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Insertion of Intrauterine Device or Mirena

Intrauterine devices (IUD) and Mirenas are small, T-shaped devices placed inside the uterus (womb) to provide long-acting contraception.

An IUC, often called the "copper coil," is made of plastic and copper. It contains no hormones and can remain in place for 5 to 10 years, depending on the type. 

A Mirena is made of plastic but slowly releases a hormone called levonorgestrel. It can last up to 5 years, and in some cases is used for longer depending on individual needs and medical guidance. 

You may be offered an IUD or Mirena to: 

• provide long-term, effective contraception 
• reduce bleeding  
• treat heavy or painful periods  
• manage conditions like endometriosis or adenomyosis 
• provide protection of the womb lining during hormone replacement therapy 

What is involved in insertion?

You will lie on an examination couch. A speculum is used to gently open the vagina, and the device is inserted through the cervix into the uterus using a thin, flexible applicator. 

Insertion is usually carried out in a clinic and takes about 10–15 minutes. Your gynaecologist will work with you to make sure that the insertion is as comfortable as possible. You may be offered a local anaesthetic or medicine to soften the cervix. Some people elect to have their IUD or Mirena inserted under general anaesthetic.  

Once in place, a pair of fine threads will extend from the device into the top of the vagina. These are used to check the device is in place and for removal when needed. 

Before & After Your Procedure

What to know before your procedure and how to support your recovery.

Your gynaecologist will be happy to answer your questions and ensure you feel fully informed and supported throughout the process.

Preparing for Surgery
Recovery

Find A Specialist

  • Dr Kate van Harselaar

    Gynaecologist