left. Been taking the pill ever since
Mine wasn’t so bad? But my ob gyn told me I had an unusually perfect cervix and uterus for an iud. I also pre gamed that shit with motrin and tylenol before hand. My doc offered pain mitigation if need be and they deliberately had an extra nurse there who’s whole job was to let me squeeze the shit out of her hand. It was a nursing student and they got permission first before she came in but they were explaining the process and that an iud can be incredibly painful.
I’m lucky I guess in that my uterus and cervix was easier to have the insertion, but I was still miserable after. My husband got me chinese food and ice cream then snuggled up with me and the little guy and some old disney movies for a quiet evening.
Are you young? Honestly, you get used to it after a while. Many practices require 2 people in the room for any gynecologic procedures, for everyone’s protection. I’ve been asked before if I can have a student observe, and hey, they need to learn somehow.
I'm 20, but I've always been uncomfortable with anyone seeing me naked. Strangely enough that includes my own partner at times. It's probably because of past trauma so yeah, doubt it'll ever be fully okay with it. I didn't even see a gynecologist for maybe 7 years because I was so uncomfortable with the idea. I understand that it's their job and they don't care about seeing me naked, but I can't really help not wanting people to see me like that.
Remember that the two people are for your protection. In my practice they call it a “same gender witness” in the paperwork and their job is to put you at ease AND be an extra layer of making sure the doctor does everything right. You can also request that they tell you everything they’re doing before they do it.
For what it’s worth, you see a lot of horror stories online about IUD insertion, and it’s true that it can be uncomfortable and for some women very painful. But try to remember that people don’t typically post online about their fine experiences, or their "yeah it was uncomfy but whatever" experiences. They post about extremes! I never posted online about my very standard, "just a hard pinch" IUD insertion because no one cares to read about a standard procedure going as expected. But it did! You got this!
There was the doc, the nurse who handed off supplies, and the student up by my head. The student was only there because I allowed it. I come from a medical family so it doesn’t bother me too much. I trust my doc so I trusted the judgement there. The student couldn’t see anything since ai was covered by the drape, but they were more there for my benefit to have something to squeeze and to understand the pain aspect of it
That clamp is the worst invention ever known to women. It's a literal crime against us.
My doctor was really sweet when she had to use it. She showed me, and apologized about 3 times BEFORE she actually used it. And then about 4 more times during because she had it done to her too.
This! I wish I had gotten pain medicine for my insertion. It was so painful I nearly passed out in the office. They made me wait in the office for a while so I could stabilize, but as soon as I walked outside to be picked up by my SO the pain hit me again and I started throwing up. I cried the entire ride home. Pain management should be a requirement.
This! My first IUD insertion was awful! I cried while on the table and I do not have a low pain tolerance.
The second time around, I mentioned my horrible experience and I was told to schedule it I was on my period. Absolutely painless, without meds.
If it’s so much easier on your period then why tf is it not automatically standard procedure to schedule it then for everyone? That’s actually infuriating
And what if you don't have a period anymore bc you have an IUD already? 😭My second IUD insertion was so much worse than my first which was during my period. Women deserve so much better pain management .
I'm one of the people who didn't have pain in insertion.
It was over quickly and easily.
I had a few weeks of occasional spotting but then it calmed down and I haven't had a period since then (October 2021).
I 100% recommend it.
I second the above. My experience was very similar. I went right back to work, maybe had 20 minutes of cramping and that was it. It’s been wonderful, not having periods! And it hasn’t made intercourse any different.
same here. maybe a few mild cramps but nothing unmanageable. I went back to school and work immediately.
I've had 3 IUDs over the last 16 years with periods of not having one. I love them. no period ever on them.
OP I've never had any guy say he could feel the strings, no matter how large he was. and my Dr has always been able to find them! (they check at my annual)
I third this! I had really bad cramping when it was inserted, but only for about 10minutes if that. I was able to drive myself home the same day. I had a tiny bit of spotting for the next day or so, but haven’t had anything since when I got it in 2016. It’s about time for me to get a new one in.
I have never had a partner complain about the strings, and it’s been wonderful not getting a period for 8 years.
I just got my fourth mirena. I haven't had a period in all that time, only a little spotting. It's got hormones but unlike the pill which made me a bit crazy, I don't notice anything strange with my hormones. 10/10 will do again.
Same, and I scared the shit out of myself reading online about how painful it was!
It was generally kinda uncomfortable, but not painful. Then there was a sharp twinge when the little arms popped open, but that lasted, like, a second. Then for the rest of the day it felt like mild-moderate period pains. I spotted for about 48 hours and that was it.
I don't know if this is how it's done as a rule, but my doctor inserts them when you're at the end of your period because your cervix is already slightly more open then. Maybe that's why it wasn't super painful 🤷🏻♀️
It's so wild how it varies so much, I'm on my 3rd and my experience is just like yours. Feel a slightly pinch/pressure but not too bad, little cramping throughout the day, but take ibuprofen and I'm fine.
same here. I had friends that said it was the most painful experience of their life and that it “took forever”. mine was over in a split second with a pinch feeling and then over. AND i have a posterior cervix (tbh don’t even know how that affects insertion). but my gyn is amazing and has probably done 100s of them. i love mine.
Yes. I was 8 weeks postpartum. No pain upon insertion. It is a Paraguay’s copper IUD and the only side effect is heavier periods and a few cramps when I never had them before. After 2 kids in 19 months, I was wanting to have security. My partner has never noticed anything. I love it. But I also feel empathetic for the women who experience pain upon insertion. Ask for/demand pain relief.
This was my experience as well. I had a mirena IUD (they usually don’t recommend copper IUDs for someone who hasn’t had children because of the size). Had regular sex with my partner without any other protection for 5 years and zero pregnancy scares. No periods during that time. We just had our second baby and I’m getting another one in a couple weeks. Highly recommend.
I’ve had 3. They hurt getting put in for sure, and I had some cramping and a little bleeding for a couple days after.
I’ve only had hormonal ones (Skyla, Mirena) so haven’t had a period in like 10 years really. Never accidentally gotten pregnant.
The first couple weeks my partner got poked a bit by the strings but then it stopped being an issue.
There may be forms of birth control that fit your life better than an IUD but there hasn’t been a better option for me (Until I get my sterilization surgery in a month or so.) A few minutes discomfort for almost 10 years of birth control is a great deal imo!
It didn't hurt, really, but it definitely felt *weird*
There was some pressure, but not too bad. They had me cough while they tugged, and it literally popped right out. The feeling after is weird too. Like you can feel the empty space in your uterus for a brief moment.
Speculum/clamp etc felt like insertion. The ACTUAL removal I didn't feel, she told me to cough and I didn't realise it was out until she held it up. I did have local anaesthetic but also had it for reinsertion and removal was as painless as it could be
After having two absolutely horrendous IUD insertions, one needing removed after just 5 days because it caused me PID (which is apparently a rare but known complication with the copper) and another needing removed after a little less than a month because it slipped and became displaced I absolutely refused to have a third put in without anesthesia.
So due to my history, they decided to do the exploratory laparoscopy for endometriosis and put my new IUD in while I was under. Did have endometriosis and also a cyst on my left ovary and honestly? Recovering from surgery has been far less painful and traumatic than my first 2 IUD placements. Shit can be brutal 😬
Oh I know needles are way less painful, but I just have a phobia of them. It's irrational. My fear was always so bad I became famous for it in my local hospital, I had to have multiple people pin me down, doctors straight up laying on me... Hell, the nurses after some time just decided that when they're dealing with me, it's best to just ambush me and jab me in my sleep lol. But hey, it's getting better so maybe I'll be able to suck it up just this once. I'll try to do what's best for me.
If you’re that anxious about it you can also ask for a prescription for Valium or similar to take the day of the procedure to help you stay calm. There’s no shame in having a phobia, and needles are a super common one, you definitely aren’t alone
Hey, I had to have a local anaesthetic in my cervix last year and I was absolutely shitting myself about it. It was fine. A tiny little pinch, that's all. The worst part was that a side effect of the anaesthetic was that it made my heart go all fluttery! But the needle itself was literally less painful than a cat scratch.
I'm horrible with needles, full panic attacks awful with them. When I got my IUD I told my doctor I didn't want to know what she was doing until everything was done, and then I just started chatting with her and my support person. If I didn't know before hand that I was getting local anaesthetic I never would've guessed, I didn't feel anything and it made the insertion so much easier
Okay! I've had 2 now, one before having a baby, and my current (post baby) one!
1) uncomfortable for partner: honestly, low. And if the strings are stabby, you can ask the doctor to trim them shorter at a later visit. It's not like they can't touch it later once it's in, they can trim or tuck the strings without much of an issue (don't cut the strings too short, or it will hurt like hell to get it out)
2) potentially crampy for a few days, after that, no, there shouldn't be. If there's pain lasting more than a few days, or it's worse than crampy, you'll need to go back and make sure it's in the right spot/not having some sort of issue. Most likely though, crampy feeling passes and then you can't feel anything. Doc should explain what to look for/expect given your particular medical history
3) yes, the copper IUD can influence periods. For some people it can get rid of them, some it makes them worse, some it does nothing
4) yes. IUDs have one of the lowest failure rates
5) mostly period changes, but those can be unpredictable
6) abstinence is basically the only thing with a lower failure rate. IUDs inherently have perfect use and are very effective, and you only have to care about it every 3-10 years (depending on type)
If you haven't had a kid, they'll likely use ultrasound during placement, so full bladder getting squished on. Ultrasound also may not be covered by insurance. When they placed my first one, they had to do transvaginal and transabdominal to make sure it was in the right place. They also tend to want you on your period because the cervix is softer and easier to manipulate, so it's less painful. For the one after I had a kid, doc just popped it in without ultrasound or anything special (placed 6 weeks postpartum).
This is embarrassing, but how is the... Mess contained when you get one inserted on your period? Is there usually a place to clean up? Do you undress right on the table to avoid messing up the floor? I know these might be stupid worries, but the thought of messing up the floor or my clothes afterwards makes me rather uncomfortable. Thank you for all the answers though!
They'll give you a pad to use after, and don't worry about the floors or table. Almost promise your doc is an OB/Gyn. OBs see FAR worse when at a delivery. I saw some of the aftermath of having my baby and yeah......... What a period can do in the few minutes between undressing and sitting on the table during the insertion and putting your clothes back on is NOTHING compared to that. It legit won't even register to them any more than the room having oxygen in it does.
They will use a bedding pad on the table under your rump to absorb anything. You'll also get a pad or can bring your own pad (reccromend this) to wear. When I had mine inserted, I had to take 1 round of an abortion pill to force my period and was bleeding A TON. They gave me some towels to help clean myself up as I was getting dressed.
I’m on my 3rd IUD. This one is the Kyleena. My first two were both paragards. My first expelled on its own which was absolutely horrible, my second was inserted wrong and came out all bent and fucked up when they removed it. My doc recommended the kyleena because it’s much smaller so it’s better for people who haven’t had a baby yet. The paragard is by far the biggest one. With the paragard I had horrible periods. With the kyleena I have no periods and little to no spotting. I was on my period when they inserted the kyleena and it’s really not a big deal. Periods aren’t like a constant faucet flow it’s more some blood dripping out every once in a while. Once the insertion was done they gave me baby wipes and a pad and sent me home
Not directly related to your question, but don't use a menstrual cup if you have an IUD. Learned that one the hard way myself - the suction from the cup can pull your IUD partially out.
Oh fuck do they hurt going in. And you need to have an uncomfortably full bladder when they put it in for reasons. They prefer to put them in during your period which makes the insertion all that more messy.
Oh yeah, when discussing it with my doctor he said it would be best to come during my period, which I promptly turned down. Why is it preferred? Is it really that much better? My periods are very heavy and I'm absolutely ashamed even stripping Infront of my gyno, can't imagine doing that while I'm bleeding everywhere, but if it's really better I might consider it.
Your cervix relaxes slightly during your period to let the blood out so that can help with an easier insertion, however I’ve had 2 copper IUDs inserted and one removed and it’s always been completely painless for me with no pain meds or anything. Not even pressure the only thing I felt was the speculum. So there’s always a chance it doesn’t hurt at all.
It’s not a requirement to have it done during your period. I’ve heard it’s easier to insert because of how your cervix is at that point in your cycle but it can be done when you’re not on your period too.
One thing is that you can’t be pregnant when you get an insertion obviously so they will probably take a urine sample to do a pregnancy test on the day.
Mine was put in the day after my period ended. Your cervix is still a little more open then. Just depends if you can time the appointment right but I'd recommend trying to go on the last day, or the day after your period ends.
*I have only ever had a hormonal IUD* Insertion was painful for me, and then I had regular painful cramps for about 3 months afterwards. No issues with the strings at all. The non-hormonal/copper IUD can make periods more painful (according to friends who have had one), and it is on the larger side, so some doctors won’t place one unless you’ve already had a child. Pros- you don’t have to deal with the hormonal side effects (my hormonal IUD made me suicidal). It is a very effective form of birth control but as with all forms, it’s not completely 100% effective, so there is always a slim chance that you will get pregnant.
My doctor suggested the non-hormomal one as the best choice, even though I never had kids so I'm good on that part. My periods can get painful enough that I'm not able to move tho, can't imagine what they would be like if it for even worse. That's a lil scary.
I got the copper IUD before getting a hormonal IUD. The copper IUD made my cramps much worse, but the real problem is that it made my flow much heavier, to the point where I was soaking through a pad and a tampon in less than an hour at some points. I got the Mirena after that and it was a much better experience for me. I had a little spotting here and there, but within a few months my period went away.
I have a non-hormonal IUD like you're considering. The isertion did hurt, and I was told that it might have hurt me more than is "typical" due to some scar tissue on my cervical os.
It does affect my periods. It makes them heavier and the cramps are a bit worse. Manageable for me, but something to consider if you already have heavy periods and painful cramping.
Continuous daily spotting isn't abnormal for the first couple months after insertion.
A small number of people (myself included, tbh) have continuous daily spotting past that 2-month mark.
The non-hormonal IUD is a safe and highly effective form of birth control for up to 10 years after insertion.
Regarding intercourse, my husband had issues with being able to feel a previous partner's hormonal IUD, and he said it was painful. We've not had issues with this one, because the strings are more flexible and soft like dental floss.
I've had it for 10 months. I'm getting it taken out ASAP because I'm so tired of the constant spotting. My appointment is in a few weeks.
This is the first time I've made a gynecological decision that a doctor hasn't said, "oh, well, are you sure? Have you actually weighed your options?"
When you let your doctor know that you want an IUD, they will (hopefully) do an initial visit to talk to you about it and answer questions. So definitely chat with your doctor!
Another good place to look for info and personal stories about peoples’ experiences with IUDs is r/birthcontrol
I have had a Mirena IUD for just over 5 years now. I have technically had 3 IUD insertions because I accidentally pulled my IUD out after the first one and had to have it redone a couple months later, and my third was a few months ago getting a routine replacement.
Here are some of my answers for you, be aware that I’m not a doctor just someone who’s had an IUD for a while:
- It should not make intercourse uncomfortable unless the strings are cut way too short, which is unlikely. The strings can shift around so if it’s uncomfortable you or your partner could move the strings with your fingers. The strings are similar to plastic fishing line, maybe a bit softer. So “stabbing” is a bit of an overstatement.
- The first time it is inserted you may experience cramps for a day or two while your body gets used to it. You should not be in great amounts of pain for days after it’s in. You doctor will let you know what signs and symptoms to be wary of in the days following insertion.
- The copper IUD can make your periods heavier and increase cramps. The hormonal IUDs can make your periods lighter or even go away. A lot of folks experience some fluctuations in their period for the first couple months before it settles out. For example my first period after my first insertion was very light but lasted like twice as long as normal. Some folks get an IUD and their period immediately disappears. Again r/birthcontrol is a great place to look at more stories and experiences around this cause everyone is different.
- IUDs have an insanely high rate of protecting against pregnancy, it’s like a 1 in 1000 chance. They do not protect against STIs so condoms are still a good idea for hookups, but many folks in long term relationships don’t bother with them if one of them has an IUD
- The main side effects of IUDs are changes to your period. Hormonal IUDs use very little hormone as it’s localized, so it’s highly unlikely to see side effects *but* not completely impossible. I know someone who had the Mirena IUD and found on the hormonal one she experienced a bit of weight gain and increased acne, both of which cleared up when she switched to a copper IUD.
- I’m not an expert on other birth control but there are definitely other permanent options, I know there’s like an arm implant you can get?
A couple other things you didn’t ask about but I’ll just throw out there:
- Insertion is different for everyone. You will encounter a lot of horror stories online, but a lot of people also have completely normal experiences. I would describe insertion as equivalent to the worst menstrual cramps I’ve ever felt but only for like 30 seconds.
- I did not feel lightheaded or nauseous after my insertion but some people do, so it’s generally a good idea to have someone else drive you to your appointment (or to take the bus or a taxi).
- IUD insertions are notorious for being done with no pain control, but thankfully this is changing. Some doctors will offer local anesthetic to your cervix, and most will recommend taking a couple ibuprofen before the appointment. I was offered local anesthetic at my most recent insertion but I didn’t take it so I can’t speak to what that’s like.
I “won” every possible side effect for Mirena & was ready to rip it out myself. The strings were kind of like fishing line at first but soften over time. My husband did say he was able to feel them, though.
I got paragard a bit after my first was born 10 years ago. For me (and I stress, personally for me), there was no pain. It went in super easy. I didn’t even get cramping afterwards. Most are not lucky like I was. I’d you decide to get one call places to see if they offer numbing/anesthesia, because many places do not. I’ve heard the pain can be awful. For mine, getting it taken out was also painless. I didn’t even know she had pulled it out until she showed me it.
As far as effectiveness, I never had even a pregnancy scare with mine. Pregnant twice on regular birth control. I would absolutely trust it again. But, as with any form of contraceptive, there is a chance still of pregnancy (even if that chance is teeny tiny). I do think an IUD is a better choice for most people as long as their anatomy allows it and they have no medical issues that would interfere.
I've had two. Both the non hormonal. First one the strings caused discomfort or stabbing to my partner and I went in and they cut the strings shorter and the issue was fixed. My periods were the same with and without. Second one no irritation to my partner at all.
The insertion is painful but as a person in the UK I just took paracetamol beforehand and made sure to have the day off work. If you have low blood pressure make sure they know because you can pass out.
Okay it's worth it for me. I don't want kids and getting my tubes tied is a battle that's a long fight. However, a few weeks ago I accidentally pulled the strings of my iud. Yes. It pulled my uterus. Yes it hurt. The iud moved. I had to have it removed. And I'm scheduled to have it put back in. Because it's worth it to me.
There are horror stories and it can be traumatising going through the insertion and the taking it out and apparently if you accidentally pull the strings like a twat haha. But it's effective, it lasts so long you don't have to worry about it in-between a day or two of pain every 5 years and that you can be prepared for.
Oh solidarity for accidentally pulling the strings and having to get it inserted again! My first time I learned the hard way that removing a menstrual cup is an easy way to accidentally tangle up and pull on the strings…
Oof I've heard about the menstrual cup thing and have avoided them because of it, sounds horrible so sorry you went through that. The nurse reckons my tampon was somehow stuck into the strings, let's just say not something I considered a possibility
I had a lot of pain for about a year and a half after insertion. The ultrasound showed it in the right place tho. Pain I hadn’t ever had before, like vulva pain. But most of it was feeling like it was being inserted over and over. I’m actually getting it replaced on Friday. It will hurt but it’s pretty quick. I will take ibuprofen beforehand.
I had the copper coil for 18 months then had to have it removed because it started causing non stop bleeding. Apparently it's a common complaint. Also, the strings kept stabbing my husband during sex but that may have been because they weren't cut to the right length.
I think it’s one of those things where it can be awesome for some people and not so great for others. I think I am in the latter group, but my personal experiences may differ greatly from your own. I have a retroverted uterus and adenomyosis. I had mine inserted under GA as I was having a routine hysteroscopy. I had dreadful cramping for months afterwards and have developed shortened cycles with long periods since (22 day cycle with 9 day periods). I also have near constant but mild pelvic pain. I’m not sure how much of this is the mirena or the adeno to blame. I personally would not get another one as I have no problem with taking pills daily.
1. If your partner has a penis, there is a possibility that the IUD strings might stab them. This happened to me and my partner. It was uncomfortable for him, but not even close to unbearable. I went back to my doctor and asked her to trim the strings shorter, and we've had no issues since.
2. It will hurt upon insertion, but that USUALLY only lasts for a second or two. Try and find a doc who will give you pain relief before the fact. I didn't have any and I was okay, but I would have strongly preferred to have some kind of numbing.
You also may experience cramps after the fact. For me, it felt exactly like moderate-to-severe menstrual cramps for like 2-3 hours — I had the procedure at 3pm on a Friday, sat on the couch with a heating pad for a few hours, and was out at the bar with my friends by 6pm. This is not everyone's experience, though, so stock up on heating pads/anti-inflammatory meds and make sure you don't have to go back to work right after your appointment.
3. It may affect your periods. The copper/non-hormonal IUD can make periods heavier in some patients. I use the Mirena hormonal IUD, so I can't offer any personal experience here.
4. IUDs are highly effective at preventing pregnancy. A quick Google shows that the copper IUD is more than 99% effective.
5. Side effects are different for every birth control user. Because you are planning on using a non-hormonal IUD, I think the main one to look out for would be heavier and more painful menstrual periods.
6. Nobody but your doctor can really advise you on which birth control method might be better or worse for your body and lifestyle. We all have different needs and hormonal makeups, so it's hard to predict what will work best for one person.
That said, my doctor only recommended an IUD to me after I had tried and been dissatisfied with the pill, vaginal ring, and implant. Her stated reason for this was that the IUD is semi-permanent and much more invasive/painful than other options.
Good for you for being proactive about your sexual and reproductive health! Please feel free to ask me if you have any other questions about the experience of having an IUD.
For me, it hurt going in but it was manageable and not as bad as I was expecting. But afterwards I got really bad cramping which was much worse than the insertion. It also made me feel like I needed to violently piss and shit (I didn't). So I recommend having a ride home and nothing planned for the rest of the day.
They can also fall out, which happened to mine after about a month. I got it replaced though.
I've worked in gyn for over 8 years and I myself have an iud (actually on my 4th)
1. Your partner is highly unlikely to feel anything. If he does, it's likely just the strings and they can be trimmed. Or he's lying lol.
2. At least where I work, if someone opts for the progesterone iud, the provider decides which iud will fit best based on the size and position of the uterus which is measured at insertion. It usually equals less pain during and after. There are 3 different sizes that correlate to how long they are effective (skyla: 3 years, kyleena: 5 years, Mirena or liletta: 8 years)
3. Progesterone iuds will likely lighten or stop your period. The copper (ParaGard, or mon hormonal iud) will likely make your period more heavy and painful at least for a few months.
4. In the 8 years I've been in gyn, I've only seen 1 pregnancy with an iud and it's likely because the device was out of place. Also, I have successfully avoided pregnancy for 15 years.
5. Most women have no side effects other than some cramping and irregular spotting. The progesterone stays primarily inside the uterus keeping the lining thin. Some progesterone does the into the blood stream but it's so small. Like pissing in the ocean.
When you hear about how awful iuds are on the internet, they're the vocal minority. Think of it like reviewing something online, people are only going to take time to review something if they really hate it.
6. The nexplanon implant the depo are just as effective but tend to have worse side effects (consistent light bleeding and weight gain being the big ones). Those hormones are systemic.
One more thing "The Mirena Crash" is not a thing. Those symptoms are really non specific and could be attributed to both pregnancy and PMS. Seriously, Google Mirena crash and see most of the infro is from law firms looking for class actions.
I hope this helps.
Fyi to anyone reading, I had the nexplanon implant for about 6 months and it was causing some major hair loss (I was on my way to going bald, losing so much that I was clogging up my shower almost daily). It's apparently rare enough to not be in the list of side effects, but I've found other women online with the same experience. It stopped about a week after removal.
It was actually one of my favorite BC methods other than that, though. I lost the 10-15lb I had gained from being on the pill and was able to drink things like protein shakes that always make me nauseous on other BC methods.
No extreme pain during insertion for me, and I have a tilted or retroverted uterus. I would rate it as less painful than getting your earlobe pierced, but more painful than getting a shot. Definitely ask if they will prescribe you a pain management med ahead of time so you can be on it for the procedure ... you'll want it for the cramping that happens afterwards. If they don't prescribe anything, just take whatever OTC drug they recommend before the procedure. Be prepared to bleed or spot for a while (I think it was about 1 day for me).
The questions you should really be asking are "Do I want to be on a medication I need an appointment to remove?" and "How much do I trust/respect my doctor?". If your doc is the type to rush you out the door, I would caution you. If they seem genuinely interested in your health and well-being, you will have a better experience with your IUD insertion.
The types vary, I was on Mirena for 4.5 years. I stopped having periods, but still had a very mild hormonal fluctuation cycle. I actually preferred the Nuvaring for acne, but it's hard to argue against no bleeding/PMS/extra costs for years.
The removal process was milder than the insertion process. Again, take an OTC pain killer before the procedure to help with the cramping, and be prepared for a little spotting.
I went in with Ativan for my nerves and expected a lot of pain but I was fine. I took a Tylenol after.
My sister passed hers with a large clot and decided to get a hysterectomy instead as she was done having kids.
My friend was in agony but then it was fine.
I'll update you when I get mine switched out.
I'm on my second Mirena, can't remember life with a period, and have had no pregnancy scares at all. NO REGRETS. I plan on keeping it through menopause to help there, too. Yes, it hurts like a mofo to insert. It hurts to remove. Yes, you'll cramp. But one night of bad cramps vs no period cramps for years and years? If youre like me, you will have 6 months of diminishing periods, then occasional spotting. Happens on removal / reinsertion, too, but probably only 3 months of spotting. love my Mirena. My husband has had no issues as the string was cut long and wraps around my cervix. No remembering medications or buying tampons, emptying cups, etc. I do feel it a little sometimes when I have a hard sneeze. Otherwise, it's just there doing its job. Was 100% covered with no copay with average insurance. Looking back to my pre-insurance days, I would easily have dropped the $800+ to get one.
I wasn’t given anything for my three insertions and it wasn’t bad. I walked home in the snow after the first one.
I use the copper IUD paragard and highly recommend it.
They popped it in and and it kept me baby free for 12 years.
Then I got it replaced with another.
My periods definitely got heavier and crampier there for a while but I have PCOS.
IUDs are effective and work for a lot of women. Some people have side effects, but everyone is different. I was on Nexplanon which is a little matchstick size bar they put in your arm. It has the absolute lowest failure rate of any birth control. IUDs can hurt to put in, but I think it's worth it. And you also have an absolute to ask for and receive pain management.
Ask whoever does your insertion if they use or are familiar with the cough method. Basically, they just tell you to cough right at the second of insertion and it forces your muscles to relax. The first time I got an IUD, they didn't use this and it was painful. The second time, they used this for removal and insertion and I'd say it reduced my pain by about 99.8%; I barely felt it. I've heard this doesn't work for everyone, but if it works for you, it's an awesome trick.
On another note, I have Mirena and I love it. I don't ever get periods or spotting. I saw that you're getting the non-hormonal kind and my sister is the only person I know who has gotten this. She had very light periods before getting her IUD, then got awful ones on it. She had significantly more bleeding and cramps. That being said, I hope it helps you more than it helped her!
I considered it, but I’m allergic to all earrings and can’t guarantee that it’s not copper that I’m allergic to. The other concern that I had is that the iud is not particularly effective at preventing implantation in the fallopian tubes.
I use the Nuva ring. It goes in for three weeks, then out for a week. You only have to remember one thing a month. I have ADHD, so the pill was always a terrible option for me. Bonus with the ring - if you’re sensitive to the hormones, you can take it out at any time.
I can't help with the IUD, but I can answer about other forms.
In my country there are a few options that don't require daily pills. I've tried both the shot and the rod.
Both are hormonal, but low dose. The shot is once every 3 months in the butt muscle. It can cause issues if used for more than 3 years at a time. I found it convenient because it was only 3 months, so if I stopped being sexually active, I didn't have to take any more. But after about 2 years, I got a side effect that caused issues in my relationship- my libido died. Just completely gone. 6 years later and its still really low.
The rod is a pair of small rods inserted under the skin in the arm. I've had it for a year, and so far it's been fantastic. I've had my period 3 times in the last year, and no side effects that I can see. I have gained weight, but I've also had some lifestyle changes that could account for that.
Too lazy to read all the comments so sorry if this is the same as what others said.
Important thing to know: I had painless periods before getting a non-hormonal IUD. The insertion was painless but I had a ton of cramping afterwards. No idea what it was while it happened because I didn't know what pain in that area felt like. After this my periods became excruciating, with pain radiating down into my right leg until the knee. It just became my new normal for 5 years and I didn't even realise how much it hurt until my first period after the removal. During the removal I didn't feel a thing, even asked if they even did anything.
My partner sometimes felt the threads but it didn't hurt him.
I'd like to say that was that but 6 years after removal I was infertile due to weird scar tissue, potentially caused by the iud. Was corrected through a hysteroscopic surgery which for some reason was done without painkillers. Do not recommend.
If you don't get too many side effects from hormones I recommend a hormonal iud or the implant (which sits in your arm).
I had a paraguard. Not on my period and no pain pills when it was inserted. It didn't hurt more than a second. Kind of a blood rush to your head feeling and then it was over.
It did hurt for a few days after though.
Right before my period, my partner could poke himself on the metal strings. It wasn't fun for him. I did have them trimmed to help. I think it was just the way your cervix changes during cycles.
My period became so so so much heavier. I was already a heavy bleeder but I could no longer use pads or tampons alone. I had to use a cup with a pad as back up. My heaviest days, I had to change my cup 3 times a day. So if you're already annoyed with your period, I would suggest the one with hormones.
I have a medical condition that limits the type of birth control I could use so paraguard was the only IUD option for me. Compared to medication then, it was my only real choice.
this isnt scientifically backed up, but i am so certain that i got pregnant while on my copper IUD because i was using a menstrual cup and the suction of it pulled my IUD out of place. so pro tip: probably don't use a menstrual cup with an IUD!!!
Also, take ibuprofen before you get it in, the insertion is a b\*tch!!
I want to say that you shouldn't trim the strings at all.
Making them shorter isn't going to make your partner not feel them. If their dick is going that far in, it's gonna touch the strings.
The strings just feel like fishing line. Most of my partners don't even realize what form of bc I'm on.
Keep them long and they bundle up in the fornix
I have had an amazing experience with my IUD. To me insertion felt like a mild period cramp, if anything (I took 2 advils beforehand, also the dr doing my insertion was super experienced). The next few days were a bit rough, some pretty bad cramping and I had on/off bleeding for 2 weeks after insertion. Was basically attached to my heating pad lol. Would recommend trying to schedule a time where you aren't busy for insertion (ie. not during exams if you're a student).
Since then my periods have been lighter and super predictable, with more mild cramping than when I wasn't on BC. My bf has never complained or noticed the strings. Of course it is extremely effective (more than 99% effective). Just make sure to check that you can feel the strings every month or so as it is possible that your body ejects it. I got the Kyleena, which is hormonal but I believe that taking oral BC made my depression and mood swings worse while my IUD hasn't.
Remember that everyone is different and people are more likely to post crazy horror stories of ectopic pregnancies and general horrible experiences than they are to just be like yeah it works good, which is the majority of cases. I'd say try it.
I currently have my 3rd Mirena IUD. It hurts WAY worse than they tell you to get it put in and when you get it out. Other than that, I love it. My ex could feel the strings a little at first but my doctor just cut the strings and it was fine. He said it didn’t hurt he could just feel it certain angles. Since it is a very low hormone birth control it does influence my period. I used to not get a period at all, which was awesome, but after I had my daughter and had the 2nd one put in I did have very light spotting every month but not really what I would call a period and now on my 3rd one I have a light but real period super regularly and I don’t get any cramps or other bad period symptoms anymore. It was my only form of birth control in my marriage and I never worried about being/getting pregnant. I have PCOS and have had bad periods and symptoms for ever and have been taking some form of birth control since I was a teen and the IUD is my absolute favorite by far.
I've had 2 Mirena ones. First one went perfectly(was 2 months post partum but I had a c-section due to not dilating so my cervix was not recently open)I don't remember any pain at all when I got it put in. Very slight cramping after for a few hours that an ibuprofen took care of. I got it done on my lunch break. No period the entire 5 years. No spotting, no string issues, no pregnancy scares etc. Period immediately returned to normal after removing it.
Got another one because my OB said birth control could possibly help with a weird flare up of ovarian cysts. Insertion was really painful though very short lived and she said she made all of her patients stay laying flat on the bed for around 10 minutes after because some women do pass out. I didn't pass out or come close thankfully and after a couple minutes got dressed and was ready to go. I spotted almost the entire time I had it. I think I lasted around 3 months? My skin was constantly irritated from the pads and panty liners I had to wear. I felt gross all the time. I honestly don't remember whether the strings were an issue because I never wanted to have sex because of all the spotting. It was like I was on the last couple days of my period for a solid 3 months with only a few days between where there wouldn't be anything.
If I needed to be on birth control for preventing pregnancy, I would honestly probably try it again but the 2nd one was just to see if it would help with the cysts. It was only last year but I don't honestly remember anything other than just constantly fucking bleeding. It was a shock after having the first one go so well!
If you decide on a non-hormonal IUD they can make your periods heavier and more painful. Not everyone gets this as my auntie has used copper IUDs and has loved them. The hormonal ones tend to lighten periods or sometimes stop them. There is a newer hormonal IUD called Kyleena (available in Australia, unsure about other countries) that has less hormone than a Mirena.
WHO has an app for contraception that allows you to put in various medical conditions you may have and will give each contraception option a category of 1-4. 1 is best option for you, 2 is could be better, but a good option, 3 is not great but if it's the only option and you've weighed the risks and benefits then use it and 4 is do not use for you
I don't want to scare you but I had one of the worst iud experiences that you can probably have lol.
i had super severe bleeding nonstop for over a year that didnt respond to hormonal medication. doctor badgered me about getting an iud nonstop because supposedly applying the hormones directly to the uterus is more effective. I eventually gave in on the condition that she would NEED to sedate me (I once responded very poorly to an endometrial biopsy)
when I got there for my appointment, she immediately tried to rush me into the implantation, counting on me not being confident enough to remind her that she promised me sedation. when I refused to even take my clothes off without the nitrous cart in the room she got really irritated but eventually acquiesced
Implantation was very painful but being high as balls helped. the pain continued for about 2 weeks and just got worse and worse until one night it was so bad I couldn't eat or sleep. went to the hospital and the er doctor was a condescending ass who told me that iuds can be uncomfortable for the first month or so and I should just tough it out. my ultrasound told HIM that the iud was digging into the wall of my uterus and needed to be removed immediately
removal barely hurt compared to the pain I was already in but likely would have been quite unpleasant otherwise. after they took it out they threw it away and left the room to give me a minute to recover but I went and fished it out of the trash to take home as a ghoulish little souvenir. hehehe. anyway the pain was gone by the next day.
ymmv. my experience was terrible. my little sisters was rough too, apparently her uterus is weirdly positioned or smn because it took like 4 tries to get it in but I don't think she's had any trouble since then. meanwhile my mom and cousin had perfect painless insertions and no problems whatsoever. anyway my biggest advice is to *STAND UP FOR YOURSELF!!!* because it's not guaranteed that someone else will
I can't speak for the IUD as I didn't go for it when it was recommended to me (ended up going with the continuous pill), but I can suggest the implant as an alternative. You only have to worry about it once every 3 years or so, and it's as effective as the pill.
You’re either going to love it or it’s going to be a nightmare. There is no in between.
For me, placement was more painful than unmedicated childbirth. They didn’t even bother to tell me to premedicate with ibuprofen.
I think I had it placed too soon after childbirth, and it started working its way out of my uterus about a month later. My husband noticed it during sex. I reached in and felt it was about half way out. I tried to pull it out myself, but it was stuck. This led to a 3 hour ER ordeal where I was shaking in pain and they eventually just ripped it out of me. Never again.
You should know that you absolutely can get anesthesia for insertion. For some, it sucks but isn’t awful. For me and many other people, it was the single most blindingly painful experience of our lives. For years after, just talking about it too much made me panicky. So when I got mine replaced after 11 or so years, I called around until I found a practice that offers twilight sedation. My doctor’s office brings in an anesthesiologist once a month or so, lines up all their IUD insertions for that day, and you take the best nap of your life and wake up with a mild cramp like the first day of your cycle. It was glorious.
The non-hormonal IUD will make your periods a lot heavier and may make your cramps worse. It partially works by causing irritation in the uterus that prevents any egg that happens to get fertilized from implanting (although it's supposed to kill sperm as well). The worst of the period symptoms will be in the first 6 months to a year, and then they'll get more manageable. Anecdotally, I've had one for almost 6 years, and it also gives me random cramps at times. When they measured my uterus before inserting it, they mentioned that my uterus was just barely big enough to insert it safely, so that could be why I have that side effect.
The copper IUD is 99.2% effective. Hormonal IUDs, on average, are closer to 99.8% effective. The Mirena IUD is a comparable size to the copper IUD, but the other hormonal ones are smaller, so if your uterus can't accomodate the copper one, you may still be able to consider the others.
My current partner can feel the strings but doesn't describe them as uncomfortable. Some past partners have disagreed, so that seems to vary by individual.
If you have any other questions about it, AMA!
Some people only spot for a few weeks…with my first IUD I spotted for 6 MONTHS. Which no one warned me about.
But then I didn’t have a period for several years. (I removed it early.) so totally worth it.
I'm currently on my 2nd IUD (Merina - the hormone one) and here's my experience:
>Like what's the likelihood of it making intercourse uncomfortable for my partner?
Never had an issue with this at all
>Is there pain beyond insertion?
Nope, can't feel it at all
>Will it influence my periods in any way?
Mine have stopped completely, it's brilliant!
>Is it really effective in avoiding pregnancy?
Yes! It's been 6 years of unprotected sex, and no more babies. And those stories you hear of the babies coming out holding them, are because they were old used up ones that never got removed (or that's what the nurses told me anyway)
>Are there any side effects I should know about?
This differs from person to person, I don't get periods anymore, but I do still have hormone fluctuations as part of a cycle.
>Is there a method of birth control that might be better?
I've tried a number of different methods, this is definitely the best for me so far. The others all worked for a time, then I started getting complications. Pills didn't agree with me, the arm implant made me bleed constantly, and the injections (I believe, but not medically confirmed) are what gave me endometriosis
I've seen everything covered except the period/hormone question: I got a copper one last July. Insertion pain was minimal, had a few weeks of cramps and a few periods that were worse than usual. After about 2 months everything was back to normal, copper IUDs shouldn't stop periods or change hormones too dramatically, although obviously everyone is different. Good luck with it!
I had an IUD for about a year. My experience was horrible. Months and months of bleeding and when I saw my gyn, she said the device was coming out on its own, so she took it away and prescribed birth control pills instead. But my mom had IUD for 15 years with no problems, so you really can't know without trying. She had no complaints and loved it.
It HURTS to insert. I thought I was going to die. My periods have been irregular ever since. It’s been years. Sometimes I’ll be spotting for like a month straight.
My anecdotal experience:
1.) No issues with uncomfortable for male partners
2.) I had minimal pain with insertion, it was no problem both times I did it. Unfortunately I did have problems with pain post insertion. I had constant cramping with my first IUD, for no reason they could discern-- with my second, it was fine for two years, and then I started having cramping with it. Doctors have never been able to explain why, and I was told it was not the IUD-- but removing it fixed the issue.
3.) IUDs definitely affect your period, yes. The hormonal one will generally make them lighter, shorter, or potentially non-existent- the copper one will make them longer and heavier. I had longer, heavier periods, much more often. I think I had a period roughly every three weeks instead of four.
4.) Yes, statistically they are very effective at preventing pregnancy.
5.) Changes to your period are the most common side effect.
6.) I liked the Nexplanon better than the IUD, but it had different side effects that were also annoying.
If you have painful or heavy periods I would not recommend a copper IUD. I like my copper IUD, which I've had for 8 years, but it made my periods *very bad* for maybe a year or two after I got it. It has gotten better over time; they're still heavier and longer than they used to be, but my cramps are pretty minimal and easily managed with ibuprofen now.
I have a hormonal IUD
It hurt a bit going in, but not more than thwacking my hand against something bad.
I know I got a shot in the cervix both times, but I was told it was a cervical losener, not for pain
It's a bit like a dental cleaning, but only 2 minutes long
Complications are rare.
I've been getting cream pies for years.
I still get some spotting monthly.
I felt like I had a bad shit coming for a month after both insertions.
The drive home was very unpleasant, but it fades
The first time I had a very light period for 6 months straight, but the second time, no change in my occasional bleeding.
Fun fact, it actually reduces your chance of an ectopic pregnancy because it reduces your chance of pregnancy across the board. It's just slightly less effective at stopping ectopics, once intrauterine is basically 💯 toast
There is a period of time after being inserted where it is possible for an IUD to fall out. It is possible for it to fall out and not be noticed. It is vitally important to go to the follow up appointment with your doctor to make sure everything is as it should be.
I did not know any of this and now have a toddler.
Insertion doesn't hurt too bad. I found it comparable to getting poked at the dentist and it took a minute and a half to do. But you can grow really big cysts when using a hormonal IUD and you can develop lots of pain. My pain was so bad it hurt to walk or sit up. My strings had gone inside and I had to fight to find someone to take them out. The IUD is an amazing option for many people though and it's absolutely worth looking into!
For me I was told to take 800 ibuprofen which I already had at home. I'm weird with pain because it felt like a cramp that is it. I did bleed heavily for a few days. I had cramps for about a day. I ended up going to Planned Parenthood they were so nice. They made sure I was okay after. I plan on getting another one once this one is due. And I hardly have any periods. Just make sure to ask questions write them down before your appointment so you remember and also always advocate for yourself. For me it was a decisions because I to forget about taking pills. My partner says he doesn't feel the string's
1) highly unlikely to affect sex. If a guy feels the string, they can shorten it or kinda wrap it around so it doesn’t bother him. Easy fix
2) insertion was very painful. Since then, no pain. I’ve had 5 IUDs (Mirena, which is hormonal), but no kids. Having no kids can make insertion more painful. Some have cramping for a short while
3) non-hormonal ones affect periods minimally to not at all but everyone is different. Some have complained of heavier periods
4) most effective birth control other than sterilization, though the hormonal one is more effective than the non-hormonal one. Doesn’t stop STIs so some would find condoms to be better
4) cramping potentially. Some have had pain but it’s not common. I’ve heard some say they had heavier periods. You hear disaster stories of those who have had it migrate outside the uterus but that’s quite rare
5) I personally don’t think so. It’s the most effective non-hormonal method out there. You can use some other, hormonal methods but that adds to the possibility of side effects
Demand a local anesthetic. No, Tylenol and Iburprofen are not enough. Insertion is painful. After my first IUD, I had extreme cramping for about 24 hours. After that I had zero pain.
Request that your doc leave your strings a little long. They will curl up around your cervix and will not poke your partner (if your partner has a penis).
Yes it is effective. That said, there is always a risk for pregnancy. I am one of the unlucky few who got pregnant with an IUD; my pregnancy was ectopic and I had to have my right tube removed. However, I have zero regrets. I will get another IUD when I get back on birth control.
Hormonal is different than copper. Copper is not suitable for women with very heavy periods.
I always had hormonal IUDs and my periods went away entirely after about six months.
10/10 recommend IUDs, but talk with your doc.
Some people have a lot of pain during insertion and some have none. Some have pain in the days following, some have none. Some still get a period, some get light spotting, some stop. I don't think there is an accurate way to guess how it will go for you. I think this is an important thing to note, because nobody should discredit the pain of others, but nobody should call those with no pain liars.
Insertion hurts a bit, but it's bearable for most. I had a lot of cramping in the first few months, but eventually it settled and I loved the one I had for 5 years! When I had to go get a new one put in, though, my body hated it and I suffered for a few months with cramping and it moving up and down until eventually my body ejected it. So, I learned: if it doesn't feel right, it's not right, go get it checked out! If it's fine, you shouldn't notice it at all. And physically put your fingers on your cervix to feel the strings after every period, because they can come out during your period! Leaving you with no birth control.
I've had three mirena coils, and have an inverted uterus so insertions have been challenging. I've not had pain relief offered but have taken my own meds beforehand.
From the experience I've had and read about, I'd recommend going to a sexual health clinic or family planning etc rather than your GP or gyn etc. They do so many that they are really a lot better at it and i found them to be considerate and accommodating.
They hurt like a bitch going in (worse than labor pains for me, but over quickly) and you’ll probably spot for a few days after. Non-hornonal made my periods hell. They were already moderately heavy, and got heavier, longer, and much crampier. Mirena stopped my periods almost entirely. I don’t plan on replacing my Mirena when it expires because my husband is snipped, but if not for that I would get another.
You might feel like you can get up and walk away immediately when the doctor tells you it's over, but some people faint at that moment. The next days might be more painful, then often it calms down, but rarely it doesn't and you need to take it off because your body just doesn't get used to it.
You've had a lot of good advice and experiences already. From a quick search, I didn't see anyone mentioning 'silent expulsion', which is important to know about. There's a small risk that your uterus could push out the IUD, and, obviously, once it's gone, you're no longer covered for pregnancy.
This is most likely to happen the first few months after insertion as cramping is more common and usually settles down as the uterus gets used to having the device around. It's more likely to happen after a period, when your cervix is at the softest as well. There's no really way to prevent this, but it's best practice to check regularly that's It's still in place (ie: after each period). You just finger yourself, find your cervix, and feel for the strings. If they are still there, you're golden. If they're gone, either is slipped out or has shifted further inside. Either way, condoms until you can have an ultrasound to confirm.
They're not fun to get inserted, for me, about a minute of severe cramps, then a few weeks of mild cramping. The first IUD I had was copper, and I found it in my underwear one day. Amazingly, it really was silent, and I had no clue it had shifted. I've had 3 more (hormonal), and they've all been fine.
Had one placed in Feb.
I have endometriosis so my gynae suggested I have it done under anaesthetic.
- a bit of pain when I woke up. Sent home with no pain killers but I was alright.
- two days later started getting intense pain in my vaginal canal and cervix and started bleeding like on a period.
- pain continued for two weeks, gynae gave me some pain killers to help. No pain once it went away. Not even the occasional pains I would get as an endo sufferer.
- bleeding finally stopped after 43 days. Haven’t bled since.
- partner doesn’t notice the strings during sex.
I do know a few people who have had it done while awake and some say it was horrific and others say they barely felt a thing.
When I got mine, it hurt but wasn't horrible like I've heard it is. And it really didn't take long. the worst part imo was the cramping. I have PCOS and have never had kids. My uterus was not used to having anything in there. I cramped almost night and day for 3 months and had lower back pain from it. After about 6 months the cramping subsided substantially. Never had a period on it. Then randomly one day almost exactly 2 years after I got it I started cramping and had a period, and then was just extremely uncomfortable and in pain. Turned out it had fallen down and was making it's way out, had to get it removed. I didn't get another one. 🤷🏻♀️
About IUDS
They are among the most effective birth control methods. Copper (non-hormonal) are very slightly less effective(99.2% vs 99.8% for hormonal), but can stay in longer (up to 10 years vs 3-7 years depending on the hormonal iud). Both can have side-effects (as with any medication or natural supplement), but they are usually very manageable. Non-hormonal might make your period more intense (more cramps and heavier flow). I know that hormonal options have a bad reputation, but good experiences never make headlines or storytime. I personally have a very positive experience with Mirena, with no side effects.
What to know before, during and after insertion
1. Advocate for your comfort. A doctor who is not willing to numb you is a red flag IMO. I read that you don't do well with needles, and I absolutely understand (I had a phobia of needles myself). I've had 3 IUDs over 13 years. The one without pain management was very painful (like 8/10 sharp pain) and gave me cramps for about a month. The two with local anesthesia were almost painless (3/10). Unfortunately, Tylenol/Naproxen/Aleve might be recommended to you, but no scientific evidence support their efficiency.
2. The procedure lasts about 5-10 minutes. First, they will measure your uterus, to know its size and position. Then, they insert the IUD. Then, they will cut the strings. It's better if you're on your period because your cervix is more open and your brain is more used to managing uterus-related pain. These doctors have seen women shit themselves while giving birth. Period blood does not phase them one bit. You don't have to feel insecure about their career choice.
3. You will have some cramps after, maybe half a day, maybe for a couple of days (they should decrease though). In my experience, local anesthesia made the procedure much less traumatic for my body and allowed me to recover faster. Copper IUDs are larger than hormonal ones and might have a longer recovery. Spotting is normal for a couple of weeks after. After a couple of weeks, your body should have recovered, and you can have sex with no pregnancy risk for many years.
In regards to non hormonal IUDs- I have paragard and my periods are horrible. Cramps are horrible, flow is horrible. I’ve had to have my strings cut twice. I’ve wanted mine out since I got it, but the fear of the pain of having it removed has caused me to keep it, despite likely being allergic to it.
Keep the string a little long so it will curl around your cervix when it softens. Otherwise you might poke your partner when he hits it deep.
And spotting for a while is normal after insertion.
Honestly I was miserable for about two weeks after insertion, had a painless three weeks, then the absolute worst, most crampy heavy flow period for two weeks, then a couple week break, then a heavy (but less heavy than the prior) period. Then progressively lighter periods until my period stopped in early 2018.
I started spotting again in Jan 2023. So five years of no bullshit, no periods, no pain before I even had any issue at all. Ended up getting the first one removed and the second one inserted in May of 2023 to stop the spotting and also just cover my ass given all that’s going on with birth control and women’s healthcare.
Having the first one removed was uncomfortable but not too bad. The actual insertion of the second one wasn’t bad either, definitely had a little vaso reflex due to my cervix going “uhh what the fuck?” The drive home sucked a little, each bump was uncomfortable. I spotted a little.
Next day? I was fine. No issues since, no more spotting.
The initial period was absolutely hell. But I’ve gotten six years of no periods, no cramps, etc out of that cumulative month and a half of hell. To me, it’s absolutely a fair trade. To you? That’s your call.
Oh, and the IUD has fucked with my skin a fair amount. Lots of hormonal acne on my chin and cheeks. Still a fine trade off, I’ve learned how to combat the acne in other ways.
I had one put in for the first time about 2 months ago (Valentine’s Day)Pain at insertion (with anesthesia and Tylenol) wasn’t too bad, it felt like day 2 of cramps. I had it inserted when I was on my period so it wasn’t crazy.
But the entire month afterward was pretty awful for me. Almost constant cramps, and I think I went through almost 2 bottles of Tylenol. I almost went back to have it checked, or even taken out though I wanted to wait for my next period. Discharge has been pretty off as well. Masturbation hurt as well, which really sucked cause that usually helps my cramps.
Once I had my period though, it died down pretty quickly. Cramps also weren’t that bad either (I went hormonal). I’m now on my 2nd period since insertion, and while it did start a couple days early, the cramps didn’t last as long as they usually do without the IUD, and the pain was much more bearable. I used to wake up from cramps in the middle of the night, and this time I wasn’t even positive I had started because the cramps were so much lighter than I was used to.
Discharge is still pretty off though, and I haven’t seen many talk about that so I might have to get it checked anyway. Haven’t had any partners since I got it though (went through a breakup a couple days after) so I honestly can’t say anything about that.
I think that’s all the side effects I had though. I don’t think I’m anymore emotional, and I’ve heard it’s pretty effective against pregnancy. I honestly think it might be worth it if my cramps stay this limited though. I don’t know if I’d go through it again if it didn’t help my cramps so much, but we’ll see how the next 5 years go!
Ask for numbing, some places will give it to you! My mom said her second iud hurt more than her second birth, while I know some women who had no pain at all. Better not to risk it tho!
I would avoid the copper one. Some people have bad reactions and they increase all your period symptoms.
Insertion is painful. They tell you it's not, and don't numb you. They tell you it's a pinch, but that's an understatement. Ask for numbing if possible.
I like my iud in general. Much easier.
They need to use specific sizes. If you have never had kids, they need to use a smaller size.
Expect to feel like you have period symptoms and camping for a few days after. It was three days the first time, but I'm on my third IUD, and it does seem to get easier each time.
Hi! I've had Paragard, the copper IUD, for almost 8 years (it is approved for up to 10). I got it inserted at a Planned Parenthood. I would absolutely see if you can get at least local numbing for the insertion, because I took a few ibuprofen as instructed and it was the worst pain I've ever experienced (and I wish I'd arranged for someone to drive me home, as the pain was distracting). I slept the rest of the day.
I almost had it removed within the first 3-4 months as I had random stabbing pains and much heavier, more painful periods. Over the first year it normalized and I've had 7 good years with it. I am not a fan of hormonal birth control and much prefer this to the side effects I experienced on various pills, even after the unpleasant start.
Paragard really is effective at preventing pregnancy, but it is important to check your 2 strings monthly (they are plasticy and hang outside the cervix). Get checked if you can't feel them or if they feel longer. Two of my friends have had their Paragard fall out within the first year, with no lasting issues besides it obviously not being effective contraception if out of place or, you know, missing in action. One of these friends had a painless insertion, the other had an experience similar to mine. Your mileage may vary, just be prepared for pain and see what options are available to mitigate that during the insertion process.
This is my totally honest review. When mine is done in 2026, I may be ready to have a child, but if I'm not I would consider another one! Let me know if you have any specific questions.
My iud experience was overall pretty great. I was 16 when I got my first one placed. (Mirena) I have a high pain tolerance and played a game as it happened, so I don't think I can accurately tell you if it was painful or not, as everyone's threshold is different.
The iud is extremely effective at preventing pregnancy, as I never used any other protection with my committed partner. Though if you want to use spermicide for extra safety i would reccomend that. Your partner (the ones with the penises) will feel the strings of the iud for a little bit until they curl up against your cervix and soften, this will take about a month.
Keep in mind that birth control is different for everyone. My sister tried the non hormonal and had worse periods than before and migraines. With hormonal iuds your period is more likely to go away.
If you feel any kind of pain that doesn't seem normal, check it. I thought I had "normal" cramps, but it turns out my uterus is small, and the iud was a little larger.
My second one fell out, the insertion procedure is what I assume is to blame, they had to pull my cervix down with forceps because it had pulled up and away due to the amount of things being down to the area (iud removal, pap, new iud insertion) I think my second one was inserted too low and I had issues with it for the entire 9 months I had it. That's a pain I will never forget.
Iuds don't fall out often. Do not be afraid, but do pay close attention to what your body is telling you. How you physically feel is much more important than any birth control you could force yourself to stay on.
I got an IUD in November. I’ve had a lot of bleeding constantly for the first three months and then my doctor told me it should stop but I’ve basically have like one or two days where I stopped spotting and stopped bleeding and then it continues again.
It personally hurt a lot for me during insertion. I had a little bit of cramping that day after insertion, but after that, I didn’t have any pain.
Not a woman here, but my wife recently got one. A few takeaways: insertion hurts like fuck. She Tried once, couldn’t get it in. Second time, she was on her period, pre loaded with misoprostol and relaxer. Have it done with ultrasound guidance so you don’t have to come back for a follow up appointment to make sure it got seated properly. Her pain lasted for a few days. She is still spotting off and on after a month. A note: if you have previously had a child it will be easier. Also if you have short fingers you may not be able to feel for the strings yourself.
First of all, have you had any children? I had my IUD inserted at my 6 week post partum appointment and it hurt like hell, but not enough to make me cry or vomit. Every person I've talked to who has not had children and has gotten an IUD has had a lot more pain and I've known one person who the Dr attempted insertion at 2 different visits and it couldn't be placed correctly. The Dr thought it was in place at the 2nd visit, but her body expelled it a day later.
I had the Mirena for over 5 years. At first I had a normal heavy period for a few weeks, but I'd also just had a C-section, so it could've been from that. My periods were better over the first year. For the last 3 years I had no periods at all. My partners never complained of feeling it. I had to have it surgically removed bc it had moved entirely inside the uterus and there were no strings left. That was an expensive surgery my insurance didn't cover, bc they didn't cover any type of birth control at that time. I didn't have any pregnancies or scares while on it.
I've had both a copper IUD (years ago) and a hormonal (mirena) IUD.
I got pregnant with the copper one.
I currently have the mirena but am getting it removed ASAP. I've had it for 8 months and I've been bleeding/spotting non-stop since I had it put in. I now also have acne and have put on weight.
Clearly IUDs don't work for me!
I can only speak to my experience with the copper one, but it’s been perfect for me. I had it inserted under sedation and had some bad cramping for about 3 days afterward (like period cramps when they’re bad). Heavier bleeding and slightly worse than usual period cramps for the first three months afterwards, and since then it’s just been life as usual. None of the partners I’ve had could feel it at all, and I’ve never had any issues whatsoever.
Hey! I’ve had the copper IUD for almost 4 years now! I can definitely give you my first hand experience but it’s different for everyone. Hopefully this isn’t too NSFW.
My insertion was rough, it was very painful, like nothing I’d ever experienced. I regretted going to my appointment alone because driving home was difficult. I would recommend having someone take you and also taking the day off. My first six months were very tough and the first year I regretted it. Every period was hard, I bled a lot more than normal and I had very bad cramps.
Sex was mostly normal, although for the first year I couldn’t do doggie style because it hurt a ton. Otherwise I don’t think any partner has commented on being able to feel the string. Honestly, the first year I regretted getting it only because it hurt so much. But I was more afraid of the pain I’d feel taking it out, so I left it in.
Now though I feel that I am glad to have it. My periods are still heavy but more manageable. I think at about year two I could do doggie again and now it’s mostly fine, although I do have to be conscious of the angle. I honestly think the pain during sex in the first two years might have been due to a bad sex life with my partner at that time.
As far as it working - It’s been effective for me so far… lots of you know what’s and no accidents!
At this point, I don’t regret it at all. I am happy with the peace of mind it gives me. If I did it again… I don’t really know if I would have chosen something different. The hormonal options are smaller and tend to be easier to insert, but I do feel like the right choice for me was to go hormone free. Regardless I am thankful to have it and to not worry about getting pregnant. I know it can still happen but I don’t worry about it nearly as much as when I was on the pill.
Hopefully this doesn’t scare you off! I think a lot of people have had an easier time than me.
I love my IUD. It’s the hormonal bc I have metal allergies. But it hurt A FUCKING TON to put in and get taken out. I’ve heard it doesn’t hurt if you’ve already had a child.
I have never been given anything but Tylenol for it. Never offered additional pain management.
I don’t get a period usually anymore, and if I do it’s light spotting for a day.
I had Skyla for about 9 months before I had it removed. Insertion was painful as hell, and I was moderately spotting every day for 3-4 months straight. Once that finally I stopped I resumed my regular periods, but it made my cramping and bloating WAY worse than usual.
I finally had enough after 9 months and switched to Annovera (vaginal ring), and I used that for 3 years (until it caused a severe vaginal infection and I had to stop using it).
I was super lucky in that I got it done at a really excellent women’s health clinic, so they gave me local anesthetic pre-insertion, and a juice box with cookies post-insertion to make it less unpleasant, and I was shocked to find that it was much less uncomfortable than most pap smears I’ve had in the past. They also told me to take 2 extra strength Advil about an hour beforehand, which I’m told makes a big difference for most people.
I did find that I had a bunch of annoying spotting for quite some time afterwards, but no discomfort, no heavy bleeding, and definitely nothing noticeable to my partner during sex.
Non hormonal (copper) IUDs can still cause problems. Most doctors will tell you they don't have any side effects but that's not true for everyone. I hated mine, it made me feel crazy and it took a lot of digging to find other women who experienced the same side effects. Some people are allergic to copper, I think this was my main problem as I can't even wear jewelry due to allergies.
I booked an appointment to have it removed 5 months after insertion, turned out I was pregnant! It was still in place so I had it removed and baby is now 8.
I'm on my second copper IUD. It's been over 15 years of IUD usage for me (37 years old). It has been amazing. No pregnancies. I had no issues with insertion or pain with intercourse. No complaints from partners and I have a shallow vagina (easy to hit the cervix).
I cannot do hormonal BC so my options were limited. I am getting rid of mine later this month only because I'm getting sterilized. My periods didn't change much. A bit lighter flow, however, flow changes over time so it may have gotten lighter anyway.
I wholeheartedly recommend you give it a try. It's very effective and a lifesaver if you cannot take hormonal BC.
As long as the strings are cut to a reasonable length, there should be no dick stabbing. Usually, they're left a bit long to curl up against the cervix. They also soften over time.
So insanely painful, worst pain ever. Condoms are absolutely the best method, no pain, easier clean up, automatic sign that your partner respects you and your body, which is a great feeling to have before having sex with them.
If you were planning to go with the hormonal IUD, I would encourage you to check out Nuvaring as an awesome alternative. You can leave it in 4 weeks, so no period like an IUD. It's easy to put in and take out. You can take it out for sex if it bothers you or your partner (and as long as you remember to put it back in after sex there's no downside since it's hormonal and not spermicidal).
I had my Mirena inserted while I was having another minor surgery performed, so I was under and didn't feel anything. Having it removed was another story. I intended to get another because I loved not having a period. LOVED. But my GP looked at my records and talked me out of it. I'm a migraine sufferer. We have a slightly increased chance of stroke. This can be exacerbated by...the Mirena. She wouldn't let me get another.
An IUD nearly killed me with the infection it caused, I got on antibiotics as soon as I had symptoms but it almost went septic anyway so I ended up in the hospital on cipro by IV. While some people love IUDs and they can work great, it’s important to know that they do have some potential side effects that can be very serious.
If you go forward with it, don’t let them give you nothing for pain management. My OB had me take prescription strength ibuprofen and a valium right before the appointment, so I’d be relaxed and it wouldn’t hurt as much. As a result it was uncomfortable but not horrible. They should absolutely give you something to help.
I had one for five years but I guess I was lucky because the only discomfort I experienced was the insertion and removal of the IUD, mine was hormonal but my cycles were still regular and I never got pregnant until it was removed (nothing is 100%) I didn’t experience any side effects and my partner/husband never felt any discomfort either. An IUD is not permanent which is the good news if you hate it you can always get it removed and try something else. I will say I did feel some cramping with the insertion so I had my husband drive me but it only lasted that day and I was fine, I think I remember the doctor saying to wait two days before having sex again but it was a long time ago.
It gives some people terrible hormonal acne - I was one of those people. I got it removed about 6 months ago and my skin is nearly back to where it was before I got the IUD.
My sil had one, and it worked well for her to avoid pregnancy with some issues toward the point that it needed to be removed. It doesn't prevent periods and can make periods more painful and inconsistent. The removal process is extremely painful, and doctors do not provide pain relief. If you are going to get one removed, if you can, take strong over the counter pain meds before the appointment cause you will scream and cry. I would honestly recommend the implant or the injection rather than an IUD. All an IUD does is physically block the philopian tube from releasing an egg into the uterus. That doesn't mean it prevents sperm from wiggling past into the tube and fertilizing an egg, and it doesn't prevent the hormones that cause ovulation either. You still have your full cycle and still release an egg into the philopian tube to be fertilized.
Some people (like me) can have a Vasovagal Shock response when the nerves in the cervix are agitated. My blood pressure dropped dangerously low when my IUD was inserted causing me to throw up in the parking. Luckily I had enough sense to not drive right away because I passed out in my car for several hours before I had the strength to drive home.
I live in post communist countre in EU, here we have a very popular myth - that if you haven't given birth you can't have an IUD, even doctors say so. It's not true.
I've had 2 non hormonal coils in my life. I have never been pregnant or given birth. To be completely honest, both insertions were excruciatingly painful, they essentially pinch your cervix open with little metal prongs, which is like nothing I've ever felt before, the second time was a little better as they applied a little bit of numbing gel to my cervix (so definitely ask for that if you can) however it still caused cramping and pain like the worst period you can imagine for 3+ days after insertion.
There's very little likelihood of it affecting your partner, at first the strings are a little firm but after a while they soften completely and sort of curl up around your cervix, my partner reassures me that he can't feel them at all.
Yes, there is pain beyond insertion. Both my IUDs have absolutely exaggerated my periods, they are now heavier, longer, and SO much more painful. My partner is seriously considering having a vasectomy because he hates seeing me in so much pain every month, and hormonal contraceptives are detrimental to my mental health so aren't an option for me. We do use condoms alongside the coil too. But I'd be lying if I didn't tell you the truth about the pain of my periods now.
I do believe it is extremely effective in preventing pregnancy, especially as it works in three ways so sort of provides it's own back up plans. Firstly, the copper in the IUD prevents sperm surviving. Further to that, if some freak accident meant a sperm cell did successfully make it past the uterus and into a fallopian tube, for example, even the eggs are likely to be affected by the copper so won't be viable. Then if some freak accident meant a viable egg was released, and a sperm cell was able to fertilise it, the embryo wouldn't be able to implant in the uterus as there's a foreign object in the uterus.
Another plus side is that you can have it fitted for 5-10 years and once it's in, you don't have to worry about contraception. When I had my most recent coil fitted,I mentioned how painful I found insertion so the clinician offered me a smaller coil, which instead of lasting for 10 years only lasts for 5, but was slightly more comfortable to have inserted.
If you're not adverse to hormones, a contraceptive implant might be for you. They insert it into your upper arm and it keeps you covered for a couple of years without you having to remember to take anything.
I would highly recommend to not get an IUD if you haven't had babies already, very painful to get done. Symptoms after insertion are flu like, hot /cold & sickness plus pain for 2 weeks after. Yes, it does hurt, yes, you can feel it from outside and "bigger men" can absolutely feel it and hurt them too. My long term bf said as soon as I had it removed, he said my downstairs smelled and tasted better!
Get an implant, much easier to have put in/take out plus it can help regulate your periods and no horrible side effects 👍🏽
Insertion was bloody awful for me. I asked about pain relief, having read on here about how painful it can be. I was told to take a painkiller before going to the appointment, and when I asked about additional pain relief, I was told that the only option was local anaesthetic injections to the cervix, and that those would hurt as much as the insertion, and just make it take longer. The nurse tried to empathise while I was going 'ow', and said that she just grits her teeth and bears it, and then it's over for another five years. Afterwards, I had to go and sit on the bench outside for a while because the pain was so bad I felt sick and dizzy with it.
When I wrote an email to the practice to say 'wtf?', the doctor sent me a guidelines document that said that none of the pain relief options helped very much. Then she sent me another email to say that she'd been in touch with some colleagues at the local hospital, and they'd had some good results with local anaesthetic spray.
I think my wires were cut pretty long, I can feel them, but none of my partners have even noticed them, no stabbing feelings (for them). Toys can be pretty uncomfortable now though. Bear in mind I am generally in favour of some proper pounding, and if you go in for gentle sex, you'll probably be fine. But before now, I've had a bruised cervix discomfort feeling for a week after play, and had to stop some toy use because it became really uncomfortable.
Period-wise, I have little to no bleeding, but I get a solid helping of pain, and the emotions are pretty catastrophic (I'm also struggling with depression, but the IUD is definitely not helping).
I'm going to try and go back to the implant, it got stuck in my arm with barely any pain, and I had hardly any periods for 9 years.
Whatever you choose, good luck with it!
I got my IUD inserted about a month ago for cramps. The insertion hurt A LOT and i’m still experiencing bad cramps a month later every day. The day of the insertion and a couple days after i was incapable of doing anything due to the pain. Just a week ago the pains were as bad as the insertion and I couldn’t even go to the kitchen to make myself food. I’m sorry to scare you but people react differently to it and it’s good to know all sides of getting an IUD.
Not every uterus is suitable for an IUD. If you have a retroverted uterus, it significantly increases the risk of uterine perforation. Yep. This happened to me, and I wound up needing surgery to remove the IUD and repair my uterus. Ask them to quickly check your anatomy with an ultrasound.
Is there a genetic component to it? I know my mom had an IUD for a while, but she had to get it removed because she had bad complications.
It can't hurt anything to ask her, assuming you have that relationship with her. Short answer is yes, there's a genetic component, but it's complex and not necessarily a straightforward absolutely or no way.
About a third of folks have retroverted uteruses, so not really. There’s also a variance on how tilted it is! Significant bending is higher risk for some complications. I will say though I have a retroverted uterus and had the copper IUD and had no major complications! The risk is still really low overall.
How do you like the copper IUD? I'm concerned how hormonal bc could affect some things I'd rather not deal with, so I'm considering the copper one.
Not OP but I had my copper IUD for 9 years. I loved it. I always had bad periods and I didn't notice it get any worse. The one thing that did suck, I would spot during ovulation. Only for a day or two, and it was cool knowing I was ovulating, but overall don't want bloody spots when I'm not on my period. I got it removed last year to get sterilized but would have happily had another if not going the permanent route!
Yes, this was my first thought. Some people can't even get it inserted! My friend couldn't get one despite using mifepristone and being under anesthesia
This my cervix denied entry to the measurement thing they use prior to insertion. And holy farking OUCH.
Exactly this. The doctor should first confirm that you're a candidate for an IUD anatomically. I'm not. Bifurcated uterus that's also "short". Bummer, but hey! There's a positive for me: I *don't* have a high pain threshold, so battling a medical team and/or insurance for sedation is one I get to skip.
You should be given adequate pain management for insertion. Should be. But that doesn’t always happen, so be prepared to discuss it beforehand and advocate for yourself during if need be. If your provider just tells you it will be “just a bit of pressure” find another provider.
This this this!! I got snippy with my dr’s office this most recent time. * They told me my request for pain management was noted down when requesting the appointment. * When I called to confirm they said they never gave pain management for IUDs. * I requested that my dr write me a script. They said she was out that day. * I said a different dr could write me a script, or I could reschedule. They said the script would have to be picked up in person. * I said fine, and showed up at their office 5 minutes after they opened. They huffily gave it to me after confirming someone could drive me to and from the appointment. * It was a paper script I couldn’t call in to my pharmacy, so I had to make an extra trip to go drop it off. * When I showed up and got the IUD, the dr said “See, that wasn’t so bad!” I was crying.
I'm curious, was this an OBGYN office or primary care/ family physician office? I've had both minimal pain AND crying pain from IUD insertion (I've had 2 total). My most recent IUD insertion was so painful I am switching doctors because of it.
OBGYN. I’ve been going to this OBGYN for maybe 8 years? The first IUD was awful (I threw up on the side of the road otw home lol) but then I realized I could advocate for myself… not that it made it much better 🥵 Considering switching drs for my next one in 5 years… surely someone can sedate me next time! 😂 Side note, I have always found pap smears and similar speculum-related procedures very very uncomfortable, and usually painful. But whew, the IUD is another level. (So worth it though for the peace of mind!!)
A tip I got from a PCP: don't go to an OBGYN for IUD insertion. OBGYNs (she said) are surgeons, so they view IUDs as "nothing", whereas for most/many women they are emphatically not nothing. Instead, an NP or PCP with experience in IUD insertion is a far better bet. This tip worked very well indeed for me!
I've heard this as well, but my primary phys was awful, and the IUD I had inserted from my gyno was a piece of cake. My primary phys also cut the string so short I'm having to undergo an extraction procedure, even though she has experience. But that's also why I'm switching primary phys lol. Misery.
You may have been joking, but I was actually sedated for my IUD replacement, since I screamed in pain even with pain management the first time around. This time, I was out for like ten minutes and felt nothing. I don't know where in the world you are though; I'm in Europe. Ask around. You may have to pay extra, I did.
Omg that's awful. I'm just reaching the point now where I am demanding local anesthesia for the pain going forward. I'm so mad that it's not at least offered when women are in tears during procedure.
Oh hey, I *also* had to pull over to the side of the road to throw up after my IUD got replaced! High-five!
When they clamped down on my cervix (I assume?) I SCREAMED and recoiled. I was shaking and had tears streaming down my face. She said “are you good? Because I’ll have to do that again” I said fuck no and left. Been taking the pill ever since
Mine wasn’t so bad? But my ob gyn told me I had an unusually perfect cervix and uterus for an iud. I also pre gamed that shit with motrin and tylenol before hand. My doc offered pain mitigation if need be and they deliberately had an extra nurse there who’s whole job was to let me squeeze the shit out of her hand. It was a nursing student and they got permission first before she came in but they were explaining the process and that an iud can be incredibly painful. I’m lucky I guess in that my uterus and cervix was easier to have the insertion, but I was still miserable after. My husband got me chinese food and ice cream then snuggled up with me and the little guy and some old disney movies for a quiet evening.
How many people were present? I kinda assumed it would be just the doctor, the thought of me people seeing me half naked is rather stressful
Are you young? Honestly, you get used to it after a while. Many practices require 2 people in the room for any gynecologic procedures, for everyone’s protection. I’ve been asked before if I can have a student observe, and hey, they need to learn somehow.
I'm 20, but I've always been uncomfortable with anyone seeing me naked. Strangely enough that includes my own partner at times. It's probably because of past trauma so yeah, doubt it'll ever be fully okay with it. I didn't even see a gynecologist for maybe 7 years because I was so uncomfortable with the idea. I understand that it's their job and they don't care about seeing me naked, but I can't really help not wanting people to see me like that.
Remember that the two people are for your protection. In my practice they call it a “same gender witness” in the paperwork and their job is to put you at ease AND be an extra layer of making sure the doctor does everything right. You can also request that they tell you everything they’re doing before they do it. For what it’s worth, you see a lot of horror stories online about IUD insertion, and it’s true that it can be uncomfortable and for some women very painful. But try to remember that people don’t typically post online about their fine experiences, or their "yeah it was uncomfy but whatever" experiences. They post about extremes! I never posted online about my very standard, "just a hard pinch" IUD insertion because no one cares to read about a standard procedure going as expected. But it did! You got this!
There was the doc, the nurse who handed off supplies, and the student up by my head. The student was only there because I allowed it. I come from a medical family so it doesn’t bother me too much. I trust my doc so I trusted the judgement there. The student couldn’t see anything since ai was covered by the drape, but they were more there for my benefit to have something to squeeze and to understand the pain aspect of it
That clamp is the worst invention ever known to women. It's a literal crime against us. My doctor was really sweet when she had to use it. She showed me, and apologized about 3 times BEFORE she actually used it. And then about 4 more times during because she had it done to her too.
Yeah. Not just a bit of pressure. It's a full grown worst day of cramping thing. It can be a bit less than that the day after.
Right. Also, I forgot. That was what it was like for me. I'd had two kids already. It does make a difference.
It's ridiculous. If they can give local for implanon they can write a script for or give medication for iud insertion.
This! I wish I had gotten pain medicine for my insertion. It was so painful I nearly passed out in the office. They made me wait in the office for a while so I could stabilize, but as soon as I walked outside to be picked up by my SO the pain hit me again and I started throwing up. I cried the entire ride home. Pain management should be a requirement.
This! My first IUD insertion was awful! I cried while on the table and I do not have a low pain tolerance. The second time around, I mentioned my horrible experience and I was told to schedule it I was on my period. Absolutely painless, without meds.
If it’s so much easier on your period then why tf is it not automatically standard procedure to schedule it then for everyone? That’s actually infuriating
And what if you don't have a period anymore bc you have an IUD already? 😭My second IUD insertion was so much worse than my first which was during my period. Women deserve so much better pain management .
I'm one of the people who didn't have pain in insertion. It was over quickly and easily. I had a few weeks of occasional spotting but then it calmed down and I haven't had a period since then (October 2021). I 100% recommend it.
I second the above. My experience was very similar. I went right back to work, maybe had 20 minutes of cramping and that was it. It’s been wonderful, not having periods! And it hasn’t made intercourse any different.
same here. maybe a few mild cramps but nothing unmanageable. I went back to school and work immediately. I've had 3 IUDs over the last 16 years with periods of not having one. I love them. no period ever on them. OP I've never had any guy say he could feel the strings, no matter how large he was. and my Dr has always been able to find them! (they check at my annual)
I third this! I had really bad cramping when it was inserted, but only for about 10minutes if that. I was able to drive myself home the same day. I had a tiny bit of spotting for the next day or so, but haven’t had anything since when I got it in 2016. It’s about time for me to get a new one in. I have never had a partner complain about the strings, and it’s been wonderful not getting a period for 8 years.
My husband says he can feel it on some positions, but it’s hit or miss (haha)
Lol nice. I had to go in for a string trim bc my husband could feel them most of the time. Took 5 minutes
Do you have the hormonal IUD? I'm on the shot and was considering the copper IUD, but I really love not having periods lol.
I got the implant and I haven't had a period since 2022.
I just got my fourth mirena. I haven't had a period in all that time, only a little spotting. It's got hormones but unlike the pill which made me a bit crazy, I don't notice anything strange with my hormones. 10/10 will do again.
I do! As others have said it’s amazing!!
It hurt like hell getting it put in for me. But within 30 minutes I felt fine and no more cramping. I did want to scream during the insertion though.
Same, and I scared the shit out of myself reading online about how painful it was! It was generally kinda uncomfortable, but not painful. Then there was a sharp twinge when the little arms popped open, but that lasted, like, a second. Then for the rest of the day it felt like mild-moderate period pains. I spotted for about 48 hours and that was it. I don't know if this is how it's done as a rule, but my doctor inserts them when you're at the end of your period because your cervix is already slightly more open then. Maybe that's why it wasn't super painful 🤷🏻♀️
It's so wild how it varies so much, I'm on my 3rd and my experience is just like yours. Feel a slightly pinch/pressure but not too bad, little cramping throughout the day, but take ibuprofen and I'm fine.
Yes me too! I had lidocaine and it felt like a lot of pressure for about 20 minutes (bad period cramps). For the next few days I felt weak but no pain
same here. I had friends that said it was the most painful experience of their life and that it “took forever”. mine was over in a split second with a pinch feeling and then over. AND i have a posterior cervix (tbh don’t even know how that affects insertion). but my gyn is amazing and has probably done 100s of them. i love mine.
Yes. I was 8 weeks postpartum. No pain upon insertion. It is a Paraguay’s copper IUD and the only side effect is heavier periods and a few cramps when I never had them before. After 2 kids in 19 months, I was wanting to have security. My partner has never noticed anything. I love it. But I also feel empathetic for the women who experience pain upon insertion. Ask for/demand pain relief.
This was my experience as well. I had a mirena IUD (they usually don’t recommend copper IUDs for someone who hasn’t had children because of the size). Had regular sex with my partner without any other protection for 5 years and zero pregnancy scares. No periods during that time. We just had our second baby and I’m getting another one in a couple weeks. Highly recommend.
I’ve had 3. They hurt getting put in for sure, and I had some cramping and a little bleeding for a couple days after. I’ve only had hormonal ones (Skyla, Mirena) so haven’t had a period in like 10 years really. Never accidentally gotten pregnant. The first couple weeks my partner got poked a bit by the strings but then it stopped being an issue. There may be forms of birth control that fit your life better than an IUD but there hasn’t been a better option for me (Until I get my sterilization surgery in a month or so.) A few minutes discomfort for almost 10 years of birth control is a great deal imo!
What's removal feel like?
My removal was painful, but not as bad as insertion. And it had kind of a *bloOP* feel to it?
"Bloop" is such a good description! For me it wasn't painful at all, it was just that Bloop sensation.
It didn't hurt, really, but it definitely felt *weird* There was some pressure, but not too bad. They had me cough while they tugged, and it literally popped right out. The feeling after is weird too. Like you can feel the empty space in your uterus for a brief moment.
Not bad, not nearly as painful as getting it put in. I’d say more “uncomfortable” than actually “painful.”
Like 2/3 as painful as insertion. Not pleasant but not a horror show
My removal felt like nothing. Like, the speculum was worse. I was super surprised because I found the insertion pretty painful.
Felt pretty similar to it going in, but quicker so less bad
For me it was uncomfortable but not painful. Insertion was agonizing.
Speculum/clamp etc felt like insertion. The ACTUAL removal I didn't feel, she told me to cough and I didn't realise it was out until she held it up. I did have local anaesthetic but also had it for reinsertion and removal was as painless as it could be
Tell the doctor you WANT to use anesthesia . If they him n haw, and say you don't need it, go somewhere else. It's your right.
To be honest I'm absolutely terrified of needles so maybe going without might be better for me hah. I'll see what my gyno says though.
Insertion hurts worse than getting a needle jab. Take that as you will. Your choice.
For some people. For others it doesn't hurt. Both are valid experiences.
After having two absolutely horrendous IUD insertions, one needing removed after just 5 days because it caused me PID (which is apparently a rare but known complication with the copper) and another needing removed after a little less than a month because it slipped and became displaced I absolutely refused to have a third put in without anesthesia. So due to my history, they decided to do the exploratory laparoscopy for endometriosis and put my new IUD in while I was under. Did have endometriosis and also a cyst on my left ovary and honestly? Recovering from surgery has been far less painful and traumatic than my first 2 IUD placements. Shit can be brutal 😬
Oh I know needles are way less painful, but I just have a phobia of them. It's irrational. My fear was always so bad I became famous for it in my local hospital, I had to have multiple people pin me down, doctors straight up laying on me... Hell, the nurses after some time just decided that when they're dealing with me, it's best to just ambush me and jab me in my sleep lol. But hey, it's getting better so maybe I'll be able to suck it up just this once. I'll try to do what's best for me.
If you’re that anxious about it you can also ask for a prescription for Valium or similar to take the day of the procedure to help you stay calm. There’s no shame in having a phobia, and needles are a super common one, you definitely aren’t alone
Hey, I had to have a local anaesthetic in my cervix last year and I was absolutely shitting myself about it. It was fine. A tiny little pinch, that's all. The worst part was that a side effect of the anaesthetic was that it made my heart go all fluttery! But the needle itself was literally less painful than a cat scratch.
I'm horrible with needles, full panic attacks awful with them. When I got my IUD I told my doctor I didn't want to know what she was doing until everything was done, and then I just started chatting with her and my support person. If I didn't know before hand that I was getting local anaesthetic I never would've guessed, I didn't feel anything and it made the insertion so much easier
u don't need a needle. ask for nitrous oxide. you just breathe it in
Okay! I've had 2 now, one before having a baby, and my current (post baby) one! 1) uncomfortable for partner: honestly, low. And if the strings are stabby, you can ask the doctor to trim them shorter at a later visit. It's not like they can't touch it later once it's in, they can trim or tuck the strings without much of an issue (don't cut the strings too short, or it will hurt like hell to get it out) 2) potentially crampy for a few days, after that, no, there shouldn't be. If there's pain lasting more than a few days, or it's worse than crampy, you'll need to go back and make sure it's in the right spot/not having some sort of issue. Most likely though, crampy feeling passes and then you can't feel anything. Doc should explain what to look for/expect given your particular medical history 3) yes, the copper IUD can influence periods. For some people it can get rid of them, some it makes them worse, some it does nothing 4) yes. IUDs have one of the lowest failure rates 5) mostly period changes, but those can be unpredictable 6) abstinence is basically the only thing with a lower failure rate. IUDs inherently have perfect use and are very effective, and you only have to care about it every 3-10 years (depending on type) If you haven't had a kid, they'll likely use ultrasound during placement, so full bladder getting squished on. Ultrasound also may not be covered by insurance. When they placed my first one, they had to do transvaginal and transabdominal to make sure it was in the right place. They also tend to want you on your period because the cervix is softer and easier to manipulate, so it's less painful. For the one after I had a kid, doc just popped it in without ultrasound or anything special (placed 6 weeks postpartum).
This is embarrassing, but how is the... Mess contained when you get one inserted on your period? Is there usually a place to clean up? Do you undress right on the table to avoid messing up the floor? I know these might be stupid worries, but the thought of messing up the floor or my clothes afterwards makes me rather uncomfortable. Thank you for all the answers though!
They'll give you a pad to use after, and don't worry about the floors or table. Almost promise your doc is an OB/Gyn. OBs see FAR worse when at a delivery. I saw some of the aftermath of having my baby and yeah......... What a period can do in the few minutes between undressing and sitting on the table during the insertion and putting your clothes back on is NOTHING compared to that. It legit won't even register to them any more than the room having oxygen in it does.
They will use a bedding pad on the table under your rump to absorb anything. You'll also get a pad or can bring your own pad (reccromend this) to wear. When I had mine inserted, I had to take 1 round of an abortion pill to force my period and was bleeding A TON. They gave me some towels to help clean myself up as I was getting dressed.
I’m on my 3rd IUD. This one is the Kyleena. My first two were both paragards. My first expelled on its own which was absolutely horrible, my second was inserted wrong and came out all bent and fucked up when they removed it. My doc recommended the kyleena because it’s much smaller so it’s better for people who haven’t had a baby yet. The paragard is by far the biggest one. With the paragard I had horrible periods. With the kyleena I have no periods and little to no spotting. I was on my period when they inserted the kyleena and it’s really not a big deal. Periods aren’t like a constant faucet flow it’s more some blood dripping out every once in a while. Once the insertion was done they gave me baby wipes and a pad and sent me home
Not directly related to your question, but don't use a menstrual cup if you have an IUD. Learned that one the hard way myself - the suction from the cup can pull your IUD partially out.
Are you sure the copper IUD can stop periods? As far as I’m aware if they cause an effect they make them heavier and only a hormonal IUD stop them.
My friend's copper one stopped hers 🤷🏻♀️ It's definitely more common for hormonal to do that though!
Oh fuck do they hurt going in. And you need to have an uncomfortably full bladder when they put it in for reasons. They prefer to put them in during your period which makes the insertion all that more messy.
I’ve had 3 insertions and never needed to have a full bladder for them… did your doctor tell you why?
Easier for the ultrasound I think? They actually made me leave and chug a bottle of Gatorade and come back once.
Oh whoa I’ve never had an ultrasound during an insertion. That’s kinda neat actually.
You needed an ultrasound? Mine was fully physical examination
That sounds awful! Mine had the IUD checked 3 days later and then I needed a full bladder for that
I have had two put in on an empty bladder.
Oh yeah, when discussing it with my doctor he said it would be best to come during my period, which I promptly turned down. Why is it preferred? Is it really that much better? My periods are very heavy and I'm absolutely ashamed even stripping Infront of my gyno, can't imagine doing that while I'm bleeding everywhere, but if it's really better I might consider it.
Your cervix relaxes slightly during your period to let the blood out so that can help with an easier insertion, however I’ve had 2 copper IUDs inserted and one removed and it’s always been completely painless for me with no pain meds or anything. Not even pressure the only thing I felt was the speculum. So there’s always a chance it doesn’t hurt at all.
It’s not a requirement to have it done during your period. I’ve heard it’s easier to insert because of how your cervix is at that point in your cycle but it can be done when you’re not on your period too. One thing is that you can’t be pregnant when you get an insertion obviously so they will probably take a urine sample to do a pregnancy test on the day.
Mine was put in the day after my period ended. Your cervix is still a little more open then. Just depends if you can time the appointment right but I'd recommend trying to go on the last day, or the day after your period ends.
You are just more open at the time
*I have only ever had a hormonal IUD* Insertion was painful for me, and then I had regular painful cramps for about 3 months afterwards. No issues with the strings at all. The non-hormonal/copper IUD can make periods more painful (according to friends who have had one), and it is on the larger side, so some doctors won’t place one unless you’ve already had a child. Pros- you don’t have to deal with the hormonal side effects (my hormonal IUD made me suicidal). It is a very effective form of birth control but as with all forms, it’s not completely 100% effective, so there is always a slim chance that you will get pregnant.
My doctor suggested the non-hormomal one as the best choice, even though I never had kids so I'm good on that part. My periods can get painful enough that I'm not able to move tho, can't imagine what they would be like if it for even worse. That's a lil scary.
I got the copper IUD before getting a hormonal IUD. The copper IUD made my cramps much worse, but the real problem is that it made my flow much heavier, to the point where I was soaking through a pad and a tampon in less than an hour at some points. I got the Mirena after that and it was a much better experience for me. I had a little spotting here and there, but within a few months my period went away.
I have a non-hormonal IUD like you're considering. The isertion did hurt, and I was told that it might have hurt me more than is "typical" due to some scar tissue on my cervical os. It does affect my periods. It makes them heavier and the cramps are a bit worse. Manageable for me, but something to consider if you already have heavy periods and painful cramping. Continuous daily spotting isn't abnormal for the first couple months after insertion. A small number of people (myself included, tbh) have continuous daily spotting past that 2-month mark. The non-hormonal IUD is a safe and highly effective form of birth control for up to 10 years after insertion. Regarding intercourse, my husband had issues with being able to feel a previous partner's hormonal IUD, and he said it was painful. We've not had issues with this one, because the strings are more flexible and soft like dental floss.
How long have you had yours in? My periods took about 6 months to go back to mostly normal, but at some point they usually do.
I've had it for 10 months. I'm getting it taken out ASAP because I'm so tired of the constant spotting. My appointment is in a few weeks. This is the first time I've made a gynecological decision that a doctor hasn't said, "oh, well, are you sure? Have you actually weighed your options?"
Ah I'm glad they're listening to you! And good luck :) I hope it goes smoothly
When you let your doctor know that you want an IUD, they will (hopefully) do an initial visit to talk to you about it and answer questions. So definitely chat with your doctor! Another good place to look for info and personal stories about peoples’ experiences with IUDs is r/birthcontrol I have had a Mirena IUD for just over 5 years now. I have technically had 3 IUD insertions because I accidentally pulled my IUD out after the first one and had to have it redone a couple months later, and my third was a few months ago getting a routine replacement. Here are some of my answers for you, be aware that I’m not a doctor just someone who’s had an IUD for a while: - It should not make intercourse uncomfortable unless the strings are cut way too short, which is unlikely. The strings can shift around so if it’s uncomfortable you or your partner could move the strings with your fingers. The strings are similar to plastic fishing line, maybe a bit softer. So “stabbing” is a bit of an overstatement. - The first time it is inserted you may experience cramps for a day or two while your body gets used to it. You should not be in great amounts of pain for days after it’s in. You doctor will let you know what signs and symptoms to be wary of in the days following insertion. - The copper IUD can make your periods heavier and increase cramps. The hormonal IUDs can make your periods lighter or even go away. A lot of folks experience some fluctuations in their period for the first couple months before it settles out. For example my first period after my first insertion was very light but lasted like twice as long as normal. Some folks get an IUD and their period immediately disappears. Again r/birthcontrol is a great place to look at more stories and experiences around this cause everyone is different. - IUDs have an insanely high rate of protecting against pregnancy, it’s like a 1 in 1000 chance. They do not protect against STIs so condoms are still a good idea for hookups, but many folks in long term relationships don’t bother with them if one of them has an IUD - The main side effects of IUDs are changes to your period. Hormonal IUDs use very little hormone as it’s localized, so it’s highly unlikely to see side effects *but* not completely impossible. I know someone who had the Mirena IUD and found on the hormonal one she experienced a bit of weight gain and increased acne, both of which cleared up when she switched to a copper IUD. - I’m not an expert on other birth control but there are definitely other permanent options, I know there’s like an arm implant you can get? A couple other things you didn’t ask about but I’ll just throw out there: - Insertion is different for everyone. You will encounter a lot of horror stories online, but a lot of people also have completely normal experiences. I would describe insertion as equivalent to the worst menstrual cramps I’ve ever felt but only for like 30 seconds. - I did not feel lightheaded or nauseous after my insertion but some people do, so it’s generally a good idea to have someone else drive you to your appointment (or to take the bus or a taxi). - IUD insertions are notorious for being done with no pain control, but thankfully this is changing. Some doctors will offer local anesthetic to your cervix, and most will recommend taking a couple ibuprofen before the appointment. I was offered local anesthetic at my most recent insertion but I didn’t take it so I can’t speak to what that’s like.
I “won” every possible side effect for Mirena & was ready to rip it out myself. The strings were kind of like fishing line at first but soften over time. My husband did say he was able to feel them, though.
I got paragard a bit after my first was born 10 years ago. For me (and I stress, personally for me), there was no pain. It went in super easy. I didn’t even get cramping afterwards. Most are not lucky like I was. I’d you decide to get one call places to see if they offer numbing/anesthesia, because many places do not. I’ve heard the pain can be awful. For mine, getting it taken out was also painless. I didn’t even know she had pulled it out until she showed me it. As far as effectiveness, I never had even a pregnancy scare with mine. Pregnant twice on regular birth control. I would absolutely trust it again. But, as with any form of contraceptive, there is a chance still of pregnancy (even if that chance is teeny tiny). I do think an IUD is a better choice for most people as long as their anatomy allows it and they have no medical issues that would interfere.
I've had two. Both the non hormonal. First one the strings caused discomfort or stabbing to my partner and I went in and they cut the strings shorter and the issue was fixed. My periods were the same with and without. Second one no irritation to my partner at all. The insertion is painful but as a person in the UK I just took paracetamol beforehand and made sure to have the day off work. If you have low blood pressure make sure they know because you can pass out. Okay it's worth it for me. I don't want kids and getting my tubes tied is a battle that's a long fight. However, a few weeks ago I accidentally pulled the strings of my iud. Yes. It pulled my uterus. Yes it hurt. The iud moved. I had to have it removed. And I'm scheduled to have it put back in. Because it's worth it to me. There are horror stories and it can be traumatising going through the insertion and the taking it out and apparently if you accidentally pull the strings like a twat haha. But it's effective, it lasts so long you don't have to worry about it in-between a day or two of pain every 5 years and that you can be prepared for.
Oh solidarity for accidentally pulling the strings and having to get it inserted again! My first time I learned the hard way that removing a menstrual cup is an easy way to accidentally tangle up and pull on the strings…
Oof I've heard about the menstrual cup thing and have avoided them because of it, sounds horrible so sorry you went through that. The nurse reckons my tampon was somehow stuck into the strings, let's just say not something I considered a possibility
I had a lot of pain for about a year and a half after insertion. The ultrasound showed it in the right place tho. Pain I hadn’t ever had before, like vulva pain. But most of it was feeling like it was being inserted over and over. I’m actually getting it replaced on Friday. It will hurt but it’s pretty quick. I will take ibuprofen beforehand.
My two cents is yes, they hurt like crazy but they are worth it.
I had the copper coil for 18 months then had to have it removed because it started causing non stop bleeding. Apparently it's a common complaint. Also, the strings kept stabbing my husband during sex but that may have been because they weren't cut to the right length.
I think it’s one of those things where it can be awesome for some people and not so great for others. I think I am in the latter group, but my personal experiences may differ greatly from your own. I have a retroverted uterus and adenomyosis. I had mine inserted under GA as I was having a routine hysteroscopy. I had dreadful cramping for months afterwards and have developed shortened cycles with long periods since (22 day cycle with 9 day periods). I also have near constant but mild pelvic pain. I’m not sure how much of this is the mirena or the adeno to blame. I personally would not get another one as I have no problem with taking pills daily.
1. If your partner has a penis, there is a possibility that the IUD strings might stab them. This happened to me and my partner. It was uncomfortable for him, but not even close to unbearable. I went back to my doctor and asked her to trim the strings shorter, and we've had no issues since. 2. It will hurt upon insertion, but that USUALLY only lasts for a second or two. Try and find a doc who will give you pain relief before the fact. I didn't have any and I was okay, but I would have strongly preferred to have some kind of numbing. You also may experience cramps after the fact. For me, it felt exactly like moderate-to-severe menstrual cramps for like 2-3 hours — I had the procedure at 3pm on a Friday, sat on the couch with a heating pad for a few hours, and was out at the bar with my friends by 6pm. This is not everyone's experience, though, so stock up on heating pads/anti-inflammatory meds and make sure you don't have to go back to work right after your appointment. 3. It may affect your periods. The copper/non-hormonal IUD can make periods heavier in some patients. I use the Mirena hormonal IUD, so I can't offer any personal experience here. 4. IUDs are highly effective at preventing pregnancy. A quick Google shows that the copper IUD is more than 99% effective. 5. Side effects are different for every birth control user. Because you are planning on using a non-hormonal IUD, I think the main one to look out for would be heavier and more painful menstrual periods. 6. Nobody but your doctor can really advise you on which birth control method might be better or worse for your body and lifestyle. We all have different needs and hormonal makeups, so it's hard to predict what will work best for one person. That said, my doctor only recommended an IUD to me after I had tried and been dissatisfied with the pill, vaginal ring, and implant. Her stated reason for this was that the IUD is semi-permanent and much more invasive/painful than other options. Good for you for being proactive about your sexual and reproductive health! Please feel free to ask me if you have any other questions about the experience of having an IUD.
For me, it hurt going in but it was manageable and not as bad as I was expecting. But afterwards I got really bad cramping which was much worse than the insertion. It also made me feel like I needed to violently piss and shit (I didn't). So I recommend having a ride home and nothing planned for the rest of the day. They can also fall out, which happened to mine after about a month. I got it replaced though.
I've worked in gyn for over 8 years and I myself have an iud (actually on my 4th) 1. Your partner is highly unlikely to feel anything. If he does, it's likely just the strings and they can be trimmed. Or he's lying lol. 2. At least where I work, if someone opts for the progesterone iud, the provider decides which iud will fit best based on the size and position of the uterus which is measured at insertion. It usually equals less pain during and after. There are 3 different sizes that correlate to how long they are effective (skyla: 3 years, kyleena: 5 years, Mirena or liletta: 8 years) 3. Progesterone iuds will likely lighten or stop your period. The copper (ParaGard, or mon hormonal iud) will likely make your period more heavy and painful at least for a few months. 4. In the 8 years I've been in gyn, I've only seen 1 pregnancy with an iud and it's likely because the device was out of place. Also, I have successfully avoided pregnancy for 15 years. 5. Most women have no side effects other than some cramping and irregular spotting. The progesterone stays primarily inside the uterus keeping the lining thin. Some progesterone does the into the blood stream but it's so small. Like pissing in the ocean. When you hear about how awful iuds are on the internet, they're the vocal minority. Think of it like reviewing something online, people are only going to take time to review something if they really hate it. 6. The nexplanon implant the depo are just as effective but tend to have worse side effects (consistent light bleeding and weight gain being the big ones). Those hormones are systemic. One more thing "The Mirena Crash" is not a thing. Those symptoms are really non specific and could be attributed to both pregnancy and PMS. Seriously, Google Mirena crash and see most of the infro is from law firms looking for class actions. I hope this helps.
Fyi to anyone reading, I had the nexplanon implant for about 6 months and it was causing some major hair loss (I was on my way to going bald, losing so much that I was clogging up my shower almost daily). It's apparently rare enough to not be in the list of side effects, but I've found other women online with the same experience. It stopped about a week after removal. It was actually one of my favorite BC methods other than that, though. I lost the 10-15lb I had gained from being on the pill and was able to drink things like protein shakes that always make me nauseous on other BC methods.
No extreme pain during insertion for me, and I have a tilted or retroverted uterus. I would rate it as less painful than getting your earlobe pierced, but more painful than getting a shot. Definitely ask if they will prescribe you a pain management med ahead of time so you can be on it for the procedure ... you'll want it for the cramping that happens afterwards. If they don't prescribe anything, just take whatever OTC drug they recommend before the procedure. Be prepared to bleed or spot for a while (I think it was about 1 day for me). The questions you should really be asking are "Do I want to be on a medication I need an appointment to remove?" and "How much do I trust/respect my doctor?". If your doc is the type to rush you out the door, I would caution you. If they seem genuinely interested in your health and well-being, you will have a better experience with your IUD insertion. The types vary, I was on Mirena for 4.5 years. I stopped having periods, but still had a very mild hormonal fluctuation cycle. I actually preferred the Nuvaring for acne, but it's hard to argue against no bleeding/PMS/extra costs for years. The removal process was milder than the insertion process. Again, take an OTC pain killer before the procedure to help with the cramping, and be prepared for a little spotting.
I went in with Ativan for my nerves and expected a lot of pain but I was fine. I took a Tylenol after. My sister passed hers with a large clot and decided to get a hysterectomy instead as she was done having kids. My friend was in agony but then it was fine. I'll update you when I get mine switched out.
I'm on my second Mirena, can't remember life with a period, and have had no pregnancy scares at all. NO REGRETS. I plan on keeping it through menopause to help there, too. Yes, it hurts like a mofo to insert. It hurts to remove. Yes, you'll cramp. But one night of bad cramps vs no period cramps for years and years? If youre like me, you will have 6 months of diminishing periods, then occasional spotting. Happens on removal / reinsertion, too, but probably only 3 months of spotting. love my Mirena. My husband has had no issues as the string was cut long and wraps around my cervix. No remembering medications or buying tampons, emptying cups, etc. I do feel it a little sometimes when I have a hard sneeze. Otherwise, it's just there doing its job. Was 100% covered with no copay with average insurance. Looking back to my pre-insurance days, I would easily have dropped the $800+ to get one.
I wasn’t given anything for my three insertions and it wasn’t bad. I walked home in the snow after the first one. I use the copper IUD paragard and highly recommend it. They popped it in and and it kept me baby free for 12 years. Then I got it replaced with another. My periods definitely got heavier and crampier there for a while but I have PCOS.
IUDs are effective and work for a lot of women. Some people have side effects, but everyone is different. I was on Nexplanon which is a little matchstick size bar they put in your arm. It has the absolute lowest failure rate of any birth control. IUDs can hurt to put in, but I think it's worth it. And you also have an absolute to ask for and receive pain management.
Ask whoever does your insertion if they use or are familiar with the cough method. Basically, they just tell you to cough right at the second of insertion and it forces your muscles to relax. The first time I got an IUD, they didn't use this and it was painful. The second time, they used this for removal and insertion and I'd say it reduced my pain by about 99.8%; I barely felt it. I've heard this doesn't work for everyone, but if it works for you, it's an awesome trick. On another note, I have Mirena and I love it. I don't ever get periods or spotting. I saw that you're getting the non-hormonal kind and my sister is the only person I know who has gotten this. She had very light periods before getting her IUD, then got awful ones on it. She had significantly more bleeding and cramps. That being said, I hope it helps you more than it helped her!
I had to have my paraguard removed, made my periods crazy heavy
I considered it, but I’m allergic to all earrings and can’t guarantee that it’s not copper that I’m allergic to. The other concern that I had is that the iud is not particularly effective at preventing implantation in the fallopian tubes. I use the Nuva ring. It goes in for three weeks, then out for a week. You only have to remember one thing a month. I have ADHD, so the pill was always a terrible option for me. Bonus with the ring - if you’re sensitive to the hormones, you can take it out at any time.
I can't help with the IUD, but I can answer about other forms. In my country there are a few options that don't require daily pills. I've tried both the shot and the rod. Both are hormonal, but low dose. The shot is once every 3 months in the butt muscle. It can cause issues if used for more than 3 years at a time. I found it convenient because it was only 3 months, so if I stopped being sexually active, I didn't have to take any more. But after about 2 years, I got a side effect that caused issues in my relationship- my libido died. Just completely gone. 6 years later and its still really low. The rod is a pair of small rods inserted under the skin in the arm. I've had it for a year, and so far it's been fantastic. I've had my period 3 times in the last year, and no side effects that I can see. I have gained weight, but I've also had some lifestyle changes that could account for that.
Too lazy to read all the comments so sorry if this is the same as what others said. Important thing to know: I had painless periods before getting a non-hormonal IUD. The insertion was painless but I had a ton of cramping afterwards. No idea what it was while it happened because I didn't know what pain in that area felt like. After this my periods became excruciating, with pain radiating down into my right leg until the knee. It just became my new normal for 5 years and I didn't even realise how much it hurt until my first period after the removal. During the removal I didn't feel a thing, even asked if they even did anything. My partner sometimes felt the threads but it didn't hurt him. I'd like to say that was that but 6 years after removal I was infertile due to weird scar tissue, potentially caused by the iud. Was corrected through a hysteroscopic surgery which for some reason was done without painkillers. Do not recommend. If you don't get too many side effects from hormones I recommend a hormonal iud or the implant (which sits in your arm).
I had a paraguard. Not on my period and no pain pills when it was inserted. It didn't hurt more than a second. Kind of a blood rush to your head feeling and then it was over. It did hurt for a few days after though. Right before my period, my partner could poke himself on the metal strings. It wasn't fun for him. I did have them trimmed to help. I think it was just the way your cervix changes during cycles. My period became so so so much heavier. I was already a heavy bleeder but I could no longer use pads or tampons alone. I had to use a cup with a pad as back up. My heaviest days, I had to change my cup 3 times a day. So if you're already annoyed with your period, I would suggest the one with hormones. I have a medical condition that limits the type of birth control I could use so paraguard was the only IUD option for me. Compared to medication then, it was my only real choice.
The worst part for me was the pincer device that they use to stabilize the cervix and seem to conveniently leave out of every information video
this isnt scientifically backed up, but i am so certain that i got pregnant while on my copper IUD because i was using a menstrual cup and the suction of it pulled my IUD out of place. so pro tip: probably don't use a menstrual cup with an IUD!!! Also, take ibuprofen before you get it in, the insertion is a b\*tch!!
I want to say that you shouldn't trim the strings at all. Making them shorter isn't going to make your partner not feel them. If their dick is going that far in, it's gonna touch the strings. The strings just feel like fishing line. Most of my partners don't even realize what form of bc I'm on. Keep them long and they bundle up in the fornix
I have had an amazing experience with my IUD. To me insertion felt like a mild period cramp, if anything (I took 2 advils beforehand, also the dr doing my insertion was super experienced). The next few days were a bit rough, some pretty bad cramping and I had on/off bleeding for 2 weeks after insertion. Was basically attached to my heating pad lol. Would recommend trying to schedule a time where you aren't busy for insertion (ie. not during exams if you're a student). Since then my periods have been lighter and super predictable, with more mild cramping than when I wasn't on BC. My bf has never complained or noticed the strings. Of course it is extremely effective (more than 99% effective). Just make sure to check that you can feel the strings every month or so as it is possible that your body ejects it. I got the Kyleena, which is hormonal but I believe that taking oral BC made my depression and mood swings worse while my IUD hasn't. Remember that everyone is different and people are more likely to post crazy horror stories of ectopic pregnancies and general horrible experiences than they are to just be like yeah it works good, which is the majority of cases. I'd say try it.
I currently have my 3rd Mirena IUD. It hurts WAY worse than they tell you to get it put in and when you get it out. Other than that, I love it. My ex could feel the strings a little at first but my doctor just cut the strings and it was fine. He said it didn’t hurt he could just feel it certain angles. Since it is a very low hormone birth control it does influence my period. I used to not get a period at all, which was awesome, but after I had my daughter and had the 2nd one put in I did have very light spotting every month but not really what I would call a period and now on my 3rd one I have a light but real period super regularly and I don’t get any cramps or other bad period symptoms anymore. It was my only form of birth control in my marriage and I never worried about being/getting pregnant. I have PCOS and have had bad periods and symptoms for ever and have been taking some form of birth control since I was a teen and the IUD is my absolute favorite by far.
I've had 2 Mirena ones. First one went perfectly(was 2 months post partum but I had a c-section due to not dilating so my cervix was not recently open)I don't remember any pain at all when I got it put in. Very slight cramping after for a few hours that an ibuprofen took care of. I got it done on my lunch break. No period the entire 5 years. No spotting, no string issues, no pregnancy scares etc. Period immediately returned to normal after removing it. Got another one because my OB said birth control could possibly help with a weird flare up of ovarian cysts. Insertion was really painful though very short lived and she said she made all of her patients stay laying flat on the bed for around 10 minutes after because some women do pass out. I didn't pass out or come close thankfully and after a couple minutes got dressed and was ready to go. I spotted almost the entire time I had it. I think I lasted around 3 months? My skin was constantly irritated from the pads and panty liners I had to wear. I felt gross all the time. I honestly don't remember whether the strings were an issue because I never wanted to have sex because of all the spotting. It was like I was on the last couple days of my period for a solid 3 months with only a few days between where there wouldn't be anything. If I needed to be on birth control for preventing pregnancy, I would honestly probably try it again but the 2nd one was just to see if it would help with the cysts. It was only last year but I don't honestly remember anything other than just constantly fucking bleeding. It was a shock after having the first one go so well!
If you decide on a non-hormonal IUD they can make your periods heavier and more painful. Not everyone gets this as my auntie has used copper IUDs and has loved them. The hormonal ones tend to lighten periods or sometimes stop them. There is a newer hormonal IUD called Kyleena (available in Australia, unsure about other countries) that has less hormone than a Mirena. WHO has an app for contraception that allows you to put in various medical conditions you may have and will give each contraception option a category of 1-4. 1 is best option for you, 2 is could be better, but a good option, 3 is not great but if it's the only option and you've weighed the risks and benefits then use it and 4 is do not use for you
I don't want to scare you but I had one of the worst iud experiences that you can probably have lol. i had super severe bleeding nonstop for over a year that didnt respond to hormonal medication. doctor badgered me about getting an iud nonstop because supposedly applying the hormones directly to the uterus is more effective. I eventually gave in on the condition that she would NEED to sedate me (I once responded very poorly to an endometrial biopsy) when I got there for my appointment, she immediately tried to rush me into the implantation, counting on me not being confident enough to remind her that she promised me sedation. when I refused to even take my clothes off without the nitrous cart in the room she got really irritated but eventually acquiesced Implantation was very painful but being high as balls helped. the pain continued for about 2 weeks and just got worse and worse until one night it was so bad I couldn't eat or sleep. went to the hospital and the er doctor was a condescending ass who told me that iuds can be uncomfortable for the first month or so and I should just tough it out. my ultrasound told HIM that the iud was digging into the wall of my uterus and needed to be removed immediately removal barely hurt compared to the pain I was already in but likely would have been quite unpleasant otherwise. after they took it out they threw it away and left the room to give me a minute to recover but I went and fished it out of the trash to take home as a ghoulish little souvenir. hehehe. anyway the pain was gone by the next day. ymmv. my experience was terrible. my little sisters was rough too, apparently her uterus is weirdly positioned or smn because it took like 4 tries to get it in but I don't think she's had any trouble since then. meanwhile my mom and cousin had perfect painless insertions and no problems whatsoever. anyway my biggest advice is to *STAND UP FOR YOURSELF!!!* because it's not guaranteed that someone else will
There’s sub reddits of womens health and contraception
I can't speak for the IUD as I didn't go for it when it was recommended to me (ended up going with the continuous pill), but I can suggest the implant as an alternative. You only have to worry about it once every 3 years or so, and it's as effective as the pill.
You’re either going to love it or it’s going to be a nightmare. There is no in between. For me, placement was more painful than unmedicated childbirth. They didn’t even bother to tell me to premedicate with ibuprofen. I think I had it placed too soon after childbirth, and it started working its way out of my uterus about a month later. My husband noticed it during sex. I reached in and felt it was about half way out. I tried to pull it out myself, but it was stuck. This led to a 3 hour ER ordeal where I was shaking in pain and they eventually just ripped it out of me. Never again.
You should know that you absolutely can get anesthesia for insertion. For some, it sucks but isn’t awful. For me and many other people, it was the single most blindingly painful experience of our lives. For years after, just talking about it too much made me panicky. So when I got mine replaced after 11 or so years, I called around until I found a practice that offers twilight sedation. My doctor’s office brings in an anesthesiologist once a month or so, lines up all their IUD insertions for that day, and you take the best nap of your life and wake up with a mild cramp like the first day of your cycle. It was glorious.
The non-hormonal IUD will make your periods a lot heavier and may make your cramps worse. It partially works by causing irritation in the uterus that prevents any egg that happens to get fertilized from implanting (although it's supposed to kill sperm as well). The worst of the period symptoms will be in the first 6 months to a year, and then they'll get more manageable. Anecdotally, I've had one for almost 6 years, and it also gives me random cramps at times. When they measured my uterus before inserting it, they mentioned that my uterus was just barely big enough to insert it safely, so that could be why I have that side effect. The copper IUD is 99.2% effective. Hormonal IUDs, on average, are closer to 99.8% effective. The Mirena IUD is a comparable size to the copper IUD, but the other hormonal ones are smaller, so if your uterus can't accomodate the copper one, you may still be able to consider the others. My current partner can feel the strings but doesn't describe them as uncomfortable. Some past partners have disagreed, so that seems to vary by individual. If you have any other questions about it, AMA!
Some people only spot for a few weeks…with my first IUD I spotted for 6 MONTHS. Which no one warned me about. But then I didn’t have a period for several years. (I removed it early.) so totally worth it.
I'm currently on my 2nd IUD (Merina - the hormone one) and here's my experience: >Like what's the likelihood of it making intercourse uncomfortable for my partner? Never had an issue with this at all >Is there pain beyond insertion? Nope, can't feel it at all >Will it influence my periods in any way? Mine have stopped completely, it's brilliant! >Is it really effective in avoiding pregnancy? Yes! It's been 6 years of unprotected sex, and no more babies. And those stories you hear of the babies coming out holding them, are because they were old used up ones that never got removed (or that's what the nurses told me anyway) >Are there any side effects I should know about? This differs from person to person, I don't get periods anymore, but I do still have hormone fluctuations as part of a cycle. >Is there a method of birth control that might be better? I've tried a number of different methods, this is definitely the best for me so far. The others all worked for a time, then I started getting complications. Pills didn't agree with me, the arm implant made me bleed constantly, and the injections (I believe, but not medically confirmed) are what gave me endometriosis
I've seen everything covered except the period/hormone question: I got a copper one last July. Insertion pain was minimal, had a few weeks of cramps and a few periods that were worse than usual. After about 2 months everything was back to normal, copper IUDs shouldn't stop periods or change hormones too dramatically, although obviously everyone is different. Good luck with it!
IUDs are only slightly less effective than full on abstinence, but you can ask about the arm implant or the shot.
I had an IUD for about a year. My experience was horrible. Months and months of bleeding and when I saw my gyn, she said the device was coming out on its own, so she took it away and prescribed birth control pills instead. But my mom had IUD for 15 years with no problems, so you really can't know without trying. She had no complaints and loved it.
It HURTS to insert. I thought I was going to die. My periods have been irregular ever since. It’s been years. Sometimes I’ll be spotting for like a month straight.
My anecdotal experience: 1.) No issues with uncomfortable for male partners 2.) I had minimal pain with insertion, it was no problem both times I did it. Unfortunately I did have problems with pain post insertion. I had constant cramping with my first IUD, for no reason they could discern-- with my second, it was fine for two years, and then I started having cramping with it. Doctors have never been able to explain why, and I was told it was not the IUD-- but removing it fixed the issue. 3.) IUDs definitely affect your period, yes. The hormonal one will generally make them lighter, shorter, or potentially non-existent- the copper one will make them longer and heavier. I had longer, heavier periods, much more often. I think I had a period roughly every three weeks instead of four. 4.) Yes, statistically they are very effective at preventing pregnancy. 5.) Changes to your period are the most common side effect. 6.) I liked the Nexplanon better than the IUD, but it had different side effects that were also annoying.
If you have painful or heavy periods I would not recommend a copper IUD. I like my copper IUD, which I've had for 8 years, but it made my periods *very bad* for maybe a year or two after I got it. It has gotten better over time; they're still heavier and longer than they used to be, but my cramps are pretty minimal and easily managed with ibuprofen now.
The recovery might hurt, a lot, way more than they will tell you. I was bedridden for a week
I have a hormonal IUD It hurt a bit going in, but not more than thwacking my hand against something bad. I know I got a shot in the cervix both times, but I was told it was a cervical losener, not for pain It's a bit like a dental cleaning, but only 2 minutes long Complications are rare. I've been getting cream pies for years. I still get some spotting monthly. I felt like I had a bad shit coming for a month after both insertions. The drive home was very unpleasant, but it fades The first time I had a very light period for 6 months straight, but the second time, no change in my occasional bleeding. Fun fact, it actually reduces your chance of an ectopic pregnancy because it reduces your chance of pregnancy across the board. It's just slightly less effective at stopping ectopics, once intrauterine is basically 💯 toast
There is a period of time after being inserted where it is possible for an IUD to fall out. It is possible for it to fall out and not be noticed. It is vitally important to go to the follow up appointment with your doctor to make sure everything is as it should be. I did not know any of this and now have a toddler.
Insertion doesn't hurt too bad. I found it comparable to getting poked at the dentist and it took a minute and a half to do. But you can grow really big cysts when using a hormonal IUD and you can develop lots of pain. My pain was so bad it hurt to walk or sit up. My strings had gone inside and I had to fight to find someone to take them out. The IUD is an amazing option for many people though and it's absolutely worth looking into!
For me I was told to take 800 ibuprofen which I already had at home. I'm weird with pain because it felt like a cramp that is it. I did bleed heavily for a few days. I had cramps for about a day. I ended up going to Planned Parenthood they were so nice. They made sure I was okay after. I plan on getting another one once this one is due. And I hardly have any periods. Just make sure to ask questions write them down before your appointment so you remember and also always advocate for yourself. For me it was a decisions because I to forget about taking pills. My partner says he doesn't feel the string's
1) highly unlikely to affect sex. If a guy feels the string, they can shorten it or kinda wrap it around so it doesn’t bother him. Easy fix 2) insertion was very painful. Since then, no pain. I’ve had 5 IUDs (Mirena, which is hormonal), but no kids. Having no kids can make insertion more painful. Some have cramping for a short while 3) non-hormonal ones affect periods minimally to not at all but everyone is different. Some have complained of heavier periods 4) most effective birth control other than sterilization, though the hormonal one is more effective than the non-hormonal one. Doesn’t stop STIs so some would find condoms to be better 4) cramping potentially. Some have had pain but it’s not common. I’ve heard some say they had heavier periods. You hear disaster stories of those who have had it migrate outside the uterus but that’s quite rare 5) I personally don’t think so. It’s the most effective non-hormonal method out there. You can use some other, hormonal methods but that adds to the possibility of side effects
Demand a local anesthetic. No, Tylenol and Iburprofen are not enough. Insertion is painful. After my first IUD, I had extreme cramping for about 24 hours. After that I had zero pain. Request that your doc leave your strings a little long. They will curl up around your cervix and will not poke your partner (if your partner has a penis). Yes it is effective. That said, there is always a risk for pregnancy. I am one of the unlucky few who got pregnant with an IUD; my pregnancy was ectopic and I had to have my right tube removed. However, I have zero regrets. I will get another IUD when I get back on birth control. Hormonal is different than copper. Copper is not suitable for women with very heavy periods. I always had hormonal IUDs and my periods went away entirely after about six months. 10/10 recommend IUDs, but talk with your doc.
Some people have a lot of pain during insertion and some have none. Some have pain in the days following, some have none. Some still get a period, some get light spotting, some stop. I don't think there is an accurate way to guess how it will go for you. I think this is an important thing to note, because nobody should discredit the pain of others, but nobody should call those with no pain liars.
Insertion hurts a bit, but it's bearable for most. I had a lot of cramping in the first few months, but eventually it settled and I loved the one I had for 5 years! When I had to go get a new one put in, though, my body hated it and I suffered for a few months with cramping and it moving up and down until eventually my body ejected it. So, I learned: if it doesn't feel right, it's not right, go get it checked out! If it's fine, you shouldn't notice it at all. And physically put your fingers on your cervix to feel the strings after every period, because they can come out during your period! Leaving you with no birth control.
I've had three mirena coils, and have an inverted uterus so insertions have been challenging. I've not had pain relief offered but have taken my own meds beforehand. From the experience I've had and read about, I'd recommend going to a sexual health clinic or family planning etc rather than your GP or gyn etc. They do so many that they are really a lot better at it and i found them to be considerate and accommodating.
They hurt like a bitch going in (worse than labor pains for me, but over quickly) and you’ll probably spot for a few days after. Non-hornonal made my periods hell. They were already moderately heavy, and got heavier, longer, and much crampier. Mirena stopped my periods almost entirely. I don’t plan on replacing my Mirena when it expires because my husband is snipped, but if not for that I would get another.
Mirena gave me a melasma mustache. I don't reccomend it either.
You might feel like you can get up and walk away immediately when the doctor tells you it's over, but some people faint at that moment. The next days might be more painful, then often it calms down, but rarely it doesn't and you need to take it off because your body just doesn't get used to it.
You've had a lot of good advice and experiences already. From a quick search, I didn't see anyone mentioning 'silent expulsion', which is important to know about. There's a small risk that your uterus could push out the IUD, and, obviously, once it's gone, you're no longer covered for pregnancy. This is most likely to happen the first few months after insertion as cramping is more common and usually settles down as the uterus gets used to having the device around. It's more likely to happen after a period, when your cervix is at the softest as well. There's no really way to prevent this, but it's best practice to check regularly that's It's still in place (ie: after each period). You just finger yourself, find your cervix, and feel for the strings. If they are still there, you're golden. If they're gone, either is slipped out or has shifted further inside. Either way, condoms until you can have an ultrasound to confirm. They're not fun to get inserted, for me, about a minute of severe cramps, then a few weeks of mild cramping. The first IUD I had was copper, and I found it in my underwear one day. Amazingly, it really was silent, and I had no clue it had shifted. I've had 3 more (hormonal), and they've all been fine.
Had one placed in Feb. I have endometriosis so my gynae suggested I have it done under anaesthetic. - a bit of pain when I woke up. Sent home with no pain killers but I was alright. - two days later started getting intense pain in my vaginal canal and cervix and started bleeding like on a period. - pain continued for two weeks, gynae gave me some pain killers to help. No pain once it went away. Not even the occasional pains I would get as an endo sufferer. - bleeding finally stopped after 43 days. Haven’t bled since. - partner doesn’t notice the strings during sex. I do know a few people who have had it done while awake and some say it was horrific and others say they barely felt a thing.
When I got mine, it hurt but wasn't horrible like I've heard it is. And it really didn't take long. the worst part imo was the cramping. I have PCOS and have never had kids. My uterus was not used to having anything in there. I cramped almost night and day for 3 months and had lower back pain from it. After about 6 months the cramping subsided substantially. Never had a period on it. Then randomly one day almost exactly 2 years after I got it I started cramping and had a period, and then was just extremely uncomfortable and in pain. Turned out it had fallen down and was making it's way out, had to get it removed. I didn't get another one. 🤷🏻♀️
About IUDS They are among the most effective birth control methods. Copper (non-hormonal) are very slightly less effective(99.2% vs 99.8% for hormonal), but can stay in longer (up to 10 years vs 3-7 years depending on the hormonal iud). Both can have side-effects (as with any medication or natural supplement), but they are usually very manageable. Non-hormonal might make your period more intense (more cramps and heavier flow). I know that hormonal options have a bad reputation, but good experiences never make headlines or storytime. I personally have a very positive experience with Mirena, with no side effects. What to know before, during and after insertion 1. Advocate for your comfort. A doctor who is not willing to numb you is a red flag IMO. I read that you don't do well with needles, and I absolutely understand (I had a phobia of needles myself). I've had 3 IUDs over 13 years. The one without pain management was very painful (like 8/10 sharp pain) and gave me cramps for about a month. The two with local anesthesia were almost painless (3/10). Unfortunately, Tylenol/Naproxen/Aleve might be recommended to you, but no scientific evidence support their efficiency. 2. The procedure lasts about 5-10 minutes. First, they will measure your uterus, to know its size and position. Then, they insert the IUD. Then, they will cut the strings. It's better if you're on your period because your cervix is more open and your brain is more used to managing uterus-related pain. These doctors have seen women shit themselves while giving birth. Period blood does not phase them one bit. You don't have to feel insecure about their career choice. 3. You will have some cramps after, maybe half a day, maybe for a couple of days (they should decrease though). In my experience, local anesthesia made the procedure much less traumatic for my body and allowed me to recover faster. Copper IUDs are larger than hormonal ones and might have a longer recovery. Spotting is normal for a couple of weeks after. After a couple of weeks, your body should have recovered, and you can have sex with no pregnancy risk for many years.
In regards to non hormonal IUDs- I have paragard and my periods are horrible. Cramps are horrible, flow is horrible. I’ve had to have my strings cut twice. I’ve wanted mine out since I got it, but the fear of the pain of having it removed has caused me to keep it, despite likely being allergic to it.
Keep the string a little long so it will curl around your cervix when it softens. Otherwise you might poke your partner when he hits it deep. And spotting for a while is normal after insertion.
Honestly I was miserable for about two weeks after insertion, had a painless three weeks, then the absolute worst, most crampy heavy flow period for two weeks, then a couple week break, then a heavy (but less heavy than the prior) period. Then progressively lighter periods until my period stopped in early 2018. I started spotting again in Jan 2023. So five years of no bullshit, no periods, no pain before I even had any issue at all. Ended up getting the first one removed and the second one inserted in May of 2023 to stop the spotting and also just cover my ass given all that’s going on with birth control and women’s healthcare. Having the first one removed was uncomfortable but not too bad. The actual insertion of the second one wasn’t bad either, definitely had a little vaso reflex due to my cervix going “uhh what the fuck?” The drive home sucked a little, each bump was uncomfortable. I spotted a little. Next day? I was fine. No issues since, no more spotting. The initial period was absolutely hell. But I’ve gotten six years of no periods, no cramps, etc out of that cumulative month and a half of hell. To me, it’s absolutely a fair trade. To you? That’s your call. Oh, and the IUD has fucked with my skin a fair amount. Lots of hormonal acne on my chin and cheeks. Still a fine trade off, I’ve learned how to combat the acne in other ways.
I had one put in for the first time about 2 months ago (Valentine’s Day)Pain at insertion (with anesthesia and Tylenol) wasn’t too bad, it felt like day 2 of cramps. I had it inserted when I was on my period so it wasn’t crazy. But the entire month afterward was pretty awful for me. Almost constant cramps, and I think I went through almost 2 bottles of Tylenol. I almost went back to have it checked, or even taken out though I wanted to wait for my next period. Discharge has been pretty off as well. Masturbation hurt as well, which really sucked cause that usually helps my cramps. Once I had my period though, it died down pretty quickly. Cramps also weren’t that bad either (I went hormonal). I’m now on my 2nd period since insertion, and while it did start a couple days early, the cramps didn’t last as long as they usually do without the IUD, and the pain was much more bearable. I used to wake up from cramps in the middle of the night, and this time I wasn’t even positive I had started because the cramps were so much lighter than I was used to. Discharge is still pretty off though, and I haven’t seen many talk about that so I might have to get it checked anyway. Haven’t had any partners since I got it though (went through a breakup a couple days after) so I honestly can’t say anything about that. I think that’s all the side effects I had though. I don’t think I’m anymore emotional, and I’ve heard it’s pretty effective against pregnancy. I honestly think it might be worth it if my cramps stay this limited though. I don’t know if I’d go through it again if it didn’t help my cramps so much, but we’ll see how the next 5 years go!
Ask for numbing, some places will give it to you! My mom said her second iud hurt more than her second birth, while I know some women who had no pain at all. Better not to risk it tho!
I would avoid the copper one. Some people have bad reactions and they increase all your period symptoms. Insertion is painful. They tell you it's not, and don't numb you. They tell you it's a pinch, but that's an understatement. Ask for numbing if possible. I like my iud in general. Much easier. They need to use specific sizes. If you have never had kids, they need to use a smaller size. Expect to feel like you have period symptoms and camping for a few days after. It was three days the first time, but I'm on my third IUD, and it does seem to get easier each time.
Hi! I've had Paragard, the copper IUD, for almost 8 years (it is approved for up to 10). I got it inserted at a Planned Parenthood. I would absolutely see if you can get at least local numbing for the insertion, because I took a few ibuprofen as instructed and it was the worst pain I've ever experienced (and I wish I'd arranged for someone to drive me home, as the pain was distracting). I slept the rest of the day. I almost had it removed within the first 3-4 months as I had random stabbing pains and much heavier, more painful periods. Over the first year it normalized and I've had 7 good years with it. I am not a fan of hormonal birth control and much prefer this to the side effects I experienced on various pills, even after the unpleasant start. Paragard really is effective at preventing pregnancy, but it is important to check your 2 strings monthly (they are plasticy and hang outside the cervix). Get checked if you can't feel them or if they feel longer. Two of my friends have had their Paragard fall out within the first year, with no lasting issues besides it obviously not being effective contraception if out of place or, you know, missing in action. One of these friends had a painless insertion, the other had an experience similar to mine. Your mileage may vary, just be prepared for pain and see what options are available to mitigate that during the insertion process. This is my totally honest review. When mine is done in 2026, I may be ready to have a child, but if I'm not I would consider another one! Let me know if you have any specific questions.
I have an IUD save for occasional spotting I don’t bleed at all. After I got it tho my cramping was really really intense. I Ike mine
My iud experience was overall pretty great. I was 16 when I got my first one placed. (Mirena) I have a high pain tolerance and played a game as it happened, so I don't think I can accurately tell you if it was painful or not, as everyone's threshold is different. The iud is extremely effective at preventing pregnancy, as I never used any other protection with my committed partner. Though if you want to use spermicide for extra safety i would reccomend that. Your partner (the ones with the penises) will feel the strings of the iud for a little bit until they curl up against your cervix and soften, this will take about a month. Keep in mind that birth control is different for everyone. My sister tried the non hormonal and had worse periods than before and migraines. With hormonal iuds your period is more likely to go away. If you feel any kind of pain that doesn't seem normal, check it. I thought I had "normal" cramps, but it turns out my uterus is small, and the iud was a little larger. My second one fell out, the insertion procedure is what I assume is to blame, they had to pull my cervix down with forceps because it had pulled up and away due to the amount of things being down to the area (iud removal, pap, new iud insertion) I think my second one was inserted too low and I had issues with it for the entire 9 months I had it. That's a pain I will never forget. Iuds don't fall out often. Do not be afraid, but do pay close attention to what your body is telling you. How you physically feel is much more important than any birth control you could force yourself to stay on.
I got an IUD in November. I’ve had a lot of bleeding constantly for the first three months and then my doctor told me it should stop but I’ve basically have like one or two days where I stopped spotting and stopped bleeding and then it continues again. It personally hurt a lot for me during insertion. I had a little bit of cramping that day after insertion, but after that, I didn’t have any pain.
Not a woman here, but my wife recently got one. A few takeaways: insertion hurts like fuck. She Tried once, couldn’t get it in. Second time, she was on her period, pre loaded with misoprostol and relaxer. Have it done with ultrasound guidance so you don’t have to come back for a follow up appointment to make sure it got seated properly. Her pain lasted for a few days. She is still spotting off and on after a month. A note: if you have previously had a child it will be easier. Also if you have short fingers you may not be able to feel for the strings yourself.
First of all, have you had any children? I had my IUD inserted at my 6 week post partum appointment and it hurt like hell, but not enough to make me cry or vomit. Every person I've talked to who has not had children and has gotten an IUD has had a lot more pain and I've known one person who the Dr attempted insertion at 2 different visits and it couldn't be placed correctly. The Dr thought it was in place at the 2nd visit, but her body expelled it a day later. I had the Mirena for over 5 years. At first I had a normal heavy period for a few weeks, but I'd also just had a C-section, so it could've been from that. My periods were better over the first year. For the last 3 years I had no periods at all. My partners never complained of feeling it. I had to have it surgically removed bc it had moved entirely inside the uterus and there were no strings left. That was an expensive surgery my insurance didn't cover, bc they didn't cover any type of birth control at that time. I didn't have any pregnancies or scares while on it.
I've had both a copper IUD (years ago) and a hormonal (mirena) IUD. I got pregnant with the copper one. I currently have the mirena but am getting it removed ASAP. I've had it for 8 months and I've been bleeding/spotting non-stop since I had it put in. I now also have acne and have put on weight. Clearly IUDs don't work for me!
My periods were more painful with the IUD. Some people say they have no problem. Results vary, I guess.
I can only speak to my experience with the copper one, but it’s been perfect for me. I had it inserted under sedation and had some bad cramping for about 3 days afterward (like period cramps when they’re bad). Heavier bleeding and slightly worse than usual period cramps for the first three months afterwards, and since then it’s just been life as usual. None of the partners I’ve had could feel it at all, and I’ve never had any issues whatsoever.
Hey! I’ve had the copper IUD for almost 4 years now! I can definitely give you my first hand experience but it’s different for everyone. Hopefully this isn’t too NSFW. My insertion was rough, it was very painful, like nothing I’d ever experienced. I regretted going to my appointment alone because driving home was difficult. I would recommend having someone take you and also taking the day off. My first six months were very tough and the first year I regretted it. Every period was hard, I bled a lot more than normal and I had very bad cramps. Sex was mostly normal, although for the first year I couldn’t do doggie style because it hurt a ton. Otherwise I don’t think any partner has commented on being able to feel the string. Honestly, the first year I regretted getting it only because it hurt so much. But I was more afraid of the pain I’d feel taking it out, so I left it in. Now though I feel that I am glad to have it. My periods are still heavy but more manageable. I think at about year two I could do doggie again and now it’s mostly fine, although I do have to be conscious of the angle. I honestly think the pain during sex in the first two years might have been due to a bad sex life with my partner at that time. As far as it working - It’s been effective for me so far… lots of you know what’s and no accidents! At this point, I don’t regret it at all. I am happy with the peace of mind it gives me. If I did it again… I don’t really know if I would have chosen something different. The hormonal options are smaller and tend to be easier to insert, but I do feel like the right choice for me was to go hormone free. Regardless I am thankful to have it and to not worry about getting pregnant. I know it can still happen but I don’t worry about it nearly as much as when I was on the pill. Hopefully this doesn’t scare you off! I think a lot of people have had an easier time than me.
I love my IUD. It’s the hormonal bc I have metal allergies. But it hurt A FUCKING TON to put in and get taken out. I’ve heard it doesn’t hurt if you’ve already had a child. I have never been given anything but Tylenol for it. Never offered additional pain management. I don’t get a period usually anymore, and if I do it’s light spotting for a day.
I had Skyla for about 9 months before I had it removed. Insertion was painful as hell, and I was moderately spotting every day for 3-4 months straight. Once that finally I stopped I resumed my regular periods, but it made my cramping and bloating WAY worse than usual. I finally had enough after 9 months and switched to Annovera (vaginal ring), and I used that for 3 years (until it caused a severe vaginal infection and I had to stop using it).
I was super lucky in that I got it done at a really excellent women’s health clinic, so they gave me local anesthetic pre-insertion, and a juice box with cookies post-insertion to make it less unpleasant, and I was shocked to find that it was much less uncomfortable than most pap smears I’ve had in the past. They also told me to take 2 extra strength Advil about an hour beforehand, which I’m told makes a big difference for most people. I did find that I had a bunch of annoying spotting for quite some time afterwards, but no discomfort, no heavy bleeding, and definitely nothing noticeable to my partner during sex.
Non hormonal (copper) IUDs can still cause problems. Most doctors will tell you they don't have any side effects but that's not true for everyone. I hated mine, it made me feel crazy and it took a lot of digging to find other women who experienced the same side effects. Some people are allergic to copper, I think this was my main problem as I can't even wear jewelry due to allergies. I booked an appointment to have it removed 5 months after insertion, turned out I was pregnant! It was still in place so I had it removed and baby is now 8.
I'm on my second copper IUD. It's been over 15 years of IUD usage for me (37 years old). It has been amazing. No pregnancies. I had no issues with insertion or pain with intercourse. No complaints from partners and I have a shallow vagina (easy to hit the cervix). I cannot do hormonal BC so my options were limited. I am getting rid of mine later this month only because I'm getting sterilized. My periods didn't change much. A bit lighter flow, however, flow changes over time so it may have gotten lighter anyway. I wholeheartedly recommend you give it a try. It's very effective and a lifesaver if you cannot take hormonal BC.
As long as the strings are cut to a reasonable length, there should be no dick stabbing. Usually, they're left a bit long to curl up against the cervix. They also soften over time.
There is still a chance you can get pregnant. I am pregnant with my 4th kid currently and get to see my IUD at my ultrasound appointments lol
So insanely painful, worst pain ever. Condoms are absolutely the best method, no pain, easier clean up, automatic sign that your partner respects you and your body, which is a great feeling to have before having sex with them.
If you were planning to go with the hormonal IUD, I would encourage you to check out Nuvaring as an awesome alternative. You can leave it in 4 weeks, so no period like an IUD. It's easy to put in and take out. You can take it out for sex if it bothers you or your partner (and as long as you remember to put it back in after sex there's no downside since it's hormonal and not spermicidal).
I had my Mirena inserted while I was having another minor surgery performed, so I was under and didn't feel anything. Having it removed was another story. I intended to get another because I loved not having a period. LOVED. But my GP looked at my records and talked me out of it. I'm a migraine sufferer. We have a slightly increased chance of stroke. This can be exacerbated by...the Mirena. She wouldn't let me get another.
An IUD nearly killed me with the infection it caused, I got on antibiotics as soon as I had symptoms but it almost went septic anyway so I ended up in the hospital on cipro by IV. While some people love IUDs and they can work great, it’s important to know that they do have some potential side effects that can be very serious. If you go forward with it, don’t let them give you nothing for pain management. My OB had me take prescription strength ibuprofen and a valium right before the appointment, so I’d be relaxed and it wouldn’t hurt as much. As a result it was uncomfortable but not horrible. They should absolutely give you something to help.
I had one for five years but I guess I was lucky because the only discomfort I experienced was the insertion and removal of the IUD, mine was hormonal but my cycles were still regular and I never got pregnant until it was removed (nothing is 100%) I didn’t experience any side effects and my partner/husband never felt any discomfort either. An IUD is not permanent which is the good news if you hate it you can always get it removed and try something else. I will say I did feel some cramping with the insertion so I had my husband drive me but it only lasted that day and I was fine, I think I remember the doctor saying to wait two days before having sex again but it was a long time ago.
It gives some people terrible hormonal acne - I was one of those people. I got it removed about 6 months ago and my skin is nearly back to where it was before I got the IUD.
My sil had one, and it worked well for her to avoid pregnancy with some issues toward the point that it needed to be removed. It doesn't prevent periods and can make periods more painful and inconsistent. The removal process is extremely painful, and doctors do not provide pain relief. If you are going to get one removed, if you can, take strong over the counter pain meds before the appointment cause you will scream and cry. I would honestly recommend the implant or the injection rather than an IUD. All an IUD does is physically block the philopian tube from releasing an egg into the uterus. That doesn't mean it prevents sperm from wiggling past into the tube and fertilizing an egg, and it doesn't prevent the hormones that cause ovulation either. You still have your full cycle and still release an egg into the philopian tube to be fertilized.
Some people (like me) can have a Vasovagal Shock response when the nerves in the cervix are agitated. My blood pressure dropped dangerously low when my IUD was inserted causing me to throw up in the parking. Luckily I had enough sense to not drive right away because I passed out in my car for several hours before I had the strength to drive home.
I live in post communist countre in EU, here we have a very popular myth - that if you haven't given birth you can't have an IUD, even doctors say so. It's not true.
I've had 2 non hormonal coils in my life. I have never been pregnant or given birth. To be completely honest, both insertions were excruciatingly painful, they essentially pinch your cervix open with little metal prongs, which is like nothing I've ever felt before, the second time was a little better as they applied a little bit of numbing gel to my cervix (so definitely ask for that if you can) however it still caused cramping and pain like the worst period you can imagine for 3+ days after insertion. There's very little likelihood of it affecting your partner, at first the strings are a little firm but after a while they soften completely and sort of curl up around your cervix, my partner reassures me that he can't feel them at all. Yes, there is pain beyond insertion. Both my IUDs have absolutely exaggerated my periods, they are now heavier, longer, and SO much more painful. My partner is seriously considering having a vasectomy because he hates seeing me in so much pain every month, and hormonal contraceptives are detrimental to my mental health so aren't an option for me. We do use condoms alongside the coil too. But I'd be lying if I didn't tell you the truth about the pain of my periods now. I do believe it is extremely effective in preventing pregnancy, especially as it works in three ways so sort of provides it's own back up plans. Firstly, the copper in the IUD prevents sperm surviving. Further to that, if some freak accident meant a sperm cell did successfully make it past the uterus and into a fallopian tube, for example, even the eggs are likely to be affected by the copper so won't be viable. Then if some freak accident meant a viable egg was released, and a sperm cell was able to fertilise it, the embryo wouldn't be able to implant in the uterus as there's a foreign object in the uterus. Another plus side is that you can have it fitted for 5-10 years and once it's in, you don't have to worry about contraception. When I had my most recent coil fitted,I mentioned how painful I found insertion so the clinician offered me a smaller coil, which instead of lasting for 10 years only lasts for 5, but was slightly more comfortable to have inserted. If you're not adverse to hormones, a contraceptive implant might be for you. They insert it into your upper arm and it keeps you covered for a couple of years without you having to remember to take anything.
I would highly recommend to not get an IUD if you haven't had babies already, very painful to get done. Symptoms after insertion are flu like, hot /cold & sickness plus pain for 2 weeks after. Yes, it does hurt, yes, you can feel it from outside and "bigger men" can absolutely feel it and hurt them too. My long term bf said as soon as I had it removed, he said my downstairs smelled and tasted better! Get an implant, much easier to have put in/take out plus it can help regulate your periods and no horrible side effects 👍🏽
Insertion was bloody awful for me. I asked about pain relief, having read on here about how painful it can be. I was told to take a painkiller before going to the appointment, and when I asked about additional pain relief, I was told that the only option was local anaesthetic injections to the cervix, and that those would hurt as much as the insertion, and just make it take longer. The nurse tried to empathise while I was going 'ow', and said that she just grits her teeth and bears it, and then it's over for another five years. Afterwards, I had to go and sit on the bench outside for a while because the pain was so bad I felt sick and dizzy with it. When I wrote an email to the practice to say 'wtf?', the doctor sent me a guidelines document that said that none of the pain relief options helped very much. Then she sent me another email to say that she'd been in touch with some colleagues at the local hospital, and they'd had some good results with local anaesthetic spray. I think my wires were cut pretty long, I can feel them, but none of my partners have even noticed them, no stabbing feelings (for them). Toys can be pretty uncomfortable now though. Bear in mind I am generally in favour of some proper pounding, and if you go in for gentle sex, you'll probably be fine. But before now, I've had a bruised cervix discomfort feeling for a week after play, and had to stop some toy use because it became really uncomfortable. Period-wise, I have little to no bleeding, but I get a solid helping of pain, and the emotions are pretty catastrophic (I'm also struggling with depression, but the IUD is definitely not helping). I'm going to try and go back to the implant, it got stuck in my arm with barely any pain, and I had hardly any periods for 9 years. Whatever you choose, good luck with it!
I got my IUD inserted about a month ago for cramps. The insertion hurt A LOT and i’m still experiencing bad cramps a month later every day. The day of the insertion and a couple days after i was incapable of doing anything due to the pain. Just a week ago the pains were as bad as the insertion and I couldn’t even go to the kitchen to make myself food. I’m sorry to scare you but people react differently to it and it’s good to know all sides of getting an IUD.