Advice to Patients After Insertion of an IUD

  • Intrauterine devices are an extremely effective method of contraception. Please follow the advice below after insertion of a device.
  • The pain people feel following insertion varies greatly from nothing to strong period- like cramps. Pain may continue for a day or two following insertion. Simple analgesia such as paracetamol or ibuprofen can be taken to control the pain, if you are not allergic to these medications.
  • If you experience a severe attack of acute pain, or any continuous, lower abdominal pain, you should seek medical advice.
  • It is recommended that you wait three days after fitting before using tampons or having sexual intercourse, to reduce the risk of infection.
  • It is safe to resume using tampons with your next period, but you should change them with care.
  • You may experience some prolonged bleeding following insertion, and initially you may experience some bleeding in between your periods.
  • If you have an IUS (Mirena, or hormone containing coil), you will need to either abstain from sex or use condoms for the first 7 days, after which time you can rely on it solely as your form of contraception.
  • If you have an IUD (Copper coil), you can rely on it immediately as your sole form of contraception.
  • All coils are able to help prevent pregnancy, but they do not protect against sexually transmitted infections, however using a condom can.
  • Please book an nurse appointment for a coil check 6 weeks after your coil has been fitted.
  • If you are experiencing any symptoms of infection, you need to be seen as soon as possible, call the surgery number. If we are closed call 111 for the Out of Hours service.
  • Symptoms may include any of the following:
    • Persistent or worsening lower abdominal pain
    • Abnormal vaginal discharge –eg. offensive, green
    • A shivering attack or otherwise feeling unwell with fever
    • Pain during sexual intercourse