You may be advised to have a check for any possible existing infection before an IUD is fitted. There is a very rare risk that an IUD might make a tiny hole in the womb or neck of the womb cervix when put in.
This may cause pain but often there are no symptoms. Contact your GP straight away if you feel a lot of pain in the lower abdomen after having an IUD fitted. If perforation occurs, you may need surgery to remove the IUD. Although it is unlikely that you would become pregnant while the IUD is fitted, if you do, there is a small increased risk of you having an ectopic pregnancy.
The risk of ectopic pregnancy is less in women using an IUD than in women using no contraception at all. The coil can be pushed out by your uterus or it can move. This is not common. This is more likely to happen soon after it has been put in. This is why your doctor or nurse will teach you how to check your coil threads every month and also arrange to check it for you 6 weeks after your fitting.
If you're 40 or older when you have the IUD fitted, it can be left until you reach menopause or you no longer need contraception. The non-hormonal coil IUD releases copper that creates an environment where sperm do not survive. The hormonal coil IUS releases a progestogen hormone, which thickens the mucus from the cervix opening of the womb , making it harder for sperm to move through it and reach an egg.
It also causes the womb lining to become thinner and less likely to accept a fertilised egg. In some women, the IUS also stops the ovaries from releasing an egg ovulation , but most women will continue to ovulate. Your partner shouldn't be able to feel your IUD during sexual activity.
Your clinician may be able to cut the threads a little. You may have irregular bleeding patterns during the first few months of using the IUD. For some women their periods are heavier, longer or more painful. While using the IUD you can use tampons, pads or a mooncup.
STIs and pelvic infections need to be treated as soon as possible. It can be given by most sexual health clinics and some GPs. We use cookies, but in a good way. Our cookies do not track or store identifiable data. Previous Next. Non-hormonal coil IUD. Why it works The IUD does not contain a hormone, but instead slowly releases copper, which prevents sperm from surviving in your cervix, uterus or fallopian tubes.
Some women find the procedure to insert the IUD uncomfortable or painful. How is the IUD fitted? The whole process should take about 5 minutes. The IUD works for contraception immediately after it is fitted. Does having an IUD fitted hurt? Read more about the coil fitting process. Will I need to see the doctor again? If they can, see a GP or nurse for a check-up. If you're not having another IUD put in and do not want to get pregnant, use additional contraception, such as condoms, for 7 days before you have it removed.
People who have had an ectopic pregnancy or who have an artificial heart valve must consult their GP or clinician before having an IUD fitted. An IUD can usually be fitted 4 weeks after giving birth vaginal or caesarean. You'll need to use alternative contraception from 3 weeks 21 days after the birth until the IUD is put in.
In some cases, an IUD can be fitted within 48 hours of giving birth. It's safe to use an IUD when you're breastfeeding, and it will not affect your milk supply. You'll be protected against pregnancy immediately. Although an IUD is an effective method of contraception, there are some things to consider before having one fitted. There's a very small chance of getting a pelvic infection in the first 20 days after the IUD has been inserted.
You may be advised to have a check for any existing infections before an IUD is fitted. There's some limited evidence that if you have an IUD fitted, you may have a slightly higher chance of getting thrush that keeps coming back. You might want to think about trying a different type of contraception. There's a small chance that the IUD can be rejected expelled by the womb or it can move displacement.
If this happens, it's usually soon after it's been fitted. You'll be taught how to check that your IUD is in place. In rare cases, an IUD can make a hole in the womb when it's put in. This may be painful, although sometimes there may be no symptoms.
But see a GP straight away if you're feeling pain or cannot feel the threads of your IUD, as you may need surgery to remove it. If the IUD fails and you become pregnant, there's also an increased risk of ectopic pregnancy. Find a sexual health clinic. If you need contraception, call your GP surgery or a sexual health clinic as soon as possible.
Only go in person if asked to. If your IUD is due to be replaced and you do not want to get pregnant, use condoms or the progestogen-only pill for now. Contraception services are free and confidential, including for people under the age of If you're under 16 and want contraception, the doctor, nurse or pharmacist will not tell your parents or carer as long as they believe you fully understand the information you're given and the decisions you're making.
Doctors and nurses work under strict guidelines when dealing with people under They'll encourage you to consider telling your parents, but they will not make you. The only time a professional might want to tell someone else is if they believe you're at risk of harm, such as abuse. In these circumstances, the risk would need to be serious, and they'd usually discuss it with you first. Page last reviewed: 30 March Next review due: 30 March Where to get contraception.
What is emergency contraception? Where can I get emergency contraception? Emergency contraception. Things to consider Age, health, lifestyle, side effects How effective is contraception at preventing pregnancy? Combined pill Progestogen-only pill Natural family planning fertility awareness. Condoms Female condoms Diaphragm or cap. Condoms Female condoms. Female sterilisation Vasectomy male sterilisation.
Contraception after having a baby. This is to ensure that, in the rare event that it is not possible to fit a replacement coil after the original one has been removed, that there are no sperm in your genital tract that might result in pregnancy.
If you have recently had a baby, a coil can be fitted 10 weeks after the delivery. However as your womb is slightly softer and thinner after the delivery, there is a slightly higher risk of perforation of the womb. We may sometimes recommend waiting 2 more weeks to reduce this risk.
If you have a hormone coil fitted IUS or mirena later than day-7 of your cycle, you will need to use another method of contraception for 7 days after the fitting until the device becomes effective. If you have a copper coil fitted this is effective immediately for contraception. If you have any queries or concerns please consult Dr Ballance. We suggest you take a painkiller at least half an hour before your fitting appointment to reduce cramps afterwards.
Suggested painkillers are ibuprofen or paracetamol.
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