Intrauterine devices come in a variety of shapes and types. They are all soft and flexible, and all have tails to facilitate identification and removal.

IUDs are designed to be inserted into the uterus. Once in place, an IUD provides approximately 98% effectiveness in preventing pregnancy.

Start by positioning the patient comfortably at the end of the exam table. Her buttocks should be right on the edge.

Perform a bimanual exam to determine the size, shape, and orientation of the uterus. This examination is helpful in safely guiding the IUD into its’ correct position within the uterine cavity.

Gather your supplies and instruments.

Using sterile technique the arms of this Copper T IUD are folded so they fit into the inserter.

The plunger is inserted into the base of the inserter until it is snug with the IUD. This sterile assembly is then set aside until you are ready to use it.

Insert a vaginal speculum so you can visualize the cervix.

After stabilizing the cervix with a tenaculum, the uterine cavity is sounded. This identifies the angle of the cervical canal and the depth of the uterine cavity.

The IUD inserter is placed near the top of the uterine cavity. The plunger is depressed, releasing the IUD. Once the IUD is released, the inserter is removed.

Once released, the arms of the IUD open up, keeping the IUD in place.

The IUD strings are trimmed so that about one inch protrudes from the cervical os.

Ultrasound can be used to confirm proper positioning of the IUD. The bright central echoes from this longitudinal and transverse scan of the uterus confirm proper positioning.

In the event the IUD needs to be removed:

• The IUD strings are first visualized and then grasped with a dressing forceps.
• Steady outward pressure is applied until the IUD appears.
• The IUD arms easily collapse as the IUD is removed.