Intrauterine devices (IUDs) are a great choice for birth control. They’re long-lasting, highly effective, and reversible. There’s a reason they’re so popular.
According to Yale Medicine, these IUDs last about 3 to 10 years. They also boast of the highest satisfaction levels (80%) among all birth control methods. In contrast, only 54% of women report being satisfied with oral contraceptives. This is further evident from the IUD market value.
Global Market Insights Inc. reports that the US IUD market size was approximately $1.4 billion in 2023. It is estimated to touch $3 billion in 2032. The hormonal IUD (worth $1.1 billion) and 30-34 age group segments (worth $772.6 million) were the most valuable categories. While the satisfaction rate and market value are clear, getting one inserted can come with its challenges.
Some women feel a lot of pain during the process. That’s why it’s important to understand your options. This blog explores what you should expect and how to manage pain, as recommended by the Centers for Disease Control and Prevention (CDC).
Understanding IUD Placement Pain
Pain during IUD placement varies from person to person. Some women describe it as a brief pinch, while others find it more intense. Factors like your pain tolerance, cervix position, anxiety levels, and previous childbirth experiences can affect how you feel.
This pain typically results from the dilation of the cervix and the placement of the device inside the uterus.
Healthline reports that about 80% of women categorize the insertion pain as either average or extreme. Moreover, 75% of women describe the insertion procedure as ‘very well.’ Moreover, multiple studies reveal that 11-17% of women who report intense pain during the insertion procedure will need pain medications.
The CDC’s New Recommendations for Pain Management
Recently, the CDC updated its guidelines for IUD insertion to help women manage pain during IUD placement. These guidelines now emphasize patient comfort. They now recommend healthcare providers discuss pain management options with you before the procedure.
This patient-centered approach aims to make the experience more comfortable for everyone.
Pain Management Options Before Insertion
Timing matters. Scheduling your IUD placement during your period might make it easier, as your cervix is naturally more open then. The CDC also suggests taking over-the-counter pain relievers like ibuprofen about an hour before your appointment.
Pain Management During IUD Placement
Your healthcare provider might offer local anesthesia to numb your cervix. Another option is using lidocaine. Now, it can be used either as a paracervical block or topical. Paracervical block, which is often used on women in labor, involves injecting a numbing medication around the cervix. Topical lidocaine, on the other hand, is an ointment.
According to the CDC, these methods can significantly reduce discomfort during insertion. However, misoprostol, which helps with stomach ulcers and dilates the cervix, is to be avoided. Experts state that this medication might have more downsides than positives.
Post-Insertion Pain Management
After placement, you might feel cramping for a few days. The CDC recommends using heat packs and continuing with over-the-counter pain relievers as needed. Most women find that any discomfort subsides within a week. Different IUD types offer varied insertion experiences.
It’s worth noting that several women have reported severe side effects, particularly those using Paragard and Mirena IUDs. There are instances of these IUDs breaking, migrating within the body, or falling out. This can cause organ damage, internal bleeding, pelvic inflammatory diseases, infections, infertility, and pregnancy complications. The Paragard IUD lawsuit highlights these potential complications.
TorHoerman Law states that over 2,771 Paragard lawsuits have been filed in the Northern District Court of Georgia. Moreover, in 2020, the final Mirena multidistrict litigation (MDL) was closed. Drugwatch reports that Bayer, the manufacturer, offered $12.2 million to over 1,800 victims as compensation.
Addressing Concerns and Misconceptions
Many women worry about pain during IUD insertion. However, the experience is often less severe than anticipated. Talk openly with your healthcare provider. They can address your concerns and help you choose the best pain management strategy.
While some discomfort is normal, certain signs may indicate complications requiring medical attention. If you experience severe pain, heavy bleeding, or signs of infection, immediately contact your healthcare provider. You’ll also need to book some follow-up appointments to ensure the IUD is positioned correctly or to address any ongoing pain.
People Also Ask
Q1. How Common Are IUD Side Effects?
Most women have minimal side effects with an IUD—however, some experience heavier periods, spotting, or cramping, especially in the first few months. Severe complications like uterine perforation, device breakage, and organ damage are rare. However, they should be reported to your doctor right away.
Q2. Can You Exercise After Getting an IUD?
Yes, you can exercise after getting an IUD, but it’s advisable to take it easy for the first few days. Light activities like walking are fine, but listen to your body and avoid strenuous exercise until you feel comfortable.
Q3. What Should I Avoid After Getting an IUD?
After getting an IUD, avoid using tampons, douching, or inserting anything into the vagina for at least 24 hours. This helps reduce the risk of infection. It’s also best to skip intense physical activities for a few days.
While IUD insertion can be uncomfortable, new CDC guidelines aim to make the process smoother. There are several ways to manage discomfort, like timing your appointment and using pain relievers and local anesthesia. Remember, the brief discomfort after insertion is often outweighed by years of effective, hassle-free contraception.
If you’re considering an IUD, talk to your healthcare provider about your options. They can help you choose the best method for your needs and ensure comfort. With proper preparation and pain management, getting an IUD can be a positive step towards long-term, reliable birth control.
