IUD Insertion and Removal

Intrauterine Devices (IUD) are placed inside of the uterus to block egg fertilization. Some women prefer IUDs as they provide contraception for years once inserted. IUDs last from 3 to 12 years depending on the type selected. They are also available in both hormonal and non-hormonal varieties. The effectiveness of IUDs tends to be much higher than other forms of contraception because the devices do not rely on daily, weekly, or monthly administration. The failure rate for IUDs varies by brand but has an average failure rate of less than 1%.

IUDs are inserted into the uterus by our physician. Prior to insertion, our physician will screen the patient for any infection that may be exacerbated by the procedure. The infections include but are not limited to Chlamydia, Gonorrhea, or any infection that can cause Pelvic Inflammatory Disease (PID). After the patient is cleared or treated for infections, our physician will insert the IUD.

The provider will access the uterus by inserting a speculum into the vagina, then the plastic tube that contains the IUD is inserted into the cervix and uterus. The provider will remove the tube leaving the IUD inside of the uterus. Strings are left outside the cervix which will be clipped to a length that will make the IUD accessible for removal by a clinician; but short enough not to interrupt your everyday life or sexual activity. There will be cramping associated with the process of insertion, but an IUD usually becomes less noticeable over time. The IUD is particularly effective because the hormones released thicken the uterine lining making egg fertilization practically impossible.

Once the IUD has been removed, the patient’s menstrual cycle should resume, and fertility should not be affected. ACWC also offers IUD removal services for patients who wish to start a family, looking to try other birth control methods, or want to remove an expired IUD to have a new one inserted.