This summer, Planned Parenthood made headlines by announcing they would begin offering IV sedation for pain management during an IUD insertion. We beat them to it when we started offering IV sedation this past Spring! Sedation is an important part of comprehensive pain management options when getting an IUD inserted, and we’re proud to offer it.
This blog will explore commonly asked questions about the IUD insertion process. Feel free to call us with any questions!
How is an IUD inserted?
IUD insertion is a relatively quick procedure overall. Most healthcare clinics offer the procedure in-office, and shockingly, in most instances, no pain relief is provided during the appointment.
During the IUD insertion procedure, the IUD is inserted through the cervix into the uterus.
RELATED: Sedation for IUD Insertion: Pain Management at Austin Women’s Healthcare
Why is insertion painful?
IUD insertion is painful because the device is inserted via the nerve-filled endocervical canal, the same area that dilates during labor and forces the cervix to open, according to an article from Northeastern University. Forcing your cervix to dilate can result in painful cramps, especially for people who have not given birth.
What are the benefits of sedation?
There are lots of reasons someone would want to have IV sedation during an IUD insertion. Many folks who have had traumatic experiences with gynecologists before choose IV sedation to help with the emotional stress and anxiety of the procedure.
Another big benefit is minimizing pain. When using sedation for an IUD, we use a method called “twilight sedation,” which keeps the patient in a semi-conscious state. Unlike sedation for surgery or more intensive procedures, this form of sedation helps minimize the pain that is felt and also takes less time to wake up and recover from. In summary, twilight sedation for an IUD placement leads to no pain and a relaxing experience!
Our patient relaxed during her IUD insertion.
What are the risks of sedation?
Generally, twilight sedation is considered to be safe. However, there is a low chance of adverse side effects. Nausea and vomiting are common side effects; you may feel tired or disoriented afterward. More serious complications, like allergic reactions and over-sedation, are rare but can occur.
However, our expert healthcare providers are well-practiced in performing sedation for IUD insertion procedures and will take all the steps we can to reduce risks.
Will insurance cover an IUD?
Due to the Affordable Care Act (ACA), most health insurance plans cover intrauterine devices (IUDs). The ACA requires health plans to cover FDA-approved birth control methods, including IUDs, at little to no cost to the patient.
However, some plans may only cover some IUD brands. You can check with your health insurance provider to determine which IUDs they cover. If your insurance plan doesn’t cover the costs, we have funding options available through our partner Lilith Fund.
Will insurance pay for full sedation?
Our patient, Anna, got her IUD sedation covered through the Lilith Fund. Thank you, Lilith Fund! Read Anna’s IUD experience story here.
How long do you have to wait to have sex after getting an IUD?
This is our most asked question! The recommended time to wait before having sex after getting an IUD depends on the type of IUD and when it was inserted. It’s advised to wait at least seven days after the insertion of a hormonal IUD before having unprotected sex to allow the IUD to become fully effective.
The copper IUD provides immediate protection against pregnancy so that you can have sex right away. Regardless of the type, if you’re experiencing discomfort or cramping, you should wait until you are pain-free and comfortable before having sex.
Can I Drive After The Procedure?
It’s recommended not to drive after having an IUD inserted, even if anesthesia wasn’t used, as you could experience a delayed reaction from the procedure. If you received sedation, avoid driving for 24 hours.
Most people can resume normal activities the next day. However, if you experience painful periods or haven’t given birth, arranging a ride home might be necessary.
What Should I Expect After the Appointment?
It’s a good idea to plan for a relaxed day afterward and consider arranging for someone to drive you home. Some people may feel dizzy, nauseous, or even faint following the procedure.
Mild cramping and backaches are common, so resting for a while may be helpful. You can manage discomfort with ibuprofen, acetaminophen, or a heating pad.
Here’s a list of supplies that can help you have a relaxed day after getting an IUD inserted:
- Pain relievers (e.g., ibuprofen or acetaminophen)
- Heating pad or hot water bottle (for cramping or backaches)
- Comfortable clothing (loose-fitting clothes, soft blankets)
- Water bottle (to stay hydrated)
- Snacks (light, easy-to-digest foods)
- Pillows (for support and extra comfort)
- Books, magazines, or TV shows (for entertainment and relaxation)
- Essential oils or aromatherapy (for stress relief)
- Tea (e.g., chamomile for relaxation)
- Sanitary pads or pantyliners (in case of light spotting)
- Journal or coloring books (for a calming, creative outlet)
An IUD Insertion Doesn’t Have To Hurt!
We are happy to offer IV sedation for your IUD insertion as a part of our comprehensive reproductive healthcare services. If you have any questions, please call our office.
IUDs are more than 99% effective, making them one of the most reliable birth control methods out there. If you are ready to protect yourself against pregnancy, schedule today. Most patients can be seen the same day or the next day!