Intra-uterine device (IUD)
The IUD, or intra-uterine device, is a small T-shaped plastic device that is placed in the uterus to prevent a pregnancy. The size of the IUD is about 24-36mm lengthwise. There are two types of IUD’s: the copper-containing IUD and the hormone-containing IUD. The hormone-containing IUD is also known as an IUS: intra-uterine system. The copper-containing IUD is free of hormones and thus a good choice if you cannot/do not want to use hormones. The hormone-containing IUD contains the hormone progestogen. Small amounts of this hormone are released inside the uterus. These amounts are much lower compared to other forms of hormonal contraception.
When is it possible to get an IUD fitted?
From 10-12 weeks after delivery it is possible to get your IUD fitted at our midwifery practice. Of course you are also welcome to get an IUD fitted if you have never given birth before. If the fitting of the IUD takes place within 7 days after the first day of your last menstruation, it works straight away. You are protected against a pregnancy. If the fitting takes place at another moment in your menstrual cycle, we advise you to still use condoms for 7 days after fitting.
Getting an IUD fitted
The IUD can be fitted at our two main locations in Amsterdam East en IJburg. It is important to make sure you are not pregnant and you do not have a STD before the fitting takes place. Before the fitting a vaginal exam will take place to determine the position of the uterus and the cervix. We will also measure the length of your cervix. After this the IUD can be fitted in your uterus.
The fitting of an IUD can be uncomfortable. This is why we advise you to either take 1000mg of paracetamol and/or 400mg of ibuprofen an hour before the fitting will take place. After the fitting it is possible to experience some blood loss and some cramps in the lower abdomen. This usually does not last for a long time. Also, it is possible to experience irregular spotting/blood loss or cramps in the lower abdomen during the first months after fitting. This is normal to experience.
