Intrauterine devices (or IUDs) are a highly effective birth control method. When properly inserted, an IUD can reduce the risk of pregnancy for several years. If you’ve never had one before, you may not know what to expect after the procedure. With support from your provider—and the tips below—you’ll find that most side effects are mild and temporary.

How Is an IUD Inserted?

The process begins with an examination by your doctor or nurse, including a review of your medical history and possibly a screening for sexually transmitted infections (STIs). Before insertion, medication may be offered to soften or numb the cervix.

A speculum is inserted to gently open the vagina. Then, a thin applicator is used to guide the IUD through the cervix and into the uterus. The entire procedure typically takes less than five minutes.

IUDs can be placed at any point in your menstrual cycle. Many are inserted immediately after childbirth or an abortion.

Cramping After IUD Insertion

Cramping is the most common side effect after an IUD is inserted. Some individuals feel only mild discomfort, while others experience more intense cramps or backaches. These symptoms usually improve over time and typically resolve within 3 to 6 months.

Hormonal IUDs may reduce cramps and lighten periods, while copper IUDs are more likely to cause heavier bleeding and cramping—especially in the first few months. Your doctor may recommend a hormonal IUD if you already experience painful or heavy periods.

Bleeding After IUD Insertion

Light bleeding or spotting between periods is another common side effect after an IUD is placed. This is more common in the first few months and usually subsides over time. Hormonal IUDs generally cause less bleeding, and some people stop having periods altogether. Copper IUDs, on the other hand, may increase menstrual flow and spotting.

Speak with your doctor if bleeding becomes heavy or lasts more than six months.

When to Talk to Your Doctor

Most side effects of an IUD are short-term and manageable. However, you should contact your healthcare provider if you experience:

• Severe or persistent cramping
• Heavy bleeding that doesn’t improve over time
• Signs of infection (fever, foul-smelling discharge)
• Pain during intercourse
• If you think your IUD may have moved

Expect Personalized, Expert Care at BASS Medical

At BASS Medical Group, we’re committed to helping patients make informed choices about reproductive health. IUDs are an excellent long-term birth control option, and our experienced providers are here to walk you through the process—from consultation to follow-up care.

Whether you’re looking to get an IUD or simply want to explore your birth control options, our team of primary care physicians and women's health experts are here to help.

Ready to Take Control of Your Birth Control?

Schedule a visit with a BASS Primary Care or OB-GYN provider today!