What’s the deal with IUD insertion (intrauterine device)?

Many women have questions about IUDs, IUD insertion, and the potential risks of this form of birth control. Here at ThriVe, we’re all women, and we’re passionate about providing medically-accurate information (including info about your menstrual cycle, sexually transmitted infections, and your reproductive health). When you’ve got IUD questions, it can feel overwhelming to sift through all the info. Sometimes, people talk about IUDs like a no-brainer, “set-it-and-forget-it” solution. But it’s important to get all the information about IUDs before making a decision.  Like, what’s it like when the IUD is inserted? How does one remove the IUD? Should I use over-the-counter pain options to help?

I’m here to share some helpful info about this t-shaped device, whether it’s a copper IUD or a Mirena. We’re here so women can make the best decision for themselves — no judgment, no pressure, just medically-accurate data!

IUD: The Good, the Bad, and the Risks You Should Know

An intrauterine device (IUD) is a small device placed inside the uterus to prevent pregnancy. There are different IUD types: hormonal (like the brand Mirena),1 and a copper IUD (like Paragard).2 A hormonal IUD releases hormones into the uterus,1 and a copper IUD causes inflammation in the uterus that makes a toxic environment for eggs and sperm.2  It’s important to understand that an intrauterine device can have side effects. Like other medical procedures, there are potential risks — both during IUD insertion and afterwards. And women deserve to know about these risks during their decision-making process. Here are some things to know:

– During IUD Insertion: The insertion process can be uncomfortable (or even painful) for some women.¹ Women may cramp, feel dizzy or faint during the procedure.¹ The IUD can pose a risk of uterine perforation (yep, that’s when the device punctures the uterus or cervix).² Infection is also possible during or right after insertion, which, if left untreated, could lead to pelvic inflammatory disease (PID).³ These risks are definitely something to consider.

– After Insertion Risks: Once the IUD insertion procedure is finished, there’s a risk of expulsion (where the IUD moves, falls out, or a cramp pushes it out). A woman might not know this has happened.² If she becomes pregnant with an IUD, there’s also a higher risk of an ectopic pregnancy (where the fertilized egg implants outside the uterus). That’s a condition that needs immediate attention.⁴ If someone thinks they might be pregnant with an IUD, it’s vital to talk with the doctor who inserted the device. And also, some IUDs are linked to bleeding between menstrual periods, ovarian cysts, cancer, heart attack, and stroke.⁵

Knowing these risks helps a woman decide if IUD insertion is the right choice for her. When it comes to any medical decision, it’s your body, your decision. You should feel empowered to ask questions and make the best decision for yourself.

Why Information Is Everything

Before any health decision, a woman deserves to have the information she needs before making her choice. This is true for an IUD, and it’s also true for understanding choices when she’s unexpectedly pregnant. 

Understanding your choices when facing a surprise pregnancy makes a world of difference. Whether you’re considering adoption, parenting, or other options, you deserve to have all the info you need to feel more confident and in control. And for such a big health decision, you deserve that confidence. 

At ThriVe, we believe that knowledge is power! With resources like no-cost pregnancy tests, ultrasounds, and even emotional support from women’s advocates, we’re here to help you feel confident in every step. We’re on your side. We can be that village you need to support you with empowering information, no matter what.

When You’re Faced with a Big Decision, Remember This…

Any decision about your health — whether it’s about IUD insertion or an unplanned pregnancy — deserves time, thought, and medically-accurate information. You’re worth it. You have time. Don’t be afraid to ask questions, ask about your choices, and take a moment to breathe and think it over. There’s no rush. You deserve to understand the full picture. Don’t let anyone rush you or pressure you into anything.

We’re here to help you with all the facts, without judgment. If you have questions about IUD or birth control risks, our blog section is a great resource! If you need to get information about your pregnancy choices, we’re here to help—no cost, no pressure. At the end of the day, we want you to feel empowered. You’re totally capable of making the best choice for your life.

Feelings Check-In: You’ve Got This

Making decisions about your health can feel overwhelming, especially when there are so many things to consider (maybe that’s your partner, family, your goals, etc). It’s totally normal to feel a bit anxious, confused, or even frustrated as you’re weighing your options. You’re human. That’s normal. But here’s a little reminder: you’re doing an amazing job just by taking the time to be informed.

Positive Self-Talk to Keep in Mind:

– “I have the power to make the best choice for me.”

Every woman’s journey is different. No one knows what’s best for you better than you. Trust that you have the strength and wisdom to decide what’s right for your body and your life.

– “It’s okay to take my time.”

Big decisions deserve thoughtful consideration. There’s no need to rush or feel pressured—you’re allowed to take a moment, think it through, and get all the information before moving forward. Check out our blog if you’re just starting your research.

– “I’m supported and not alone in this.”

Whether it’s friends, family, or a resource like ThriVe, you have people who want to support you without judgment. Lean on them (and us) for the extra reassurance you might need!

– “I am worthy of confidence.”

You deserve to feel confident and in control of your health. Remember, you’re not just making a choice — you’re making your choice, one that aligns with your values and needs.

Taking time for a “feelings check” can help you stay grounded and remind you that you’ve got this. No matter where you are in your decision-making journey, give yourself credit for taking these important steps. And know that every choice you make is one that deserves respect and support. Stay informed, stay strong, and remember—you’ve got this!

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