Intrauterine Device Insertion

Care After

Refer to this sheet in the next few weeks. These instructions provide you with information on caring for yourself after your procedure. Your caregiver may also give you more specific instructions. Your treatment has been planned according to current medical practices, but problems sometimes occur. Call your caregiver if you have any problems or questions after your procedure.


  • Only take over-the-counter or prescription medicines for pain, discomfort, or fever as directed by your caregiver. Do not use aspirin. This may increase bleeding.

  • Check your IUD to make sure it is in place before you resume sexual activity. You should be able to feel the strings. If you cannot feel the strings, something may be wrong. The IUD may have fallen out of the uterus, or the uterus may have been punctured (perforated) during placement. Also, if the strings are getting longer, it may mean that the IUD is being forced out of the uterus. You no longer have full protection from pregnancy if any of these problems occur.

  • You may resume sexual intercourse if you are not having problems with the IUD. The IUD is considered immediately effective.

  • You may resume normal activities.

  • Keep all follow-up appointments to be sure your IUD has remained in place. After the first exam, yearly exams are advised, unless you cannot feel the strings of your IUD.

  • Continue to check that the IUD is still in place by feeling for the strings after every menstrual period.


  • You have bleeding that is heavier or lasts longer than a normal menstrual cycle.

  • You have a fever.

  • You have increasing cramps or abdominal pain not relieved with medicine.

  • You have abdominal pain that does not seem to be related to the same area of earlier cramping and pain.

  • You are lightheaded, unusually weak, or faint.

  • You have abnormal vaginal discharge or smells.

  • You have pain during sexual intercourse.

  • You cannot feel the IUD strings, or the IUD string has gotten longer.

  • You feel the IUD at the opening of the cervix in the vagina.

  • You think you are pregnant, or you miss your menstrual period.

  • The IUD string is hurting your sex partner.