How to minimise the risk of a painful IUD fitting

By Stephanie Taylor, Managing Director of Kegel8

The ‘coil’ or Intrauterine Device (IUD) has become a hot topic since the release of Britney’s conservatorship documents and Naga Munchetty description of her fitting being “one of the most traumatic physical experiences” of her life.

For most women with the coil, the benefits greatly outweigh the risk of pain. With protection against pregnancy lasting between five to ten years, the coil offers an effective, low-maintenance alternative to other forms of contraception.

But although the vast majority will only experience some mild discomfort when getting their IUD fitted, there’s no denying some can experience intense physical pain that may discourage others from trying it.

Stephanie Taylor, intimate health expert and Managing Director of pelvic healthcare company Kegel8, gives her top tips for minimising the risk of a painful coil fitting.

Address your anxiety

It’s natural to feel nervous about the possibility of pain when it comes to getting the coil fitted.

However, it’s worth keeping in mind that the majority of women will only experience mild discomfort when getting their IUD fitted, with studies finding most people expect the pain to be greater than they actually experience.

Anxiety can make pain feel more intense, as well as causing the vagina to tense up which could make the procedure more painful.

If you feel yourself becoming anxious, try some stress-relieving breathing exercises to help relax your body and mind.

Go to a doctor you trust

You’re far less likely to feel anxious or tense if you know you’re in good hands.

Have an open and honest conversation with your GP about what you’re feeling before your IUD fitting. They will talk you through the procedure and fill you in on everything you can expect which should help to alleviate some of your fears.

Don’t fast before your procedure

Having low blood sugar levels before your appointment can make you more likely to feel dizzy, nauseous, and generally irritable – not ideal for when you’re about to undergo an uncomfortable procedure.

Keep some snacks on hand to prevent any lulls in blood sugar and to give yourself a little mood boost post-fitting.

Arrange your fitting for the end of your cycle

Although not essential, it is recommended that the coil is inserted towards the end of your period or a couple of days after your cycle has ended to ensure you are not pregnant and help ease the pain of the fitting.

The softening and slight opening of the cervix during menstruation can make the process more comfortable as it’s easier to fit the IUD.

Take painkillers beforehand

The NHS recommends you take paracetamol or ibuprofen an hour before your appointment to minimise the risk of pain during and after the procedure.

Taking painkillers will help to relieve any pain from cramping after the procedure. It’s also worth having a hot water bottle at the ready should pain persist.

Ask for local anaesthesia

Whether you’re offered local anaesthesia will depend on who your doctor is, but there’s no harm in asking directly if you’d like this option.

The call to offer more women local anaesthesia during an IUD fitting is growing, with minister Nadine Dorries and MP Laura Trott appealing for pain relief to be more readily available during the procedure.

You should always say if you’re feeling discomfort during the fitting and can ask to stop at any time.

Aftercare

You may feel some uncomfortable cramping for several days up to a couple of weeks after the coil has been fitted. You can remedy this with some over the counter painkillers and a hot water bottle if needed.

Your doctor will also instruct you on how to check the threads of your coil to ensure it is still in place. If you have any concerns about the placement of your IUD, you should call your GP directly.

There is also a slightly increased risk of developing thrush or pelvic infections after you have the coil fitted, so do get in touch with your GP if you notice any symptoms of infection.