Does it hurt to get an IUD? —Concerned

AA: We are so glad you asked, Concerned. For today’s post I’ll be writing as the content expert regarding intrauterine devices (IUDs). TL;DR: While level of pain varies from person to person, yes. There are a number of factors that inform the physical experience of getting an IUD.

SM: I’ll be the context expert for today. Some factors that can play a role include where you are in your cycle, whether or not you’ve ever given vaginal birth, your personal anatomy (i.e. the shape of your uterus, thickness of your cervix), and pain tolerance.

AA: Some of these factors you may not be able to control but there are some things that you can do to manage the pain. Pain that is experienced during IUD insertion comes from a speculum specially designed for dilating your cervix. If you have flexibility with when you are able to schedule your IUD appointment, try to aim for near the tail end of your period. During this time, your cervix is more open than at other times of your cycle.

SM: Another way to manage pain during an IUD insertion is to take ibuprofen or another NSAID approximately 20-30 minutes before your appointment. This can help reduce the pain from cramping during and after the insertion. If you do choose to take ibuprofen, be sure to not do so on an empty stomach.

AA: Studies have shown that expectations of pain can influence experience of pain. Talking with your clinician about your concerns and what to expect may have a positive impact on your experience. Here are some talking points to possibly bring up with your clinician:

  • Do you prefer to have a step by step explanation of what is happening in the moment or would you prefer less verbal information?

  • Do you have any diagnoses that may have an impact?

  • Have you experienced interpersonal harm, which may inform how much or little information is helpful, the pace at which the procedure goes, and other coping strategies?

SM: There are other things that people have found really helpful during the procedure itself, including bringing a book, listening to a relaxing playlist, bringing a friend or loved one into the appointment, practicing breathing exercises, or zoning out on your phone. After the procedure, some people find snacks, tea, a hot water bottle, or just taking time to relax can help.

AA: If you have any questions, concerns, or pain after your procedure don’t hesitate to reach out to your provider. Thanks again for your question!