38) IUD INSERTION: Step by Step, What to Expect for Pain, Pain Relief Options

Dr. Kristina Dervaitis, a Gynecologist in Newmarket, Ontario (Canada) answers your questions about LARC (Long Acting Reversible Contraception).
For more information about contraception, check out the official sexual health website of the Society of Obstetricians & Gynecologists of Canada (SOGC): www.sexandu.ca
Please note: this channel is provided as a volunteer public health education initiative (not for profit, no industry support, the channel is not monetized with ads). This channel is not intended to provide personalized medical advice. Dr. Dervaitis received her MD in 2000 and completed her OB/Gyn residency training in 2005 at Western University.

[@meganschoenfliess8201]

I am 40 and have suffered for years with heavy periods. I am scheduled to get a Mirena in 3 weeks. The tenaculum freaks me out. I don't like the idea of an IUD but am so desperate to control this bleeding I'm willing to try anything. Praying this works and I don't end up worse or pregnant. Very informative video.

[@lamiasaiyaramela5873]

I’ve been watching your videos for over a year and it helped a lot to overcome my fears! Thankfully my experience getting it was not even that bad. It went exactly as you described: short, with two cramps, and mild cramps afterwards for 2 days. Would do it all over again 🙏🏽

[@dr.kristinadervaitis789]

Thanks so much for taking the time to share your experience. So glad you found the videos helpful!

[@cah94pa]

Your videos made me decide to get the Kyleena years ago! I had only seen horror stories on the internet before, and your channel was so informative! I had it for almost 4 years and had it removed recently. I've been struggling with hair loss for about 3,5 years and after trying diet changes, supplements and doing blood work that came back normal, I finally realized the one thing that changed in my life over that period was the Kyleena. I found others online who had the same problem, and I decided to get it removed. I'm curious if you ever had a patient with the same problem? Kyleena says that less than 3% of people have this side effect, but I wonder where the statistics come from and how realistic they are.

[@dr.kristinadervaitis789]

Glad you found the videos informative!
In my experience, hair loss is not a frequent consequence of Levonorgestrel IUD use. I have not had any patients requesting removal for this reason.
-Dr. Dervaitis

[@isanabatrak]

Dear Doctor Dervaitis, I have a couple of questions to you regarding the IUD insertion by you: 1) Do you do this in the first few days of the patient's period? 2) Do you use ultrasound while inserting the IUD? Thank you!

[@dr.kristinadervaitis789]

1) It can be done at any time in the menstrual cycle.
2) I do have access to an ultrasound in my office and check IUD positioning with ultrasound immediately after insertion. This is an optional step, ultrasound is not mandatory during or after IUD Insertion.
-Dr. Dervaitis