Patient guide
Everything you might want to know before, during and after an IUD insertion, so you can feel informed, prepared and at ease.
About 3 cm long
Options
Hormonal or copper
Protection
Up to 10 years
An IUD (intrauterine device) is a small, flexible T-shaped device that sits inside your uterus (womb). Once it is in place, you don’t need to think about contraception every day.
Years of protection, without a daily pill.
More than 99% effective at preventing pregnancy.
Your fertility returns quickly once it is removed.
No one can see it, and you shouldn’t feel it once it has settled.
Both are small, safe and long-lasting. In your consultation, Dr. Madri helps you choose the one that suits your body, your periods and your plans.
A low dose of hormone
Hormone-free
From your first conversation to heading home, this is what to expect at the practice.
We talk through your health, your options and your questions. Once you have chosen, you give written informed consent.
R620.30
Dr. Madri prescribes your IUD. Collect it from your pharmacy and bring it along to your appointment.
From your pharmacy
A short procedure in our private procedure room. The insertion itself takes about five minutes.
R922.60
Take a few quiet minutes before you leave. We’re a WhatsApp away if any questions come up.
Contracted with most medical aids. Private fees shown.
The procedure
Knowing what happens can make it feel much easier. Go through each step at your own pace.
You lie on the examination bed with your knees bent, just like for a pap smear. A speculum gently opens the vagina so Dr. Madri can see your cervix.
You can ask to pause at any time. Just say the word.
Most people feel some cramping, like period pain, for a short while. Everyone is different, and these small things can help.
Have a light meal so you don’t feel light-headed.
A pain reliever such as ibuprofen about an hour before can ease cramping, if it is safe for you. Ask us if you’re unsure.
Light spotting afterwards is normal, so a pad or panty liner is handy.
You’re welcome to bring someone along for support.
Slow, deep breaths help your muscles relax during the procedure.
Tell Dr. Madri if you feel anxious. You can ask questions or ask to pause at any time.
Cramping and light bleeding are common. A hot water bottle and pain relief help, and many people carry on with their day.
Cramps usually ease within a few days. Tampons and your usual activities are fine.
Your periods may change while your body adjusts. Hormonal IUDs often cause spotting at first; copper IUDs can make periods heavier.
IUDs don’t protect against sexually transmitted infections. Condoms do.
In an emergency, go to your nearest emergency unit.
Complications are uncommon, and Dr. Madri talks them through with you before you decide.
An IUD can move or come out, most often in the first few months.
Rarely, an IUD can pass through the wall of the uterus during insertion.
There is a small risk of infection after insertion. Contact us if you notice any of the signs listed here.
Most people feel cramping, like period pain, during the insertion and for a short while afterwards. It is different for everyone, and it is over quickly. Let us know if you’re worried about pain, so we can plan together.
Yes. IUDs are suitable for most people, whether or not they have had children.
The IUD sits inside the uterus, so it can’t be felt during sex. Occasionally a partner notices the threads; if so, they can be trimmed a little shorter.
No. The IUD stays in the uterus. The threads sometimes curl up out of reach, which isn’t necessarily a problem. Ask us if you’re unsure.
Whenever you like. Removal is usually quick and simpler than insertion, and your fertility returns soon afterwards.
Yes, tampons are fine with an IUD.
Book a consultation to find the IUD that suits you. Bring your questions; no question is too small.
This guide offers general information and doesn’t replace a consultation with your doctor.
