Explaining the Insertion Procedure

A woman who has chosen the IUD needs to know what will happen during insertion. The following description can help explain the procedure to her. Learning IUD insertion requires training and practice under direct supervision. Therefore, this description is a summary and not detailed instructions.

1. The provider conducts a pelvic examination to assess eligibility (see Screening Questions for Pelvic Examination Before IUD Insertion). The provider first does the bimanual examination and then inserts a speculum into the vagina to inspect the cervix.
2. The provider cleans the cervix and vagina with appropriate antiseptic.
3. The provider slowly inserts the tenaculum through the speculum and closes the tenaculum just enough to gently hold the cervix and uterus steady.
4. The provider slowly and gently passes the uterine sound through the cervix to measure the depth and position of the uterus.
5. The provider loads the IUD into the inserter while both are still in the unopened sterile package.
6. The provider slowly and gently inserts the IUD and removes the inserter.
7. The provider cuts the strings on the IUD, leaving about 3 centimeters hanging out of the cervix.
8. After the insertion, the woman rests. She remains on the examination table until she feels ready to get dressed.

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