Final answer:
After IUD insertion, a woman should check the placement monthly by feeling for the strings, be aware of potential side effects like increased bleeding and pain, and schedule a follow-up. If complications like pain or missing strings arise, seek medical advice. Fertility returns immediately after IUD removal, and a doctor must manage insertion and removal.
Step-by-step explanation:
Post-IUD insertion, it is vital for a woman to understand the care instructions and potential side effects. A hormonal IUD, such as Mirena, releases progestin, which modifies the uterine lining and cervical mucus, preventing sperm from reaching an egg and may stop ovulation. Women should monitor for signs of complications, such as increased menstrual bleeding or pain, and be aware that while rare, there's a risk of uterine perforation. A follow-up visit is recommended to ensure correct IUD placement.
While IUDs have a low failure rate, women should confirm insertion by feeling for the IUD strings and checking monthly. If strings cannot be felt or if there's pain, seek medical attention to rule out dislodgement or perforation. IUDs offer no protection against STIs, so additional protection may be necessary depending on one's situation.
After giving birth, women should delay the use of estrogen-containing birth control for at least three weeks to reduce the risk of blood clots; six weeks if additional risk factors are present. IUD usage is immediately effective, and fertility returns quickly upon removal. A doctor should carry out both the insertion and removal of an IUD.