IUD 101: How It Works, What to Expect, and Is It Right for You?

“You deserve control over your body — and your peace of mind.”

A Step-by-Step Guide to Getting an IUD in India

If you’re considering or preparing for an intrauterine device (IUD) insertion, you’re not alone — and you’re making a smart move. With over 99% effectiveness, IUDs are among the most reliable forms of reversible contraception available today.

These small, T-shaped devices work by interfering with sperm movement and egg fertilisation. Once in place, you can expect protection for 3 to 10 years, depending on the type of IUD chosen.

In India, hormonal IUDs like Mirena (now available via Bayer Zydus Pharma Pvt. Ltd) are prescription-only and increasingly accessible in urban healthcare settings.

Let’s walk through what you can expect before, during, and after the procedure.

✅ Preparing for Your Appointment

While the procedure is usually brief (about 5–10 minutes), it’s good to be mentally and physically ready:

Plan ahead:

• Try to bring a friend or partner along in case you feel dizzy or crampy afterwards.

• If you can, take the rest of the day off to rest.

Pack your essentials:

• A pain reliever like ibuprofen or mefenamic acid (commonly prescribed in India)

• A sanitary napkin or panty liner

• A hot water bag or heating patch

• A bottle of water and a light snack

• Loose, comfortable clothing

🏥 What Happens During the Insertion

Here’s a general outline of what the procedure might look like at your gynaecologist’s clinic:

1. Pre-insertion talk:
   Your doctor will review your medical history, discuss which IUD suits you best (hormonal vs copper), and confirm there’s no pregnancy.

2. Pelvic exam:
   They’ll check your uterus’ shape and orientation. This helps ensure the device is placed correctly.

3. Speculum time:
   A speculum (a duckbill-shaped tool) is inserted to view your cervix. An antiseptic is used to reduce infection risk. In some cases, a local anaesthetic like lidocaine is applied.

4. Measuring your uterus:
   A small instrument called a “sound” is used to measure the depth of your uterus (at least 6 cm is needed). This ensures the IUD sits safely in place.

5. The actual insertion:
   The IUD is placed inside a slim tube and inserted through the cervix into the uterus. Once released, it springs open into a “T” shape. Two strings will hang through your cervix into your vagina — these are for future checks and removal.

6. Post-insertion rest:
   You’ll be asked to stay in the clinic for a few minutes to ensure you’re feeling okay. You may experience mild cramps or spotting — this is totally normal.

📍 Available IUD Types in India

❓ Does It Hurt?

Pain levels vary from person to person. Some describe the process as mild discomfort or pressure, while others may feel moderate to strong cramping.

Your doctor might suggest:

• NSAIDs like ibuprofen beforehand

• A cervical softener (like misoprostol)

• A topical numbing gel

• Occasionally, a mild sedative if anxiety is high

⚠️ Post-Insertion: What to Expect

Common and manageable effects:

• Mild cramping and back pain

• Light spotting for a few days

• Heavier or lighter periods depending on the IUD type

Rare but serious side effects (watch out for):

• Severe abdominal pain

• Heavy bleeding beyond a few days

• Fever or foul-smelling discharge

• Missing IUD strings

Seek medical attention immediately if you suspect your IUD has moved, fallen out, or if you think you might be pregnant.

🧡 Sex, Periods & Life After IUD

• You can have sex as soon as you feel ready, unless advised otherwise by your doctor.

• Hormonal IUDs may reduce bleeding or stop periods altogether over time.

• Copper IUDs may cause heavier bleeding during initial months.

• Your doctor may ask you to return in 6–8 weeks for a follow-up to check string length and placement.

🎯 Final Thoughts

It’s completely normal to feel a little anxious before an IUD insertion. But with proper preparation and a trusted provider, the process is straightforward, quick, and empowering.

Once in place, your IUD will quietly do its job — helping you take charge of your reproductive health with confidence and minimal maintenance. And in case you’re looking for someone to talk to, we’re right here at Miror Community with doctors, OB GYNS and health specialists who will be more than happy to help you out with your thoughts, questions and queries on IUD and much more!

Remember, it doesn’t hurt to reach out and we’re always here for you at Miror, just one QR code away!

SOME EXPERT LINKS FOR YOU:

Healthline: Everything You Need to Know About IUD Insertion

Mayo Clinic: Hormonal IUD (Mirena)

PubMed: Understanding factors associated with continuation of intrauterine device use in Gujarat and Rajasthan, India: a cross-sectional household study