Preparation for IUD insertion
Before getting an IUD it’s important to make sure that you are not pregnant. It is advised to take a pregnancy test before your appointment or to have the IUD inserted on the first days of your period.
Furthermore it is advised to check for sexually transmitted diseases (STD) like chlamydia. A chlamydia infection could be present without you noticing and the insertion of an IUD could bring this infection up into the Fallopian tubes and cause infertility. Self test kits are usually not reliable. The most reliable test can be done at our SHO laboratory. The kit and form for this test can be obtained from our assistent. This test is not covered by your health insurance and will cost €40 to €50.
If you are totally sure that you have not been at risk for an STD then it is not necessary to have a test before the insertion of an IUD.
Prescription for IUD and Implanon
An IUD or Implanon must be picked up from a pharmacy. The prescription can be provided by us and you can either pick it up at Echo Amsterdam or we can send it to you by post. Check with your health insurance as some will cover the cost of your IUD or Implanon.
An IUD can be inserted from 10 to 12 weeks after birth. If you have never given birth, it is best to do the insertion during your period as the cervix is dilated a little then which makes it easier to insert the IUD. On top of that we will be sure that you are not pregnant at that moment.
The consultation takes about 20 mins. First the position and size of your uterus will be checked by an internal examination. After that the IUD will be inserted which will take only a few minutes. You can experience some discomfort during the insertion so if you wish you can take one ibuprofen 200mg or two paracetamol 500mg one hour prior to your appointment to ease the pain.
After the insertion most women experience some cramping and discomfort in the lower abdomen. Usually this only lasts a few hours to one day. Furthermore it is common to have some spotting and more cramping and/or bloodloss during your period in the first three months after the insertion.
We do NOT recommend using a menstrual cup in combination with a spiral.
At least not during the first 3 months after placement.
Would you like to use a menstrual cup, have the strings cut very short by the midwife
When removing the cup, make sure you break the vacuum well before removing it.
We will make an appointment to check if the IUD is still in the right position six weeks after the insertion or after your first period. In the mean time we are always available for questions or if you have any problems concerning the IUD.
Removal of IUD or Implanon
You are also welcome to make an appointment to have your IUD or Implanon removed. Right after the removal you will be fertile and can get pregnant.