Sage-Tips

How bad does it hurt to get an IUD inserted?

Some discomfort is common and expected with an IUD insertion. Up to 70\% of people who have not given birth report feeling mild to moderate discomfort during the insertion process. Most commonly, the discomfort is short-lived. Less than 20 percent of people will require pain management or additional treatment.

How long does pain last after IUD insertion Mirena?

For some women, cramping lasts 1-2 days after the IUD goes in. For others, it lasts a few weeks. Or it could be as long as 3-6 months before it goes away. You may also have irregular, heavy bleeding for 3 to 6 months.

How can I make Mirena insertion less painful?

Most women describe the pain as mild to moderate. To help take the edge off the pain of IUD insertion, you may take an over-the-counter analgesic such as acetaminophen or ibuprofen at least one hour before the procedure. You can also talk to your doctor about using a local anesthetic or a cervical block.

What to expect after the Mirena is inserted?

You’ll likely have some cramps and spotting after the IUD is inserted. Mild cramps and bleeding can last from 3 to 6 months. Take an over-the-counter pain reliever, like ibuprofen or acetaminophen, to ease any discomfort. You can also place a heating pad or hot water bottle on your belly.

Can you be sedated for IUD insertion?

Insertion can be done under IV sedation or as an awake procedure. We recommend that if you’ve not had a vaginal birth in the last 5 years, then consider having IV sedation for the insertion, as it can be quite uncomfortable to have it done as an awake procedure.

Do the Mirena cause weight gain?

The majority of IUD users do not experience weight gain. Copper, non-hormonal IUDs do not cause any weight gain, whereas about 5\% of patients using hormonal IUDs report weight gain. Since Mirena is a hormonal IUD, Mirena weight gain is possible, if unlikely.

Can you gain weight on Mirena?

When should Mirena be inserted?

Mirena is best inserted within seven days of the first day of your period. That way it is not inserted when a woman might be pregnant and it is also easier at the time as the cervix is open a little more.

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