Proper insertion technique can help prevent many problems, such as infection, expulsion, and perforation.
Follow proper infection-prevention procedures.
Use high-level disinfected or sterile instruments. High-level disinfect by boiling, steaming, or soaking them in disinfectant chemicals.
Use a new, presterilized IUD that is packaged with its inserter.
The “no-touch” insertion technique is safest. This includes not letting the loaded IUD or uterine sound touch any unsterile surfaces (for example, hands, speculum, vagina, table top). The no-touch technique involves:
Loading the IUD into the inserter while the IUD is still in the sterile package, to avoid touching the IUD directly
Cleaning the cervix thoroughly with antiseptic before IUD insertion
Being careful not to touch the vaginal wall or speculum blades with the uterine sound or loaded IUD inserter
Passing both the uterine sound and the loaded IUD inserter only once each through the cervical canal
Giving antibiotics routinely is generally not recommended for women at low risk of STIs.