She Strengthens

Understanding IUDs and Cramping: What to Expect

Are you considering an intrauterine device (IUD) as a form of birth control? Or maybe you already have one and are wondering about the potential side effects. Either way, it’s essential to understand the relationship between IUDs and cramping.

The Insertion Process: What to Expect

To comprehend why IUDs might cause cramping or pain, let’s break down the insertion process. During your appointment, your OB-GYN will perform a bimanual exam to determine the position of your uterus. This might be uncomfortable, but it shouldn’t be painful. Next, they’ll use a speculum to examine your cervix, which can cause some pinching or cramping. The tenaculum, a long and slender device, will then be used to stabilize your cervix, which might cause some discomfort.

The Immediate Aftermath: Cramping and Discomfort

After the IUD is inserted, you may feel some discomfort, pain, or cramps, which are all normal responses to your cervix opening. This discomfort usually only lasts a few moments. In fact, one study found that women receiving an IUD generally feel much less pain than they expect to.

Pain After Insertion: How Long Will it Last?

If you experience pain or cramping after insertion, it’s most likely to happen immediately after the procedure. Some women may feel backaches or cramping that can last the rest of the day or longer. In most cases, cramping should lessen as your uterus adjusts to the IUD. However, in some cases, it can continue for several months.

IUD Type and Pain: Copper vs. Hormonal

There are two main types of IUDs: copper and hormonal. Copper IUDs, like ParaGard, can worsen cramps during your period, while hormonal IUDs, like Mirena, Kyleena, Liletta, and Skyla, release synthetic progesterone that can thin your endometrial lining and reduce cramping.

Pain After Removal: What to Expect

Removing an IUD typically involves gently pulling on the strings to dislodge the device from your uterus. This might feel like a quickly passing pinch or cramp. Some women may experience cramping after removal, but this usually passes within a few minutes.

Managing Pain and Discomfort

So, how can you alleviate pain and discomfort associated with IUDs? Here are seven ways to treat pain:

1. OTC Pain Relievers: Taking ibuprofen or acetaminophen before your appointment can help lessen pain and discomfort.
2. Medications: Your doctor may apply a local numbing gel or medication to help your cervix open and make the insertion easier.
3. Rest: Plan for some downtime after your appointment to allow your body to recover.
4. Heating Pads or Hot Water Bottles: Applying heat to your lower abdomen and pelvis can help reduce tension and cramping.
5. Exercise: Gentle yoga or walking can help calm tension and ease cramping.
6. Natural Remedies: Consider adding magnesium and vitamin B-6 supplements to your diet to help ease cramping.
7. Schedule Strategically: Scheduling your IUD insertion or removal during your period might reduce pain, as your cervix is softer and more open.

When to See a Doctor

While mild pain and cramping are normal with IUDs, there are some scenarios that require medical attention:

• Your IUD came out
• You suspect your IUD is hurting your uterus
• You experience severe pain, heavy bleeding, or unusual vaginal discharge

Remember, severe pain at any point in the process is not normal. Seek medical help right away if you experience severe pain or unusually heavy bleeding.