The Insertion Process

1. STD test (just pee in a cup; they may take a little blood if testing for HIV/AIDS or Genital Herpes...seriously, it is NOTHING to be afraid of)

2.  Doctor performs bimanual exam  (like someone massaging your pelvic area and fingering you) to establish size, shape and position of uterus

3. Speculum inserted into vagina to visualize cervix.

4. Cleanse cervix and vagina with antiseptic solution

5. Uterine cavity soundprep: upper lip of cervix grasped with tenaculum forceps and traction is used to stabilize and align cervical canal (Basically they are going to measure your uterus and this helps to align all your stuff up) This doesn’t hurt....ok, it hurts a little...but YOU CAN DO IT! I pinky promise. 

 This a tenaculum. It looks scarier than it is. Breath through this. You TOTALLY got this in the bag.

This a tenaculum. It looks scarier than it is. Breath through this. You TOTALLY got this in the bag.

6. Uterine Sound: Measure length of uterus to make sure that the IUD will fit {Avg. uterus length is 6-9 cm, my uterus is a petite 6 cm); Determine direction of uterine cavity; Make sure that there are no uterine abnormalities ~Shit starts getting painful~

 Uterine Sound to measure depth of the uterus. 

Uterine Sound to measure depth of the uterus. 

4. Cervix dilation may occur before Mirena is inserted (Just a little...maybe a cm...but not like when you are giving birth....no for the insertion, they WILL NOT dilate you to 9cm, you are not pushing a baby through, just a little T)

5. Mirena flange~fancy word for inserter~ (in package) inserted into vagina, and then doctor will advance the inserted through the cervix; 

6. Arms of Mirena released into T position 

 Movement of Mirena arms

Movement of Mirena arms

7. Inserter moved further up until device is in fundal position (i.e. at top of uterus)

8. Inserter removed and strings cut short

Watch a video on the insertion here (illustration, real uteruses not shown): 

 

Check out Paraguard Insertion in this video

 **I went and got my Mirena IUD at a Planned Parenthood. Some private OB/GYNs may require an initial consultation but here is a condensed step by step of the insertion process.**