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The (not so) harrowing tale of my IUD insertion

What it was like to get a T-shaped bit of plastic shoved into my uterus.

Supplies for Mirena IUD insertion laid out at the doctor's office, including forceps, lube, gloves, and the Mirena box.
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The morning of my IUD insertion began with me desperately driving across town to retrieve a sex toy. I didn’t necessarily want to masturbate, but I needed to. It had occurred to me the night before: fuck, what if penetration is forbidden following the procedure? I needed to finish testing the Velvet Thruster Mini prior to my trip to sex toy trade show ANME, where I’d be participating in an influencers’ meeting with the company. That was less than a week away, and the toy was stranded at my girlfriend’s house.

If my vag was going to be out of commission after this, I needed to act now. So I drove, unshowered and hardly awake. As Aerie emerged from their apartment complex, opened my car door, and handed me the toy bundled in a pink hand towel, I had to laugh at the weird shit I do for my job.

Porn feels strange to watch at 9 am, but I powered through it like a professional.

After some copious masturbating and note-taking, I took a shower and got ready. To properly prepare for a T-shaped bit of plastic to be shoved into my uterus, I had a list of the internet’s and my doctor’s advice:

  • Eat an actual breakfast — no, self, a single banana does not count
  • Drink a bunch of water — to arrive with a full bladder
  • Poop — to avoid feeling bloated
  • Take four ibuprofen (800 mg)
  • Wear comfortable clothes — I chose a breezy dress
  • Wear a pad — in case of bleeding
  • Get a ride home

But that list doesn’t cover the mental aspect, which may be the most important thing of all: go into the appointment embracing the unknown. The insertion could be excruciating or bearable, and same with the recovery. Birth control is a highly charged topic, with scads of anecdotes to both ease — and terrify you out of — your mind. (Did you know? If you mutter the phrase “birth control” on the internet, someone is legally required to pop up and yell at you about how wrong your choice is.) My followers’ experiences were so varied, there was no way of predicting anything. Or worrying about it.

My decision to get an intrauterine device was not made willy-nilly; it came after many years of dabbling in other birth control options. The first birth control I used was the NuvaRing, which I liked but found incompatible with my lifestyle — it was constantly getting dislodged by dildos. So I tried the slut stick (commonly known as the implant, but that’s so boring), which bought me 3 years of protection but caused enough irregular bleeding that I didn’t want another one.

More recently, my gynecologist sent me home with some old-fashioned birth control pills, but taking them felt… archaic. Not to be a snowflake millennial or whatever, but it’s been 60 years since the pill came out and at this point I deserve a birth control I don’t have to remember to take daily. So, after discussing with my gyno (who has had multiple IUDs herself), I chose the Mirena, which lasts for 5-7 years.

Did you know? If you mutter the phrase “birth control” on the internet, someone is legally required to pop up and yell at you about how wrong your choice is.

Aerie was gracious enough to take me to the doctor’s office; they busied themselves working on fursuit stuff in the lobby during my appointment. My first task was proving that I wasn’t pregnant, so I peed in a cup and delivered it to the in-house lab. Then they brought me into the exam room, a bigger one than usual, and took my blood pressure. The nurse explained that I could wear my dress instead of the shitty paper gown. GOOD. When she left I immediately began snapping photos for this post, like a creepazoid, until the doctor came in.

I tried not to focus on the long shiny metal object laid out in the corner.

I’d never met the doctor before, but my gyno assured me he was the quickest person in the practice at inserting IUDs. He explained the process, showed me the IUD (it’s tiny!), and asked if I had any questions. I inquired about getting an anesthetic on my cervix, which my followers correctly predicted would not be offered unless I brought it up. This is where I dock points for the doctor, because he essentially acted like it was unnecessary. “I never do that,” he stated flatly, ending the conversation. Yeah, why offer people the option of feeling less pain?! (Seriously, why are doctors like this?)

Exam table at the doctor's office, lined with crunchy-looking paper.

It was time to get down to business. I laid back with my butt on the edge of the table and my feet resting on the plastic stirrups, which were covered in fabric but still obscenely uncomfortable. “Who designed these foot things?” I wondered aloud, thinking to myself, men.

“Men, probably,” the doctor said.

(He gained some points back.)

He put a speculum in my vagina and cranked it open. I knew what was coming next: he was going to insert that long metal thing, the uterine sound, to measure the depth and direction of my cervical canal and uterus. What I didn’t know was how soon that was going to happen, and how it was going to feel like being punctured by a knitting needle.

I was in the middle of talking, probably about the existence of men, when he inserted the uterine sound. The pain was sudden and sharp, a searing penetration deep in my body. Definitely not a pinch, definitely more like a stabbing, and unlike anything I’ve ever felt. I can’t endure this, I thought. I gasped and cried out, and the angel of a nurse put her hand on my stomach and reminded me to breathe, which I desperately needed. The pain was acute. It only lasted a few seconds, but boy did they drag on.

I caught my breath and looked at the ceiling. It makes sense why some people pass out during this procedure — I was on the precipice of a cold sweat. I braced myself for another stabbing pain, but the insertion of the actual IUD was much less intense in comparison to the sound. “Is that it?” I asked, and he confirmed he was finished. He didn’t trim the strings; he suggested letting the IUD settle first.

The pain was sudden and sharp, a searing penetration deep in my body. “I can’t endure this,” I thought.

I sat up on the exam table, relieved, then practically demanded the doctor tell me anything unique about my body that he had discovered. He had: my uterus is tipped slightly downward! Hell yes! This is the breaking news I crave! I didn’t ask how deep my uterus is, and I regret it, but I did ask about using a menstrual cup with the IUD. Once again, as in prior appointments with my gyno, I was told not to risk it. (I’m still skeptical; discuss your experiences in the comments section.)

I asked the doctor if I should avoid penetration just to be careful. He shook his head, not remotely worried. “Okay,” I clarified, “but what if it’s with a sex toy that thrusts back and forth?” Same response. Alrighty then; maybe my frantic masturbation was not as dire as I’d assumed.

He handed me a piece of the Mirena brochure, which listed a serial number. “So the government can track me,” I joked.

My dry delivery whizzed right past him. “The government isn’t tracking you,” he replied. “It’s in case there are recalls.” He wrote the expiration date on the brochure: July 8th, 2024.

This was an easy IUD insertion, according to the doctor, and indeed that seemed to be true. I wasn’t light-headed as I put my flip-flops on, and I could’ve easily driven myself home. After Aerie dropped me at my house, I curled up in bed with a heating pad, a computer game, and a glass of wine. The alcohol idea was from a family member, and honestly, it helped smooth everything out. I was crampy, but not debilitatingly so. I took it easy, read about a person who can taste words, snuggled with Boris (he loooves heating pads), and the cramps subsided by the next day.

Sometimes I’m frustrated by my body, but other times I’m proud of what it can achieve. My IUD insertion day was a proud day.

Since then, my periods have been different. The first one lasted about 2 weeks, but it wasn’t heavy, and I mostly subsisted on pantyliners. The next came on time and has also been light enough that I’ve used almost nothing — I notice some blood when I pee, but it’s nowhere near the crime scene I usually produce. Cramps ebb and flow, helpfully reminding me that I am on my period, but it’s a dry sort of period.

When I visited my gynecologist for a follow-up, I told her that I hadn’t been able to feel the IUD strings myself, and my partner’s spindly fingers hadn’t either.

“Ugh, I wish doctors would stop telling people to check for the strings!” she replied. “I could never reach mine.” It’s normal, she said. She peered into my vag and eventually found them, laid up against my cervix all stealth-like.

Now we wait, and we hope my periods dry up even more. To those morbidly curious about the clusterfuck that is the American healthcare system, the Mirena IUD itself was billed at $1,158, while the consultation, surgery, and labs totaled $390. I paid $0 because we once had a president who gave a shit about people. Thanks, Obama. Your legacy lives on in my uterus.

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  1. I asked my doctor after I had my first child about using a diva cup with my paragard and he had never heard of cups, so told me to go ahead. He wasn’t interested in researching it either. I used my cup with no problems. I read both that it was fine and not fine online but there was never a problem for me with it getting suctioned out or changing position.
    I had gotten the Paragard four years earlier for the first time before knowing about cups. I was regaled by my mother with tales of her getting an IUD in the 1970s and going to parties that night. Insertion didn’t hurt, just the cramping afterward hurt for about three days(I was 19).

  2. I don’t remember if I previously commented on this post or not but to hell with it. I can’t believe Doctor Fuck-o didn’t give you anaesthetic. My first time I was awake, like you, and the lady inserting mine legit said, “I like to go overboard with the anaesthetic so tell me if you feel ANY pain.” Doctor legend. 19/10

    My second Mirena was changed out while under a general anaesthetic at a Family Planning Clinic. Totally different experience and it took me a whole week to recover.

    I don’t want to play devil’s advocate but I’m also a bit wary of wearing my cup post IUD. That’s because my previous Mirena was dislodged slightly, and I needed an ultrasound and it was all an expensive THING.

    People definitely need to medically research IUDs and cups though. I hate how women’s health relies so much on heresay.

  3. Late to the party, but re: the menstrual cup concerns, I can’t speak for how they interact with IUDs, but I’d like to pimp the only cup I ever use now. The Keela Cup was on Kickstarter, designed by a chronically ill woman for chronically ill people, and has built into it a pull-stem that breaks the seal around the top before you remove it. It’s really really excellent, though I see it’s now called the Flexcup. I really recommend it for everyone, it’s a great design!

  4. Did you seriously not feel any pain the first time?! My mind is blown by this?!

    Yeah, seeing how doctors’ advice can differ so much be on the IUD + cup thing is infuriating. Nobody actually knows!

  5. I hope it’s been working out for you! I am dying to know your thoughts on the Velvet Thruster Mini vs something from Stronic line (for me, probably the Real). I am waffling between the two options right now and want to be prepared for any holiday deals!

  6. For what it’s worth, I used a Diva Cup with my IUD monthly for about four years (I naturally have very heavy periods, which became normal-to-light) and then accidentally pulled out my IUD along with the cup. When I told my gyno, she said I was the first person she’s ever heard that happen to, but proceed with caution.

    The gyno who inserted mine did not use anesthesia because administering it into the cervix is itself quite painful and she feels it’s not worth it. She did, however, have me take ibuprofen and insert a cervical thinner the morning of.

  7. I hope it’s been working out for you! I am dying to know your thoughts on the Velvet Thruster Mini vs something from Stronic line (for me, probably the Real). I am waffling between the two options right now and want to be prepared for any holiday deals!

  8. Yeah, you got fucked over by another male doctor who wasn’t taught about women’s pain (or children’s for that matter). My insertion specialist, a woman, prescribed a single pill I was to take the night before to dilate my cervix. Then during the procedure she used topical anesthetic – like dentists have laying around all over the place – before inserting the sound. She said “I don’t see the point in causing pain when there is an alternative”. Revolutionary.
    So, no stabbing pain for me. Some sharp aches like bad cramps, but I was able to breathe through it all without even having to call myself a champ.
    I hope you find someone else in 5-7 yrs and everyone remembers to question and insist when it comes to pain meds and anesthetics. Doctors work for *you*. <3

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