| Expect cramping and pain |
- She can expect some cramping and pain for a few days after insertion.
- Suggest ibuprofen (200–400 mg), paracetamol (325–1000 mg), or other pain reliever as needed.
- Also, she can expect some bleeding or spotting immediately after insertion. This may continue for 3 to 6 months.
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| She can check the strings |
- If she wants, she can check her IUD strings from time to time, especially in the first few months and after monthly bleeding, to confirm that her IUD is still in place (see Question 10).
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| Length of pregnancy protection |
- Discuss how to remember the date to return.
- Give each woman the following information in writing on a reminder card, like the one shown below, if possible, and explain:
- The type of IUD she has
- Date of IUD insertion
- Month and year when IUD will need to be removed or replaced
- Where to go if she has problems or questions with her IUD
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| Follow-up visit |
- A follow-up visit after her first monthly bleeding or 3 to 6 weeks after IUD insertion is recommended. No woman should be denied an IUD, however, because follow-up would be difficult or not possible.
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