Learn How To Get An IUD: Insertion And Removal Process

Gynecologist is showing process of inserting of intrauterine device IUD

In todays world of contraception, there are myriad options available for individuals seeking reliable birth control methods. One such method that has gained popularity for its effectiveness and convenience is the intrauterine device (IUD). If youre considering getting an IUD, youre not alone. 

What is an IUD?

An intrauterine device (IUD) is a small, T-shaped device that is inserted into the uterus to prevent pregnancy. There are two main types of IUDs: hormonal and copper. Hormonal IUDs release progestin, a synthetic hormone, while copper IUDs have copper wire wrapped around them. Both types work by altering the environment of the uterus, making it difficult for sperm to fertilize an egg.

Uses of IUD

Highly Effective Birth Control

IUDs are one of the most effective forms of contraception available, with a success rate of over 99%. This effectiveness makes them an appealing option for individuals who want reliable pregnancy prevention without the need for daily or weekly maintenance.

Long-Lasting

Depending on the type, IUDs can protect against pregnancy for 3 to 10 years, providing long-term peace of mind. This makes them particularly suitable for individuals who desire long-term birth control without the hassle of frequent replacements.

Convenient

Once inserted, theres no need to remember to take a pill or use other forms of birth control regularly. This convenience is especially beneficial for individuals with busy lifestyles who may find it challenging to adhere to a daily contraceptive regimen.

Minimal Hormonal Side Effects

Hormonal IUDs may have fewer hormonal side effects compared to other hormonal contraceptives like the pill, as the hormones are localized to the uterus. This can be advantageous for individuals who experience unwanted side effects from traditional hormonal birth control methods.

Reversible

IUDs can be removed at any time by a doctor, allowing for a quick return to fertility. This reversibility makes them an attractive option for individuals wanting to conceive or unsure about their long-term reproductive plans.

Learn More: Taking Careful Choices: Birth Control Methods for Safety

Process of IUD Insertion

Gynecologist holding copper intrauterine contraceptive device

Preparation

Before the insertion procedure, your doctor will discuss your medical history and any concerns you may have. They may also perform a pelvic exam to ensure the IUD can be safely inserted. This step is crucial for identifying potential contraindications or anatomical factors affecting the insertion process.

Insertion

During the insertion procedure, a speculum is used to open the vagina gently, and the IUD is placed into the uterus through the cervix. The entire procedure usually takes just a few minutes. Your health consultant may also trim the strings attached to the IUD to ensure they are the appropriate length for easy monitoring and removal in the future.

Follow-Up

After insertion, your health consultant may schedule a follow-up appointment to ensure the IUD is in the correct position and to address any concerns or questions you may have. This follow-up visit is an opportunity to confirm that the IUD is providing effective contraception and to address any discomfort or side effects you may be experiencing.

Methods of IUD Insertion

Standard Insertion

This is the most common method of IUD insertion, involving the insertion of the device directly into the uterus using a special inserter device. The health consultant carefully guides the IUD through the cervix and into the uterine cavity, ensuring proper placement and alignment.

Ultrasound-Guided Insertion

In some cases, especially if there are anatomical challenges or if the doctor encounters difficulty during standard insertion, ultrasound may be used to guide the insertion of the IUD into the uterus. This technique allows for real-time visualization of the uterine cavity, helping to ensure accurate placement of the device.

Hysteroscopy

In rare cases where traditional insertion methods are challenging or if there are suspected abnormalities within the uterus, a hysteroscope (a thin, lighted tube) may guide the insertion process. This involves visualizing the inside of the uterus with a camera and then inserting the IUD under direct visualization, ensuring precise placement and minimizing the risk of complications.

Must Read: Effective Contraception: Implant Birth Control Pros And Cons

Process of IUD Removal

Appointment

Schedule an appointment with your doctor for the removal procedure. Properly removing the IUD is essential to ensure continued effectiveness and prevent complications.

Removal

During the removal procedure, your provider will use forceps to grasp the devices strings and gently pull it out of the uterus. This typically takes just a few minutes and is less uncomfortable than insertion. Your doctor may also perform a pelvic exam to ensure the entire device has been successfully removed.

Follow-Up

After removal, your consultant may discuss alternative birth control options with you if desired. They may also guide monitoring your menstrual cycle and fertility following removal, especially if youre considering trying to conceive.

Methods of IUD Removal

Standard Removal

Most IUDs can be easily removed in a standard office visit using forceps to grasp and pull out the device. This method is straightforward and minimally invasive, typically causing minimal discomfort.

Ultrasound-Guided Removal

In rare cases where the strings are not visible or accessible, ultrasound may guide the removal process. This allows the doctor to visualize the position of the IUD within the uterus and safely guide its removal.

Hysteroscopy

If the IUD is embedded in the uterine wall or if other complications arise, a hysteroscope may be used to assist in the removal procedure. This involves visualizing the inside of the uterus with a camera and then carefully extracting the IUD under direct visualization, minimizing the risk of injury or complications.

Check This Out: Understanding The Side Effects Of Birth Control Implant

How Long Does it Take for IUD to Be Removed?

intrauterine birth control device

The removal process typically takes a few minutes and can be done during a routine office visit. After removal, you may experience mild cramping or spotting, but these symptoms usually resolve quickly.

Risks in IUD

Perforation

In rare cases, the IUD may puncture the uterus during insertion, which may require surgical removal. While this complication is uncommon, its essential to be aware of the symptoms and seek prompt medical attention if you experience severe abdominal pain or unusual bleeding.

Expulsion

There is a small risk of the IUD being expelled from the uterus, especially within the first few months after insertion. This occurs when the IUD is pushed out of the uterus partially or entirely, increasing the risk of unintended pregnancy. If you suspect that your IUD has been expelled, contact your health professional immediately.

Infection

While rare, there is a small risk of infection following IUD insertion, which may require antibiotic treatment. Symptoms of infection may include fever, chills, abdominal pain, or unusual vaginal discharge. If you experience any of these symptoms, seek medical attention promptly.

Cramping and Bleeding

Some individuals may experience cramping and spotting or irregular bleeding after IUD insertion, which usually resolves within a few weeks. This common side effect typically does not indicate any serious problems. However, you must contact your doctor if the bleeding is excessive or persists.

Ectopic Pregnancy

Although rare, if pregnancy occurs with an IUD in place, there is a higher risk of it being ectopic (occurring outside the uterus). Ectopic pregnancy is a serious medical condition that requires immediate treatment, so its essential to be aware of the symptoms, such as abdominal pain, vaginal bleeding, or shoulder pain, and seek medical attention if you experience them.

Also Read: Safe And Natural Birth Control Methods

Conclusion

Getting an IUD can be a safe and practical choice for birth control for many individuals. You can decide whether an IUD is the right option by understanding the insertion and removal process, along with potential risks. As always, its essential to consult with your consultant to discuss your individual needs and concerns and to receive personalized care throughout the process. With the correct information and support, you can confidently choose the contraceptive method that best fits your lifestyle and reproductive goals.

FAQs

Does getting an IUD hurt?

While some discomfort during insertion and removal is standard, many individuals find the procedure tolerable with the use of local anesthesia or pain medication. Your health consultant can discuss pain management options to help minimize discomfort during the procedure.

Can everyone use IUDs?

IUDs are suitable for most individuals, but there may be contraindications for specific medical conditions. Its essential to discuss your medical history with your doctor to determine if an IUD is right for you. Your provider can help assess your risk factors and recommend the most appropriate contraceptive method.

Will I still get my period with an IUD?

The effect of an IUD on menstruation varies depending on the type. Hormonal IUDs may result in lighter periods or even the absence of menstruation for some individuals, while copper IUDs may lead to heavier periods for others. Its normal for menstrual patterns to change after IUD insertion, but if you have concerns about changes in your period, dont hesitate to discuss them with your doctor.

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Discover the Top 10 Benefits of IUDs for Women's Health

Title: The Marvels of IUDs: 10 Benefits You Need to KnowIntroduction:When it comes to birth control options, there are a plethora of choices available to women today. From condoms and oral contraceptives to implants and sterilization, the options are seemingly endless. However, one method that has been gaining popularity in recent years is the intrauterine device (IUD). IUDs are small, T-shaped devices that are inserted into the uterus to prevent pregnancy. But what exactly are the benefits of IUDs, and why are more and more women choosing this method of contraception? In this blog post, we will explore the top 10 benefits of IUDs and why they may be the right choice for you.1. Highly Effective:One of the primary benefits of IUDs is their effectiveness in preventing pregnancy. In fact, IUDs are one of the most effective forms of contraception available, with a failure rate of less than 1%. This means that once the device is in place, you can rest easy knowing that you are protected against unplanned pregnancy. The effectiveness of IUDs is one of the main reasons that they are becoming increasingly popular among women of all ages.Additionally, unlike other forms of birth control that require daily attention or monthly refills, IUDs are a "set it and forget it" method, making them extremely convenient for busy women who may not have the time or inclination to remember to take a pill every day. 2. Long-Lasting:Another major benefit of IUDs is their longevity. Depending on the type of IUD you choose, they can provide protection against pregnancy for anywhere from 3 to 12 years. This means that once the device is inserted, you can enjoy worry-free contraception for years to come. For women who are looking for a long-term solution to preventing pregnancy, an IUD can be an excellent option.In addition to their long-lasting effectiveness, IUDs can also be easily removed at any time by a healthcare provider, allowing you to start trying to conceive whenever you are ready. This flexibility is another reason why many women opt for an IUD as their birth control method of choice.3. Hormone-Free Option:For women who are sensitive to hormones or prefer not to use hormonal contraception, the copper IUD can be a great option. Unlike hormonal IUDs, which release progestin to prevent pregnancy, copper IUDs work by creating an inhospitable environment for sperm in the uterus. This hormone-free option is appealing to many women who are looking for a non-hormonal form of birth control.Additionally, because copper IUDs do not contain hormones, they do not have the same side effects that can be associated with hormonal birth control, such as weight gain, mood swings, or decreased libido. This makes them a popular choice for women who are looking for a natural and hormone-free method of contraception.4. Cost-Effective:When considering birth control options, cost is often a significant factor for many women. The good news is that IUDs can be a cost-effective option in the long run. While the upfront cost of an IUD may be higher than other forms of contraception, such as the birth control pill or condoms, the long-lasting nature of the device means that you will not have to continually purchase refills or prescriptions, saving you money in the long term.Additionally, many insurance plans cover the cost of an IUD, making it an affordable option for many women. With the potential for years of protection against pregnancy for a one-time cost, IUDs can be a smart financial choice for women who are looking for a reliable and cost-effective form of birth control.5. Lighter Periods:One of the lesser-known benefits of IUDs is their ability to reduce menstrual bleeding and cramping. Hormonal IUDs, in particular, have been shown to make periods lighter and less painful for many women. This can be a welcome relief for women who suffer from heavy or painful periods each month.The hormone released by the IUD works to thin the lining of the uterus, which can result in fewer and lighter periods over time. For women who struggle with menstrual issues, such as anemia or endometriosis, an IUD can be a game-changer in terms of improving quality of life and overall health.6. Protection Against Pelvic Infections:In addition to preventing pregnancy, IUDs also offer protection against pelvic infections, such as pelvic inflammatory disease (PID). While any form of contraception that involves inserting a foreign object into the body carries a risk of infection, studies have shown that the risk of PID with an IUD is very low.One reason for this is that the IUD itself does not introduce bacteria into the uterus, reducing the risk of infection. Additionally, the hormone released by hormonal IUDs can help to thicken the cervical mucus, making it more difficult for bacteria to enter the uterus. This added protection against pelvic infections is a major benefit of IUDs that should not be overlooked.7. Quick Return to Fertility:For women who are planning to start a family in the future, one concern with using contraception is how quickly they will be able to conceive once the method is removed. The good news is that IUDs do not have a lasting impact on fertility, and most women are able to conceive shortly after having the device removed.Unlike some other forms of birth control, such as the Depo-Provera shot, which can take several months to wear off, IUDs have an immediate cessation of contraception once the device is removed. This means that you can start trying to conceive as soon as you are ready, without any lingering effects from the IUD.8. Reduced Risk of Ectopic Pregnancy:Ectopic pregnancy, a potentially life-threatening condition where a fertilized egg implants outside of the uterus, is a risk with any form of contraception. However, the risk of ectopic pregnancy with an IUD is extremely low. In fact, studies have shown that the risk of ectopic pregnancy with an IUD in place is less than 1 in 1000.The reason for this low risk is that the IUD prevents a fertilized egg from implanting in the uterus, reducing the chances of it implanting elsewhere in the reproductive system. This added protection against ectopic pregnancy is another benefit of IUDs that can provide peace of mind for women who are concerned about this serious condition.9. Non-Permanent Option:For women who are not ready to commit to a permanent form of birth control, such as sterilization, but are looking for a long-term solution, an IUD can be an excellent choice. Unlike sterilization, which is irreversible, an IUD can be easily removed at any time by a healthcare provider, allowing you to retain your fertility and start a family when you are ready.This non-permanent option is appealing to many women who may be unsure about their future reproductive plans but want the peace of mind that comes with long-lasting contraception. The ability to remove the device at any time and return to fertility quickly is a major benefit of IUDs that makes them a popular choice for women of all ages.10. Customizable Options:Finally, one of the great benefits of IUDs is the variety of options available to women. From hormonal IUDs like Mirena and Skyla to non-hormonal copper IUDs like Paragard, there are different types of IUDs to meet the needs and preferences of individual women. This customization allows women to choose the option that works best for their body and lifestyle.Additionally, IUDs can be used by women who have not yet had children, as well as those who have already completed their families. This flexibility makes IUDs a versatile and inclusive form of contraception that can be tailored to the unique needs of each woman.Conclusion:In conclusion, the benefits of IUDs are numerous and varied, making them a popular choice for women looking for a reliable, convenient, and effective form of contraception. From their high effectiveness and long-lasting nature to their hormone-free option and cost-effectiveness, IUDs offer a range of advantages that make them an attractive choice for women of all ages and reproductive stages.Whether you are looking for a non-permanent option that is easily reversible, a hormone-free method that aligns with your preferences, or a cost-effective solution for long-term protection against pregnancy, an IUD may be the right choice for you. With their ability to reduce menstrual bleeding, protect against pelvic infections, and provide peace of mind in terms of ectopic pregnancy, IUDs offer a comprehensive set of benefits that can improve your overall health and well-being.So why wait? Talk to your healthcare provider today to see if an IUD is the right choice for you and take control of your reproductive health with this versatile and effective form of contraception.

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Title: Introduction to IUDsHave you ever heard about IUDs? They are a popular form of long-acting reversible birth control that many women opt for due to their convenience and effectiveness. But just like any other medical device, IUDs come with their own set of side effects and potential risks. In this blog post, we will explore the side effects of IUDs and answer the burning question- Are IUDs safe?Title: The Safety of IUDsFirst things first, let's address the most important question- Are IUDs safe? The short answer is, yes, IUDs are considered to be a very safe form of contraception by medical professionals. The risk of serious complications with IUDs is extremely low, making them a popular choice for women who want long-lasting birth control without the hassle of remembering to take a pill every day. However, like all medical procedures, there are some potential risks and side effects to be aware of.Title: Common Side Effects of IUDsOne of the most common side effects of IUDs is cramping or pain during insertion. This is a normal response to the IUD being placed in the uterus and should subside within a few days. Some women may also experience irregular bleeding or spotting in the first few months after getting an IUD. This is typically not a cause for concern and should improve over time. Other common side effects include headaches, breast tenderness, and mood changes.Title: Uncommon Side Effects of IUDsWhile most women tolerate IUDs well, there are some less common side effects that can occur. These may include pelvic pain, discomfort during intercourse, or an increased risk of pelvic inflammatory disease (PID). In rare cases, the IUD may perforate the uterus or become embedded in the uterine wall, requiring removal. It is important to be aware of these potential risks and speak with your healthcare provider if you experience any unusual symptoms.Title: Long-Term Effects of IUDsMany women worry about the long-term effects of using an IUD. The good news is that IUDs do not have any known long-term health risks. In fact, they can provide protection against certain types of cancer, such as endometrial cancer. Some women may also experience lighter periods or a complete absence of menstruation while using an IUD, which can be a welcome side effect for those who suffer from heavy or painful periods.Title: Benefits of Using an IUDDespite the potential side effects, IUDs offer a number of benefits that make them a popular choice for many women. They are over 99% effective at preventing pregnancy and can last for several years without needing to be replaced. IUDs do not require daily maintenance or frequent trips to the pharmacy, making them a convenient option for busy women. Additionally, some types of IUDs can help regulate hormones and improve conditions like endometriosis.Title: How to Minimize Side Effects of IUDsIf you are considering getting an IUD but are concerned about potential side effects, there are some steps you can take to minimize your risk. Make sure to discuss your medical history and any concerns with your healthcare provider before getting an IUD. It is also important to follow your provider's instructions for care and monitoring after insertion. If you experience any severe or persistent side effects, don't hesitate to contact your healthcare provider for guidance.Title: ConclusionIn conclusion, IUDs are generally considered to be a safe and effective form of birth control for most women. While there are potential side effects and risks associated with IUDs, the benefits often outweigh the drawbacks for many women. It is important to weigh your options carefully and discuss any concerns with your healthcare provider before making a decision about getting an IUD. With proper care and monitoring, you can enjoy the peace of mind that comes with knowing you are protected against pregnancy.In this blog post, we have covered the common side effects of IUDs, discussed the safety of IUDs, and explored the long-term effects and benefits of using an IUD. If you have any further questions or concerns about IUDs, don't hesitate to reach out to your healthcare provider for personalized guidance.

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If left untreated, appendicitis can result in the rupture of the appendix, causing a potentially life-threatening infection in the abdomen.Section 2: Appendix LocationThe appendix is a small, finger-like pouch attached to the cecum, which is the beginning of the large intestine. It is usually located in the lower right side of the abdomen, although the exact position can vary slightly from person to person. Knowing the location of the appendix is important because the pain associated with appendicitis typically starts in the middle of the abdomen and then moves to the lower right side, where the appendix is located.Section 3: What Side Is Your Appendix On?If you are wondering what side your appendix is on, the answer is usually the lower right side of your abdomen. However, in some cases, the appendix can be located in different positions, such as behind the cecum or even in the pelvis. This variability in the location of the appendix can sometimes make it challenging to diagnose appendicitis based on the location of the pain alone. If you are experiencing severe abdominal pain, it is crucial to seek medical attention to determine the cause.Section 4: Appendix Pain LocationOne of the key symptoms of appendicitis is pain in the lower right side of the abdomen, known as McBurney's point. This pain may start off as a dull ache around the belly button and then migrate to the lower right side over time. As the inflammation worsens, the pain may become sharper and more intense. Other symptoms of appendicitis can include nausea, vomiting, loss of appetite, and fever. If you are experiencing these symptoms, it is essential to seek medical attention promptly.Section 5: Appendix SymptomsIn addition to the pain in the lower right side of the abdomen, there are several other symptoms commonly associated with appendicitis. These can include nausea, vomiting, loss of appetite, and fever. Some people may also experience bloating, constipation, or diarrhea. It is important to note that not everyone with appendicitis will have all of these symptoms, and the severity of the symptoms can vary from person to person. If you suspect you may have appendicitis, it is crucial to seek medical attention for a proper diagnosis.Section 6: Treatment for AppendicitisThe most common treatment for appendicitis is surgery to remove the inflamed appendix, known as an appendectomy. This procedure is typically performed using minimally invasive techniques, such as laparoscopic surgery, which involves making small incisions in the abdomen to remove the appendix. In some cases, if the appendix has already ruptured, a more extensive surgery may be required to clean out the infected area and remove any abscesses that have formed. In addition to surgery, antibiotics may be prescribed to help treat the infection.Section 7: Recovery from Appendicitis SurgeryMost people recover well from appendicitis surgery and can return to their normal activities within a few weeks. It is important to follow your doctor's instructions for post-operative care, which may include rest, pain medication, and avoiding strenuous activities. It is also essential to monitor for any signs of infection, such as fever, redness, or swelling at the incision site. If you experience any of these symptoms, contact your healthcare provider immediately.Section 8: Complications of AppendicitisWhile most cases of appendicitis can be successfully treated with surgery, there are potential complications that can arise if the condition is not promptly diagnosed and treated. One of the most serious complications of appendicitis is the rupture of the appendix, which can lead to a widespread infection in the abdomen, known as peritonitis. This can be life-threatening and requires immediate medical attention. Other complications of appendicitis can include abscess formation, which may require drainage or additional surgery.Section 9: Preventing AppendicitisWhile the exact cause of appendicitis is not always clear, there are some steps you can take to reduce your risk of developing this condition. Maintaining a healthy diet high in fiber, staying hydrated, and avoiding constipation can help prevent blockages in the appendix that can lead to inflammation. It is also essential to seek medical attention promptly if you experience symptoms of appendicitis, as early diagnosis and treatment can help prevent complications and speed up recovery.Section 10: ConclusionIn conclusion, appendicitis is a common medical condition that can lead to serious complications if left untreated. Understanding the symptoms of appendicitis, the location of the appendix, and the treatment options available is crucial for early diagnosis and prompt treatment. If you are experiencing abdominal pain, nausea, vomiting, fever, or other symptoms of appendicitis, do not hesitate to seek medical attention. The sooner appendicitis is diagnosed and treated, the better the outcome will be. Take care of your health and listen to your body's signals to ensure you stay healthy and free from appendicitis.By incorporating keywords like "appendix pain, what side is your appendix on, appendix location, where is the appendix, appendix pain location, and appendix symptoms," this blog post provides comprehensive information on appendicitis for readers seeking to learn more about this common condition.

Discover the signs, symptoms, and treatment options for appendicitis

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By adhering to the prescribed timeline for backup contraception and following your doctor, you can navigate the transition period with confidence and peace of mind.Insertion ProcessNumbingBefore the insertion begins, apply a local anesthetic to the area where the implant will be placed. This numbing agent ensures you'll feel minimal discomfort during the procedure, if any.PositioningOnce the numbing has taken effect, carefully position the applicator device over the designated area on the inner side of your upper arm. This area is chosen because it allows easy access and ensures the implant remains discreetly tucked away.InsertionWith precision and care, use the applicator to insert the implant just beneath the surface of your skin. The implant is a slender, flexible rod that slides easily into place. While you may feel a slight pressure or pushing sensation, many individuals report feeling minimal to no discomfort during this step.BandagingCover the insertion site with a small bandage or adhesive strip once the implant is in position. This helps protect the area and keeps the implant securely in place as it begins to work its contraceptive magic.Post-Insertion InstructionsBefore you leave the office, provide detailed instructions on how to care for the insertion site and what to expect in the days following the procedure. They'll also review any potential side effects or warning signs to watch out for and how to contact them if you have any concerns.Life After the Birth Control Implant Is InsertedContraceptive ConfidenceWith the birth control implant in place, you can feel confident knowing that you're protected against unplanned pregnancy. Unlike methods that require daily attention, such as birth control pills, the implant offers long-lasting effectiveness without the need for regular maintenance.Menstrual ChangesAfter getting the implant, it's common for individuals to experience changes in their menstrual cycle. These changes can include lighter periods, irregular bleeding, or even the absence of menstruation altogether. While these changes may take some time, they're typically not harmful and often improve over time.Managing Side EffectsLike any form of contraception, the birth control implant may cause side effects in some individuals. These can include headaches, breast tenderness, mood changes, and acne. However, many people find that these side effects diminish or disappear after the initial adjustment period.Regular Check-InsWhile the birth control implant provides long-term contraception, it's essential to schedule regular follow-up visits. During these visits, your provider can assess the placement of the implant, address any concerns or side effects, and ensure that your contraceptive needs are being met. These check-ins offer an opportunity to discuss any changes in your health or lifestyle that may impact your contraceptive choices.Flexibility and FreedomOne of the critical advantages of the birth control implant is its flexibility. Whether you're planning to start a family soon or want to take a break from hormonal contraception, the implant can be easily removed. This flexibility allows you to adapt your contraceptive strategy to suit your evolving needs and goals.Also Read: Effective Contraception: Implant Birth Control Pros And ConsConclusionThe birth control implant offers individuals a highly effective and convenient option for preventing pregnancy. By understanding how it works, what to expect during and after insertion, and the importance of follow-up care, you can make an informed decision about whether the birth control implant is the right choice for you. With the birth control implant, you can take control of your reproductive health and enjoy peace of mind, knowing that you're protected against unplanned pregnancy.FAQsHow Effective is the Birth Control Implant?The birth control implant is over 99% effective at preventing pregnancy with typical use, making it one of the most reliable forms of contraception available.How Does it Feel to Get an Implant Inserted?Most people report feeling a brief pinch or sting during the insertion process, similar to getting a vaccination. Some may experience mild discomfort or pressure as the implant is placed under the skin, but the procedure is generally well-tolerated.How Soon After Getting the Implant Can I Have Sex?It's advisable to wait at least 24 hours after insertion before engaging in sexual activity to allow the implant to settle into place. However, if you're concerned about pregnancy, using a backup method of contraception, such as condoms, during the first week after insertion is recommended.