Intrauterine device (IUD) insertion is one of the most reliable long-term contraception methods. The procedure is performed on an outpatient basis, takes only a few minutes, and provides pregnancy protection for 3 to 5 years. The type of IUD is selected individually, based on the patient’s age, health status, and reproductive plans.
IUD insertion offers long-lasting contraception without hormonal overload or systemic impact, making it suitable for women of different ages.
An IUD is a small medical device placed inside the uterus to prevent pregnancy. Modern IUDs can be either hormonal or non-hormonal (copper-based).
Hormonal IUDs (e.g., Mirena) release a small amount of hormone directly into the uterine cavity, which thickens cervical mucus, suppresses ovulation, and prevents implantation of a fertilised egg.
Non-hormonal (copper) IUDs create a hostile environment for sperm.
Insertion takes only a few minutes, is done on an outpatient basis, and does not require hospitalisation. The method is up to 99% effective.
Before the procedure, a standard gynaecological examination is required, including:
Pregnancy must be ruled out. IUD insertion is typically performed during the first days of the menstrual cycle (day 3–7), when the cervix is naturally slightly open.
The procedure is done in a gynaecological chair and takes 10–15 minutes. The doctor gently inserts the IUD into the uterine cavity using an applicator. An ultrasound scan is then performed to ensure correct placement.
Mild cramping, similar to menstrual pain, may occur. Local anaesthesia can be used if needed.
In the first few days, the following are possible: