An intrauterine device, or IUD, is one of the most effective forms of contraception available. For many people, the idea of having one inserted can feel daunting — but knowing what the process involves, and what to expect before, during, and after, can go a long way toward easing that anxiety. At Camberwell Health in Camberwell, IUD insertions and removals are performed on-site by experienced GPs.
What Is an IUD?
An IUD is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. There are two main types:
Hormonal IUD: Releases a small amount of progestogen locally within the uterus. Depending on the brand, hormonal IUDs are effective for three to eight years and can also reduce or stop periods for some users.
Copper IUD: Contains no hormones and works by creating an environment in the uterus that is inhospitable to sperm. Copper IUDs are effective for up to ten years and are also used as emergency contraception if inserted within five days of unprotected sex.
Both types are more than 99% effective and are reversible — fertility typically returns quickly after removal.
The Consultation Before Insertion
Before your IUD is inserted, you’ll have a consultation with your GP to discuss which type is right for you, review your medical history, rule out any contraindications, and answer your questions. This consultation may be a separate appointment to the insertion itself.
Your GP may also test for sexually transmitted infections before proceeding, as inserting an IUD in the presence of an untreated infection can carry risk.
What Happens During the Insertion?
The procedure itself typically takes only a few minutes. You’ll be asked to lie on an examination table, and your GP will use a speculum (similar to a cervical screening examination) to access the cervix. The IUD is then passed through the cervix and into the uterus using a slim insertion tube. A small pair of threads is left extending through the cervix so that the device can be located and removed in future.
Most people experience cramping during and shortly after the procedure, ranging from mild to more significant. Over-the-counter pain relief taken beforehand (as recommended by your GP) can help manage discomfort. Some people also feel faint or nauseous during or after the procedure.
After the Insertion
It’s common to experience cramping and light spotting in the days following insertion. You may want to arrange for someone to drive you home and plan for a quiet afternoon afterward.
Your GP will advise you on when to return for a follow-up to confirm the IUD is correctly positioned. Hormonal IUDs are effective immediately if inserted during the first seven days of your menstrual cycle; otherwise, backup contraception is recommended for seven days. Copper IUDs are effective immediately.
IUD Removal
IUD removal is generally simpler and quicker than insertion. Your GP grasps the threads and gently withdraws the device. Some cramping may occur but it is typically brief. Fertility returns quickly after removal.
Is an IUD Right for You?
IUDs are not suitable for everyone. Your GP will assess your individual circumstances before recommending one. If you’re interested in exploring an IUD as a contraception option, the first step is a consultation to discuss your options in full.
To book a consultation at Camberwell Health, visit HotDoc or call us on (03) 9882 0055.