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Intrauterine Device (IUD) for Emergency Contraception: Care Instructions

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Overview

An intrauterine device (IUD) is a small, T-shaped plastic device. IUDs can be used to prevent pregnancy after unprotected sex. An IUD can be placed up to 5 days after you've had unprotected sex.

A doctor inserts the IUD into your uterus. A plastic string tied to the end of the IUD hangs down through the cervix into the vagina.

An IUD used for emergency contraception can stay in place for 8 to 12 years, depending on the type. Talk to your doctor about how long you can use it. It can serve as a good method of regular birth control.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • You may have some mild cramping and light bleeding (spotting) for 1 or 2 days. Use a hot water bottle or a heating pad set on low on your belly for pain.
  • Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), if needed. Read and follow all instructions on the label.
  • If you haven't started your period within 3 weeks of having the IUD inserted, get a pregnancy test.
  • A string tied to the end of the IUD hangs down through the opening of the uterus (called the cervix) into the vagina. You can check that the IUD is in place by feeling for the string. The IUD usually stays in the uterus until your doctor removes it.
  • If the IUD comes out, save it and call your doctor. Be sure to use another form of birth control while the IUD is out.
  • Use latex condoms to protect against sexually transmitted infections (STIs), such as gonorrhea and chlamydia. An IUD does not protect you from STIs. Having one sex partner (who does not have STIs and does not have sex with anyone else) is a good way to avoid STIs.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

  • You passed out (lost consciousness).
  • You have sudden, severe pain in your belly or pelvis.

Call your doctor now or seek immediate medical care if:

  • You have new belly or pelvic pain.
  • You have severe vaginal bleeding. This means that you are soaking through your usual pads or tampons each hour for 2 or more hours.
  • You are dizzy or lightheaded, or you feel like you may faint.
  • You have a fever and pelvic pain or vaginal discharge.
  • You have pelvic pain that is getting worse.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • You can't feel the string, or the IUD comes out.
  • You feel sick to your stomach, or you vomit.
  • You think you may be pregnant.

Where can you learn more?

Go to http://www.healthwise.net/patientEd

Enter B498 in the search box to learn more about "Intrauterine Device (IUD) for Emergency Contraception: Care Instructions".

Current as of: April 30, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: April 30, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

The Health Encyclopedia contains general health information. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. For recommended treatments, please consult with your health care provider.