What it is
An IUD is a small T-shaped device that sits inside the uterus. It goes in through the cervix, so nothing is cut and nothing is stitched.
There are two kinds. Hormonal IUDs release a small amount of progestin and often make periods much lighter. The copper IUD has no hormone in it.
Dr. Mueller places, removes and exchanges them in the office. This is a procedure visit. Birth control is not managed here as a standalone service.
Why it is done
- Heavy periods, when a hormonal IUD is used to control the bleeding
- An IUD due for exchange
- Strings you or another clinician cannot find
- Cramping or pain since placement, when removal is the answer
- An IUD that ultrasound shows has moved out of position
- Removal before a hysteroscopy, an ablation or a hysterectomy
What happens, step by step
- 1
Before the visit
Take ibuprofen an hour ahead if you can.
- 2
Speculum and swab
A speculum goes in and the cervix is cleaned.
- 3
Measuring the uterus
A thin measuring rod checks the depth so the device sits correctly.
- 4
The device goes in
The IUD passes through the cervix inside a narrow tube.
- 5
Trimming the strings
Two threads are cut short and left in the vagina.
- 6
Before you leave
You rest a few minutes if you feel lightheaded.
Questions people ask
- Does it hurt?
- Most women feel one strong cramp for under a minute. Ibuprofen beforehand helps.
- Can I drive home?
- Yes. Nothing is given that would stop you.
- Will I still be able to get pregnant?
- Fertility returns as soon as the IUD is out. There is no waiting period.
- How long does an IUD last?
- It depends on the device. Hormonal IUDs run 3 to 8 years, the copper IUD up to 10.
- Will my periods stop?
- On a hormonal IUD they usually get much lighter, and for some women they stop. The copper IUD tends to make them heavier.
- What if I cannot feel the strings?
- Dr. Mueller looks with ultrasound to find where the device is. Most are still in place.