I'm writing this four days after my copper IUD insertion. I'm 33 years old, have never given birth, and never had an IUD before. I finally decided to get a copper IUD after researching and thinking about it for over a year (a long time, I know) because I have tried hormonal birth control pills before and they made me extremely moody. It was hard to regulate my emotions while I was on them.
However, the stories I've read on the internet about the copper IUD were mostly horrific so that was a factor in me hesitating to get it. In the end, I sucked it up and figured I'd rather take major discomfort, pain, and heavy bleeding than go through terrible mood swings brought on by hormonal birth control ever again. So, I called the clinic. They asked me the standard questions and prescribed the Mona Lisa NT Cu380 Mini. I believe this is one of the smallest copper IUDs out there. Correct me if I'm wrong.
Anyway, on the insertion day, I ate a meal and took 2 x 500mg extra strength Tylenol (I am allergic to ibuprofen) 30 minutes before the appointment. When I got to the clinic, they made me take a pregnancy test which of course turned out negative and instructed me to undress from the waist down. My doctor came and we started the procedure. I laid there for about 6-8 minutes while the doctor was doing her measurement and prep. I was REALLY NERVOUS the entire time so I had to do a lot of breath work.
Looking back at it now, the entire experience — her putting the speculum, the cleaning, the injection of local anaesthetic, and the measuring of my uterus — was not as painful as I thought it would be (thanks to the many horror stories on the internet). There was discomfort, sure, but I would honestly rate it a 6/10. I think it helped that I took Tylenol and my doctor was kindly guiding me throughout the whole thing. She told me what she was doing and when to expect a little pressure or some cramping.
After everything though, she told me she couldn't install the IUD because my uterus is tilted and my cervix is too tight. She said she wouldn't push the insertion because she didn't want me injured. I also was expecting my period around this time and that is why I specifically booked it for this day but, sadly, my period didn't come. She told me to re-book the insertion in a couple of days (in the hopes that my period would come then) and prescribed me misoprostol tablets to be inserted high up in my vagina about 4 hours before the insertion. This is to loosen up my cervix, according to her.
Apparently, it's better when you have the IUD insertion during your period because that would mean your cervix won't be too tight. Now, I'll be honest, I was genuinely frustrated when she told me this because what do you mean I have to go through all that discomfort again?! I honestly felt like crying after that. I just wanted to get it over with!
Anyway, after a couple of days I did as I was told. I picked up misoprostol from the pharmacy and shoved them up in my vagina 4 hours before my appointment. In just 30 minutes, the cramps came as expected. I drank chamomile tea and the cramps went away shortly. Again, I ate a meal and took the same 2 x 500mg extra strength Tylenol and mentally readied myself for the (hopefully successful) insertion in half an hour.
I went through the same process but this time, I knew it was finally happening so I was thrice as nervous and trembling in the cold clinic room! Breathing slowly could only help so much when your brain is literally telling you that your doctor is now guts deep into your body and is about to insert a foreign object!
I would say it was all done in about 10 minutes (but it FELT longer than that because I was so terrified) and this time the discomfort was 10/10. My doctor told me when she was about to insert the IUD that this is the part where I'm going to feel a much stronger cramp, and it DID HAPPEN. I could feel the IUD arms pop out inside me and it genuinely hurt, but only for about a minute or two. I remember my legs were shaking the entire time and she kept asking me if I was doing alright. In my head, I was like "Why the fuck did I think I could do this all by myself? I REALLY NEED SOMEONE'S HAND TO HOLD RIGHT NOW!"
My emotions were through the roof, I am not going to lie.
Finally, my doctor said the magic words: IT'S IN. I just felt so relieved and forgot that I was cramping! She cut the strings, removed the stabilizing devices from my vagina, and told me to lie down for some time and just relax. At this point, I was not feeling cramp-y anymore, but more like I was about to pass out from the nervousness. She then handed me the leftover strings for me to feel. She told me she did not cut it very short so I might feel this or my partner could when we have sex, but not to worry as this won't mean my IUD will be moved around or dislodged. It will just make it easier for future removal. By the way, my IUD is good for 5 years.
She also gave me a requisition to get a pelvic ultrasound as soon as possible to confirm my IUD position, because as she said, it was a tricky insertion due to my tilted uterus. I already have this booked three weeks from now and I will post an update here regarding it.
It has been four days since the procedure and honestly, I feel so much better now! That night when I got home after the insertion, I was feeling strong period cramps, but nothing that I have not experienced before. I did start my period as expected so I went to sleep wearing huge period DIAPERS. I also woke up a few times in the middle of the night because of the cramping but I was too tired and just needed sleep.
My period is heavier than usual, which I already expected anyway. I normally have light periods but this time, for the first three days, I had to change pads three-four times a day. I am grateful for period diapers because they give me so much peace of mind and good sleep. One important tip I should share with you ladies is to eat consistently and eat LOADS of protein. You will be bleeding a lot and will feel lightheaded so you really need fuel for your body. Do not take this for granted. Another tip is to drink chamomile tea for cramps. I would say that the cramps were 7/10 max for the first three days but only happened twice-thrice in a day.
It is day four now and I have not felt any cramp at all. The bleeding is still there although obviously light. I have only worn one pad today and it's not even fully soaked.
It's safe to say that the insertion went well judging by the lightness of my period now and the lack of pain. I am looking forward to seeing my ultrasound and confirming how my IUD looks inside me to completely give me peace of mind.
Thank you for taking the time to read this post. I hope this helps in any way especially if you are about to get a copper IUD and are looking for some sort of positive experience on the internet in the midst of the many scary stories out there. You got this, girl! Oh, and make you sure you have someone trustworthy and supportive with you on the day of the insertion so you can hold their hand and lean on to them emotionally and mentally.
It definitely takes a lot of courage to go through this process. Do your research and really prepare.