Intrauterine contraception is highly effective and may suit many patients regardless of parity. WHO Medical Eligibility Criteria (available via WHO reproductive health resources) help classify safety in the presence of medical conditions. Canadian guidance is integrated through organizations such as SOGC and public orientation from Health Canada’s contraception hub.
We screen for pregnancy, untreated STI, uterine anomalies, and proceeding pain plans; insertion timing follows menses or emergency-post-coital protocols when applicable.
What This Service Includes
Eligibility screening
STI risk assessment, pap status per program, anticoagulation, fibroid distortion.
Insertion technique
Speculum, sterile load, sounding/uterine measurement per device IFU,strings trimmed.
Safety netting
Expect cramping/bleeding; warn about perforation symptoms (rare); string check plan.
What to Expect
Counsel & choose device
Cu T vs LNG-IUS benefits, bleeding changes, STI protection still needed condoms.
Insert
Often post-menses or immediate postpartum per protocol; analgesia options discussed.
Post-insertion review
Ultrasound if threads not visible, placement uncertain, or severe pain.
Frequently Asked Questions
Cramping is common for minutes to hours; NSAIDs beforehand may help; vasovagal reactions can occur.
Depends on device type and timing in cycle—clear instructions given at visit.
Partial/complete expulsion is possible—if you feel expulsion or cannot feel threads, arrange assessment.
Screening is recommended when risk factors exist—treating active pelvic infection before insertion reduces complications.