Children's Hospital Colorado

We’re passionate about providing answers, treatment and care for the full range of female reproductive health concerns, from infancy through adolescence and into adulthood.

Call

720-777-2667

calendar icon

Schedule an appointment

What is an intrauterine device (IUD)?

An intrauterine device, or IUD, is a type of birth control that’s inserted into the uterus to prevent pregnancy. Because IUDs also release hormones, we can use them for hormonal therapy to manage periods, including menstrual suppression. Menstrual suppression helps lessen the effects of periods such as pain and bleeding. In pediatric and adolescent gynecology, we use a hormonal IUD to treat heavy periodspainful periodsendometriosis and many other conditions.

The IUD is also a long-acting contraceptive device that’s highly effective at preventing pregnancy. The IUD brands Mirena® and LILETTA® are currently FDA-approved for 8 years. At that time, your doctor can replace the IUD with a new one, if desired. We can also remove the IUD sooner than 8 years, if requested.

Learn more about getting an IUD to help with periods:

Learn more about myths and facts about IUDs:

How does an IUD work?

An illustration of what the IUD looks like after it’s been inserted into the uterus.

The IUD sits inside the uterus and releases a medication called progesterone.

Progesterone thins the lining of the uterus so menstrual periods are very light or don’t occur at all. In addition to reducing blood loss from periods that cause heavy bleeding, we can also use IUDs to treat endometriosis and reduce pelvic pain and cramping.

The IUD works as birth control because it blocks sperm from reaching the fallopian tubes where fertilization occurs. Most people who have an IUD will have less bleeding over time. If periods suddenly become heavy and regular again, please let us know.

How to prepare for an IUD placement procedure

The IUD is a safe and effective way to reduce or stop menstrual periods, cramping and bleeding. If you’re a parent bringing your child in for the procedure, reassure them it’s safe and they will not feel the IUD inside their uterus afterwards. You or your child can also enjoy all the same activities as before the procedure.

Before the appointment, we recommend you have ibuprofen (Motrin), acetaminophen (Tylenol), menstrual products and a heating pad at your house for when you return.

On the day of the appointment:

  • Eat and drink normally.
  • Take ibuprofen about 30 minutes before your visit.
  • Arrive 15 minutes early for check-in.
  • Be sure you can give a urine sample at the start of your visit.

IUD placement without anesthesia (in the clinic)

We can place the IUD during an office visit without any anesthesia. For this method, we suggest patients take a mild, over-the-counter pain reliever 30 minutes before the appointment.

IUD placement with intranasal midazolam (Versed®) (in the clinic)

We can also place the IUD accompanied with intranasal (through their nose) medication. Midazolam is the generic name for Versed®, which is a medication we use before procedures to help with anxiety and provide mild sedation. You or your child will inhale the medication through the nose 10 minutes before the start of the procedure. Common side effects might include nasal irritation and headaches.

What to expect during an IUD placement with intranasal midazolam

You or your child will be awake for the duration of the procedure. The IUD insertion itself takes between 5 and 15 minutes with some additional time before and after. We’ll ensure you or your child’s vital signs are normal before allowing you to leave the hospital. You will need someone to accompany you and drive you home after the procedure.

What to expect after an IUD placement with intranasal midazolam

You or your child will be able to go home shortly after the procedure. We recommend not driving for the remainder of the day. Patients may return to school or work after the procedure if they feel up to it, but we recommend taking the rest of the day off after the procedure.

Patients can use over-the-counter medication for pain if they need it at home. Some may experience light menstrual bleeding or spotting following the procedure, but others will have no bleeding at all. If you or your child experience cramping, use a heating pad to ease the discomfort, as well as medication commonly used for menstrual cramps such as ibuprofen.

During the first 3 to 6 months of using the IUD, there may be irregular bleeding or spotting (light bleeding or brownish discharge). This may happen every day or only a few days per month. Over time, menstrual periods are usually very light or do not occur at all.

Please call our nursing line at 720-777-2667 if cramping continues longer than one week after getting an IUD, or if you have fever, chills, severe pain, cramping, or increased or heavy bleeding.

IUD placement with anesthesia (in the procedure center)

Some prefer to have anesthesia for the IUD placement procedure. Our doctors suggest an IUD insertion under anesthesia if your child can’t tolerate a pelvic exam or the pain caused by the insertion procedure. Other common reasons for placing IUDs under anesthesia include:

  • Teens and young adults with development delays and special medical needs may request menstrual suppression
  • Previous attempts at insertion without anesthesia have been unsuccessful
  • Those with chronic pelvic pain or endometriosis may not be able to tolerate an IUD insertion without anesthesia

What to expect during an IUD placement under anesthesia

After the anesthesiologist gives the anesthesia and the patient is asleep, the doctor performs a gentle pelvic exam to understand the direction and size of the uterus. They then place a small instrument, called a speculum, inside the vagina so they can see the cervix, which is the opening to the uterus. The doctor measures the uterus in length, places the IUD inside, then cuts the string of the IUD so they can easily remove it later.

It usually takes less than five minutes to insert the IUD, however, most patients spend about 3 to 4 hours at the hospital for an IUD insertion under anesthesia. This total time includes preparing for the procedure, medication for anesthesia and waiting for the anesthesia to wear off after the procedure. We invite families to stay with their children before and after the procedure.

What to expect after an IUD placement under anesthesia

With minor procedures like this, patients usually wake up in the postoperative area hungry and eager to go home. You or your child can eat and drink in the post-op area as soon as they wake up and can leave once the doctor says they can go home.

Most patients who receive general anesthesia have no cramps or pain for the first 24 to 28 hours after the procedure due to the anesthesia medication. Patients can use over-the-counter medication for pain if they need it at home. Some may experience light menstrual bleeding or spotting following the procedure, but others will have no bleeding at all. If you or your child experience cramping, use a heating pad to ease the discomfort, as well as medication commonly used for menstrual cramps such as ibuprofen.

Plan on having a relaxed day after getting an IUD. We recommend that you or your child do not drive or operate any heavy machinery for the remainder of the day. While some may feel like they can go to work or school, we recommend going home to rest. Most patients can return to normal activities the day after their procedure.

During the first 3 to 6 months of using the IUD, there may be irregular bleeding or spotting (light bleeding or brownish discharge). This may happen every day or only a few days per month. Over time, menstrual periods are usually very light or do not occur at all.

Please call our nursing line at 720-777-2667 if cramping continues longer than one week after getting an IUD, or if you have fever, chills, severe pain, cramping, or increased or heavy bleeding.

Why choose us for an IUD placement?

Our doctors at Children’s Colorado have decades of experience using the hormonal IUD for menstrual suppression and treating other gynecologic conditions as well. In addition to their extensive experience with IUDs, all our doctors and nurses are trained to work with children and teens and are skilled at helping put them and their families at ease before, during and after the procedure. While some hospitals may not have pediatric-trained anesthesiologists, ours are specially trained to work with children and teens, as well as with adults.

If you have any questions or concerns, call the ParentSmart Healthline toll free at 1-855-KID-INFO (543-4636). Caring pediatric nurses are available 24 hours a day, 7 days a week to help.