Before the procedure, you can take 400 mg of Ipren about 1 hour before.

Laying of spiral

A gynecological examination is performed before the procedure. This involves examining the position of the uterus and any tenderness (which may indicate pelvic inflammation).

The uterine lining and ovaries are assessed by ultrasound. A chlamydia test may also be performed and a local anesthetic may be applied to the cervix with a small needle. The IUD is inserted by placing a self-retaining speculum in the vagina.

The spiral is approximately 4 cm long and lies well protected in the uterine cavity. When the spiral is in place in the uterine cavity, the plastic threads hanging down in the vagina are cut so that they have a length of approximately 3 cm. The position of the spiral is then checked with ultrasound.

After insertion, there may be menstrual-like pain in the days following and you may find it beneficial to take Ipren 400 mg, 3 times daily in the first few days. You are offered a check-up in the clinic in the assistant's room 2 months after insertion. If you have used birth control pills up to the change to the spiral, we recommend that you continue with birth control pills for the rest of the cycle before insertion.

If you are not using birth control pills, it is recommended that the IUD be inserted within the first 10 days after the first day of menstruation to protect against a possible very early pregnancy that cannot be detected.

If you need to change the IUD, it can happen at any time during the menstrual cycle.

Spiral lay-up (PDF)