IUCD Insertion & Removal

What is IUCD insertion or removal?

IUCD insertion or removal refers to the process of inserting or removing an intrauterine contraceptive device (IUCD, also commonly known as IUD) in Singapore. An IUCD is a small T-shaped device that is inserted into the uterus or womb to prevent unwanted pregnancies.
There are two main types of IUCD, these are:
  • Copper IUCD: made of both copper and plastic. It works by encouraging an inflammatory response in your uterus, causing your uterine lining/endometrium to become inflamed, thus preventing any fertilised egg from implanting.
  • Hormonal IUCD: made of plastic. It works by releasing small amounts of the hormone levonorgestrel over a period of time; this works to thicken your cervical mucus, thus making it difficult for sperms to swim and survive. Additionally, it thins your uterus lining and suppresses the release of an egg from your ovaries.
IUCD/IUDs can remain in place in your uterus for several years, providing long-term contraception. If you decide to discontinue using it or if it needs to be replaced, your obstetrician/gynaecologist will perform a removal procedure to gently take out the device from your uterus.
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How does IUCD insertion and removal work?

Before an IUCD is inserted, you may be required to undergo a pregnancy or STI (sexually transmitted infections) test to check for any potential issues. If all is clear, your obstetrician/gynaecologist will examine your uterus to determine the right size of device to use. You may also be offered the option of painkillers to help you feel more comfortable during the procedure.
During the insertion, the IUCD is introduced into your uterus with the help of a speculum or a tube; the speculum widens your cervix to allow for good visualisation so the device can be placed accurately in your uterus/womb. The IUCD is carefully guided through the cervix and into your uterus. Once correctly positioned, the IUCD’s arms open up and anchors itself in place.
When it comes to IUCD removal, your obstetrician/gynaecologist will perform the same pelvic examination to locate and grasp the IUCD’s removal strings, which hang down from your cervix into your vagina. They will gently tug on the strings to slowly and painlessly remove the IUCD from your uterus. Generally, the removal process is a quick and straightforward process and takes just a few minutes.

Benefits of IUCD in Singapore

    • Convenient and long-lasting contraceptive option
    • Highly effective in preventing unwanted pregnancy when used correctly
    • Does not require daily or frequent maintenance
    • Can be used as a reversible method of contraception
    • Does not interfere with sexual intercourse
    • Does not affect hormonal balance
    • Can provide relief from heavy or painful periods
    • No need to remember to take a pill or use other methods consistently
    • Does not affect breastfeeding
    • Cost-effective compared to other long-term contraceptive options

What conditions can IUCD insertion or removal treat in Singapore?

IUCD can be used to treat the following conditions:
  • Management of heavy or prolonged menstrual bleeding
  • Treatment for certain gynaecological conditions such as endometriosis or adenomyosis
  • Reduction of menstrual pain or cramping
  • Prevention of uterine fibroids
  • Protection against certain types of uterine and cervical cancers

What can I expect after IUCD insertion or removal in Singapore?

When it comes to IUCD insertion/removal, the specific results vary depending on your individual circumstances.
These include:
  • Prevention of unwanted pregnancies
  • Your menstrual bleeding may be lighter and more manageable
  • Relief from symptoms associated with heavy or prolonged menstrual bleeding, such as cramps and fatigu
  • Potential improvement in certain gynaecological conditions
  • Reduced risk of uterine and cervical cancers
How many treatment sessions are needed?
Generally, IUCD insertion and removal procedures are completed in a single session each time.
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Frequently asked questions

Is removing an IUD as painful as insertion?

During the removal procedure, your obstetrician/gynaecologist will use a pair of forceps to carefully hold onto the strings of the IUD. This is done slowly and gently to prevent as much discomfort as possible and causing the IUD arms to fold up as it passes through your cervical opening. This procedure is usually painless, less uncomfortable, and much quicker compared to an IUCD insertion.

What are the side effects of removing an IUD?
Some side effects after removing an IUD include the following:
  • Discomfort and cramping
  • Bleeding
  • Mood swings
  • Nausea
  • Breast tenderness
  • Passing blood clots
  • Fatigue
How long do you bleed after an IUD insertion?
It is common to experience irregular bleeding and spotting in the initial months after the IUCD/IUD placement. In some cases, this irregular bleeding or spotting can persist for up to 6 months. While this can be bothersome to some, it typically becomes lighter and less regular with time.

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