Everything you wanted to know about getting an IUD // Part 1

This is the first of a multi-post series on my love-hate relationship with my IUD. Getting something inserted into your body is kind of scary, so I’m hoping to demystify the process and give you as much info as possible if you are considering getting one, too!

Read part two about the side effects and part three, a check-in six months after getting my IUD.

Note: This is not meant to be medical advice or to tell you what your experience will be like since all bodies are different, but is an anecdote that you may find useful when deciding to get an IUD.

Why did I decide to get an IUD?

One of the first things I read after the “election” of He Who Shall Not Be Named was an article on why every person who wants to avoid pregnancy should get an IUD, right now, because reproductive rights will be under attack for at least the next 4 years.

This prompted a fairly warranted freak-out. Although I was on the pill and didn’t mind it, knowing that at seemingly any moment my insurance could stop covering it gave me anxiety. Getting an IUD seemed like a safer way to ensure I wouldn’t have to worry about an unwanted pregnancy in the next few years.

I ultimately decided on the Mirena, a hormonal IUD that lasts 5 years, after I read some online resources and talked to a lot of friends and acquaintances who graciously shared their IUD experiences with me. One of the reasons I decided on the Mirena was that I was previously on the pill and liked how hormones lightened my periods and reduced my cramps. Before the pill, I had heavy periods and painful cramps, so I didn’t want to go with the copper, non-hormonal Paraguard, which can worsen your cramps. I also ruled out the 3-year Skyla, which wouldn’t outlast He Who Shall Not Be Named’s reign. And, I was very interested in the possibility of not having my period at all, which happens in a lot of people who get the Mirena.

The first step was scheduling a consultation with the women’s health clinic operated by my insurance provider. The consultation was free, and thanks to Obamacare/ACA, so was the IUD. Thanks, Obama. My doctor was so knowledgeable and friendly that I felt pretty confident I was making a good choice. I scheduled the procedure for a couple months later, in early January.

What was getting the IUD inserted like?

The doctor prescribed me misoprostol, a drug that dilates the cervix, to make the procedure less painful since I have not given birth before (due to some mishap at the pharmacy I wasn’t able to take it, but it’s an option if you’re nervous about the pain). She also recommended that I take 600-800mg of ibuprofen about 45 minutes beforehand.

The procedure was similar to a pap smear, where your ankles are in stirrups and the physician sticks an uncomfortable metal thing to open your vagina. The physician gave me some numbing injections in the cervix, which I didn’t feel because I guess there are no nerve endings there. Not all doctors will offer this, so you could ask if yours does.

How much did getting an IUD hurt?

The pain from getting the IUD inserted felt like a terrible menstrual cramp. I had been expecting a sharp pain from the insertion, but I guess, again, there are no nerve endings in your cervix so really you’re feeling your uterus contract around your new baby chamber security system. A quick Google search of “does getting an IUD feel like reverse childbirth” confirmed that yeah, it kinda does.

The cramps came and went for about another 6 hours or so, which I spent intermittently screaming facedown in my bed (my cat freaked out and just hid from me…I felt very betrayed). By the time I wanted to sleep, the pain had not relented. Because I had taken way too much ibuprofen at this point to feel comfortable with popping more and risking stomach bleeding or other fun side effects, I took my best friend’s advice and ate an edible. Thankfully, I zonked out after that. (Not recommending this—just documenting what worked for me! I’ve also had some luck using CBD for uterus-related pain relief.)

From hearing about my friends’ experiences, the pain I experienced was on the more intense side of the spectrum. In any case, I’d recommend getting the procedure done at a time when you can go home right afterwards.

The cramps were gone the next morning. I’ve felt some random cramps here and there for maybe a month afterward, but nothing as horrible as the first few hours.

Final thoughts!

Besides the constant spotting I’ve been having for the past couple of months, it’s been great not having to take pills every day! I do have some issues with my IUD, but that’s another post for another daypart two of this mini-series will be all about the not-so-fun side effects.

If you’re considering an IUD, definitely do your own research and put your needs first. Everyone’s body is different and I’m in no way qualified to give medical advice, but I hope this post was helpful for you to understand the procedure. Although the devil’s “healthcare” bill has been pulled out of Congress (ah, sweet irony), reproductive rights will continue to be under attack and unfortunately, it’s unclear how long birth control will continue to be covered by health insurance.

Whatever you have to do to be in control of your body, I support you! Good luck.

If you don’t want to miss part two of “My IUD and Me”, follow Restitchstance on Facebook and Instagram for updates.

*This post is tagged as women’s health for search, but I have used gender-neutral language throughout the post to reflect the fact that not all people who can get pregnant or use birth control/IUDs are women.

Update: Parts two and three of this series are up! Read part two about the side effects and part three, a check-in six months after getting my IUD.

6 thoughts on “Everything you wanted to know about getting an IUD // Part 1”

  • cat, this was super insightful!! IUD is something i’ve suggested to so many people but i’ve never gone through the process myself so this was so important for me to read.

    for cat’s readers- a similar option to the Mirena/Skyla progesterone IUD is Nexplanon, a little matchstick implant that goes into your arm. same hormones, different location.

    Progesterone IUD (skyla/mirena)
    – cons: things cat listed above
    – pros: studies show the spotting patterns that may happen in the months following insertion will end by 6 months. and many women ultimately have no bleeding at all (WHICH IS THE BEST MOST LEVEL PLAYING FIELD FEELING)

    Nexplanon (progesterone implant)
    – pros: the insertion process itself is painless. no prep/painkillers needed. max 5 min procedure. and you can feel it safely in your arm afterwards, so you know it’s there.
    – cons: bleeding patterns are very different for everyone and may persist (unlike with the IUD). ACHEY bruised arm 3-5 days after insertion (no pain thereafter)

    **both 99% effective aw yiiis**
    **why repro health shit so invasive**
    **celebrates not having to have a birth control alarm clock every day thooo**

    • Thanks for telling us about the implant! I know some of my friends are considering getting it as opposed to the IUD. It’s all about what you feel more comfortable with in your body 🙂

  • It’s more a hate-it-or-completely-forget-about-it relationship for me, but I think you may have convinced me to write my own IUD post!

    • Yeah, I definitely get that…either I’m blissfully unaware OR I’m randomly spotting…lol. It would be awesome if you wrote one. I basically wrote the post I wanted to have read before I got my IUD, because there’s not enough info out there about birth control in general!

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