Intrauterine Device (Mirena and Paraguard)

The IUD is usually inserted during your menstrual period. The doctor or nurse practitioner puts the IUD in a long, slender, plastic tube. He or she places it into the vagina, guides it through the cervix into the uterus. The IUD is then pushed down out of the plastic tube into the uterus. The IUD strings open into place, and the tube is withdrawn.

Once the IUD is inserted, the doctor or nurse practitioner may show you how to check that it’s in place. Each IUD comes with a string made of thin plastic thread. You will be able to tell the placement of the IUD by the location of the string. It is important to check the string regularly. If you don’t feel the string, call the office.

You will be scheduled for an ultrasound or an appointment with the physician or nurse practitioner about two-four weeks after the IUD insertion to confirm correct placement. Preparation:

  • It is preferable to be on your menstrual cycle when the IUD is inserted
  • However, if the IUD is inserted other than the week you are on your menstrual cycle, you need to remain abstinent two weeks prior to your appointment
  • We will need a urine sample at the time of your appointment
  • Thirty minutes prior to your appointment, if no contraindications, take 600mg Ibuprofen

If you have questions, please don’t hesitate to call the office at 314-432-3669.

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