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| source : healthline.com |
Let’s be honest: if you’ve ever Googled “does getting an IUD hurt?” while side-eyeing your uterus, you’re not alone. I was in that exact boat, curious, cautious, and a little bit freaked out. IUDs are one of the most effective and low-maintenance birth control options out there, but the pain part? That had me hesitating. So, I dove into research, talked to OB-GYNs, read clinical recommendations, and even collected some real-life stories from friends. Here's everything I learned (so you don’t have to go down the same rabbit hole).
First, Why Are So Many Women Choosing IUDs?
Because they work, really well. IUDs (short for intrauterine devices) are over 99% effective, don’t require daily attention like the pill, and can last anywhere from 3 to 12 years depending on the type. They’re also reversible, meaning you can get them taken out any time you decide you're ready for a baby (or just done with them).
There are two main types:
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Hormonal IUDs (like Mirena, Liletta, Skyla): release a tiny amount of progestin. Great for lighter periods, fewer cramps, and can even stop menstruation completely for some people.
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Copper IUDs (like Paragard): hormone-free and great for those who want a long-term option without synthetic hormones. Downside? They can make your periods heavier and crampier, especially in the first few months.
Bonus fact: the copper IUD can be used as emergency contraception if inserted within five days after unprotected sex.
Okay, But Does It Hurt?
Short answer: It can, but it really depends on your body, your provider, and your pain tolerance.
Here’s the vibe most people report:
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A pinch or cramp when the cervix is clamped.
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A sharper, deeper cramp when the IUD is actually inserted.
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Then some residual cramping (kind of like period cramps) for a few hours to a couple of days.
I heard it described like “a strong period cramp mixed with pressure.” Some say it's worse if you've never had a vaginal birth before, or if you’re already prone to painful periods. But for others? Totally manageable.
How to Not Hate the Process: Pain Management Options
There are actually ways to make this easier! Here's what you can discuss with your provider ahead of time:
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Ibuprofen or acetaminophen: Take it 30-60 minutes before your appointment. Super common and helpful.
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Lidocaine: A local anesthetic that can be injected into your cervix to numb things a bit.
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Anxiety meds: If you’re super nervous (I feel you), talk to your provider about calming options.
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Nitrous oxide (“laughing gas”) or even sedation: Not common, but sometimes available for those with high anxiety or past trauma.
The key? Be open about your pain tolerance and anxiety level so your doctor can work with you, not against you.
The IUD Insertion Process, Step-by-Step (No Sugarcoating)
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Pelvic Exam: Like a pap smear. The speculum goes in, your provider checks your cervix and uterus position.
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Prep: Your cervix gets cleaned. If you're getting numbing meds, this is when they’re given.
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Tenaculum Time: This is a tool that holds the cervix in place. It’s the part most people say feels crampy.
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Insertion: The IUD is loaded into a slim tube and slid into the uterus. This part is usually the sharpest jolt of pain, but it’s over fast.
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String trim: They’ll cut the IUD strings so you can check placement later if you want. No, they don’t hang out like tampon strings. You won’t feel them unless you go looking.
The whole thing usually takes less than 10 minutes. It might feel like a long 10 minutes, but you got this.
What About Aftercare?
You might feel a little sore or crampy for a day or two. Heating pads are your best friend, and so is ibuprofen. You can go back to normal life right after, though I’d skip the HIIT class that day.
Some spotting is normal, and your period might be weird for the first few cycles, especially with hormonal IUDs.
If you experience:
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Severe pain that doesn’t ease up
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Fever or chills
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Foul-smelling discharge
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Heavy bleeding that soaks through pads every hour
Call your doctor, stat. These can be signs of complications like infection or perforation (rare, but serious).
What About Getting It Removed?
The good news: removal is usually way easier. It’s a quick tug on the string, and it’s out. No numbing, no long appointment, usually no pain, though you might feel a cramp or two. You can even have a new one inserted during the same visit if you’re continuing birth control.
Final Thoughts
Getting an IUD can be a little intimidating, but being prepared can make a huge difference. Talk to your provider. Ask questions. Advocate for your comfort. And don’t be afraid to be honest about your nerves.
Most people I spoke to agreed on one thing: the quick pain was worth the peace of mind. And if it’s the right choice for you, you deserve to go into it feeling informed, empowered, and supported.