Insertion of the copper IUD

Copper IUD for Emergency Contraception: What to Expect

If you're thinking about getting a copper IUD for emergency contraception, it’s one of the most effective options available. Ideally, we’ll insert it within 72 hours after unprotected sex, or up to 7 days after you think you’ve ovulated. You don’t need to have had children, and taking paracetamol and ibuprofen before the appointment can help with any discomfort.

Before the Procedure:

1. We’ll have a chat about your options, and you can bring someone with you if you like – they won’t see anything, but it might be comforting to have them there.
2. You’ll do a quick pregnancy test, and I’ll check your blood pressure.
3. After that, you’ll hop on the exam table, and we’ll position your legs up (this helps you relax and makes the procedure easier).

During the Insertion:

• Finding the cervix: I’ll gently feel inside your vagina to locate your cervix (the neck of the womb) and assess the size and position of your womb
• Opening things up: I’ll use a speculum (the small tool that opens the vagina so I can see what I’m doing).
• Holding steady: I’ll use an instrument to hold your cervix steady, which might feel like a slight tug.
• Measuring the womb: I’ll measure your womb to check the size and position. If your womb tilts a bit, you may feel a pinch on one side of your tummy.
• Inserting the IUD: I’ll insert the copper IUD, and while you might feel a sharp pain, it should ease off once the strings are trimmed.

After the Procedure:

• Pads: You may have some bleeding, and I’ll have a pad ready for you, but you’ll want to bring some more for the following days.
• Light-headedness: You might feel a bit light-headed or dizzy afterward, and if you need to, we can let you lie down for a while until you’re feeling better.
• Pain and bleeding: Expect some cramping and possibly heavier bleeding for a bit, but this usually settles down.
• Sex: I’ll let you know when it’s safe to have sex again.

If you’re still unsure, we can discuss other emergency contraception options like the morning-after pill.

When Things Don’t Go as Planned: Sometimes, it’s tricky to insert the IUD due to anatomy, pain, or if your muscles tense up. If that happens, we’ll figure out what’s best to do next.