IUD Insertion: What to Expect, How to Prepare, and First-Hand Tips

Medically Reviewed by Dr. Oluwakemi Balogun (Kemi), MD — Medhaven Health

Last updated: September 2025

When it comes to long-term birth control, an intrauterine device (IUD) is one of the most reliable and low-maintenance options. But if you’re considering getting one, you might have a lot of questions about the process, such as “how to prepare for IUD insertion” or “what to do before IUD insertion.”

In this guide, we’ll walk you through everything you need to know before your IUD insertion appointment, from preparation and procedure time to common first-hand tips doctors share with patients.

What Is an IUD and Why Choose It?

An IUD (intrauterine device) is a small, T-shaped device placed inside the uterus to prevent pregnancy. Depending on the type, it can last between 3 to 12 years.

Women often choose an IUD because it’s:

• Highly effective (over 99%)

• Low maintenance (no daily pill or monthly refill)

• Reversible (you can have it removed anytime)

• Discreet and convenient

Whether you’re preparing for your first IUD insertion appointment or considering an IUD replacement, understanding how to prepare will make the experience smoother.

How to Prep for IUD Insertion

Many people wonder: “How do I prepare for an IUD insertion?” or “What not to do before getting an IUD?” Here’s a breakdown.

1. Schedule Your Appointment at the Right Time

Doctors often recommend scheduling the procedure during your period, as the cervix is naturally softer. This can make insertion easier.

2. Eat Light Beforehand

Don’t come on an empty stomach. A light meal can help prevent dizziness or fainting during the procedure.

3. Consider Pain Relief

If you’re wondering “what to take before IUD insertion,” many healthcare providers suggest taking ibuprofen or acetaminophen about 30–60 minutes before your appointment to reduce cramping.

4. No Need to Shave

A common question is “should I shave before getting an IUD?” The answer: it’s not necessary. Doctors don’t require shaving or waxing, and it doesn’t affect the procedure.

5. Talk to Your Provider About Sex Before Insertion

A lot of patients ask: “Can you have sex before getting an IUD?” or “Is sex before IUD placement okay?” In most cases, protected sex before IUD insertion is fine, but unprotected sex right before the procedure may complicate timing. Always ask your provider for specific guidance.

What Tests Are Done Before IUD Insertion?

Before placing an IUD, your doctor may recommend:

• A pregnancy test (to confirm you’re not pregnant)

• STD/STI screening (untreated infections can complicate insertion)

• Pelvic exam (to check the position and health of your uterus)

These tests help ensure that the IUD can be safely inserted.

How Long Does an IUD Appointment Take?

Patients often ask: “How long does it take to get an IUD put in?”

• The procedure itself usually takes 5–10 minutes.

• Your total appointment may last 30–45 minutes, including prep, consultation, and recovery time.

If you’re going in for a replacement, the process is similar—removal and reinsertion can often be done in a single visit.

What to Expect During the Appointment

Your IUD insertion appointment usually follows these steps:

1. Consent and consultation – Your provider will review your medical history and answer questions.

2. Pelvic exam – To check your uterus and cervix.

3. Cervical cleaning – To reduce infection risk.

4. Insertion – The IUD is placed through a small applicator. You may feel cramping or pressure.

5. String check – The provider ensures the IUD strings are in place.

Most women describe the sensation as brief but uncomfortable, similar to strong menstrual cramps.

First-Hand Tips for Making Insertion Easier

Women who’ve had the procedure and providers themselves often share helpful IUD insertion tips:

• Take pain relief in advance – Don’t wait until after.

• Bring a support person – Someone to drive you home if you feel faint.

• Practice deep breathing – Helps manage discomfort during insertion.

• Plan a light schedule afterward – Some women experience cramping for a few hours.

• Wear comfortable clothes – Loose clothing makes it easier to relax.

What Not to Do Before Getting an IUD

To make your appointment smoother, here’s what to avoid:

• Don’t skip eating before your appointment.

• Don’t self-medicate with stronger painkillers unless approved.

• Don’t douche, as it disrupts vaginal balance.

• Don’t worry about shaving—it’s not necessary.

Aftercare: What to Expect Post-Insertion

Once the IUD is placed, you may experience:

• Cramping for a few hours to a couple of days

• Light spotting

• Mild backache

Most women return to normal activities the same day. Your provider will usually schedule a follow-up appointment in 4–6 weeks to ensure everything is in place.

First-Hand Commentary From a Provider

Dr. Oluwakemi Balogun, a primary care physician with years of experience in women’s health, shares:

“Many patients worry about pain during IUD insertion, but most are surprised by how quick it is. The key is preparation—taking ibuprofen beforehand and practicing relaxation techniques. Remember, the procedure is brief, and the benefits of long-term contraception far outweigh a few minutes of discomfort.”

This kind of first-hand reassurance helps patients approach the appointment with more confidence.

Key Takeaways

• Prep for IUD insertion by eating light, taking pain relief, and asking questions.

• What not to do before getting an IUD: skip meals, shave unnecessarily, or have unprotected sex right before.

• IUD appointments are quick—about 5–10 minutes for insertion, 30–45 minutes total.

• Tests before IUD insertion may include pregnancy and STI screening.

• First-hand tips like pain relief, deep breathing, and planning downtime make it easier.

Final Word

If you’ve been searching “how to prepare for IUD insertion” or “what to do before IUD insertion,” the most important advice is simple: don’t stress, follow your provider’s instructions, and prepare for a quick, safe procedure.

An IUD is one of the most effective and low-maintenance birth control methods available. With the right preparation, your IUD insertion appointment will be smooth, empowering, and a step toward taking control of your reproductive health.