| 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. Irregular spotting can continue during the first month after insertion.
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Length of pregnancy protection
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- Discuss how to remember the date to return for removal or replacement.
- 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 about her IUD
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Follow-up visit
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- 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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