Having an IUD fitted
You can usually have an IUD (intrauterine device), also called a copper coil, fitted by a specially trained doctor or nurse at a GP surgery or sexual health clinic.
Having an IUD fitted should take about 5 to 10 minutes, but allow at least 30 minutes for the appointment.
Before your IUD is fitted you might be offered:
- a test for sexually transmitted infections (STIs)
- a pregnancy test (an IUD cannot be fitted if you might be pregnant)
Most people have some pain when having an IUD fitted. You may want to take some painkillers like paracetamol or ibuprofen an hour before.
If you're concerned about pain during the fitting, speak to the nurse or doctor. They may be able to offer you extra pain relief, such as local anaesthesia.
The procedure
During the procedure:
- a nurse or doctor will gently put a smooth, tube-shaped tool (a speculum) into your vagina so they can open it, like a cervical screening (a smear test)
- they will insert the IUD into your womb through your cervix
Tell the person fitting your IUD if you feel any pain or discomfort. You can ask them to stop at any time.
You can have a friend, family member or other member of staff in the room with you during the fitting if you want.
After an IUD is fitted
You might have some period-like pain for a few days after having an IUD fitted. Painkillers such as paracetamol and ibuprofen can help with any pain. You may also have some light bleeding (spotting).
Checking an IUD is still in place
An IUD has 2 thin, soft threads that hang down a little way from your womb into the top of your vagina.
The doctor or nurse who fits your IUD will teach you how to feel these threads to check it's still in place.
Check your IUD is in place a few times in the first month and then regularly, such as after each period.
Important: If you cannot feel your IUD threads
If you cannot feel the threads your IUD might not be in place. Get help from a sexual health clinic, 111 or your GP straight away.
If you cannot feel the threads when you check for them, you might not be protected against pregnancy and may need emergency contraception. Use another form of contraception until a doctor or nurse has checked your IUD.
Having an IUD removed
A trained doctor or nurse can remove your IUD at any time.
An IUD is effective for 5 to 10 years, depending on the type. Talk to your doctor to find out when your IUD is due to be removed or replaced.
It's possible to get pregnant as soon as your IUD has been taken out.
If you do not want to get pregnant, use another type of contraception, such as condoms, starting 7 days before you have it removed.