How to Prepare for a Video Visit About IUD Counseling (Pre-insertion Teleconsult)

Audience: pediatric

An intrauterine device (IUD) is a small, often T-shaped device placed inside the uterus to prevent pregnancy. Before insertion, a healthcare provider usually offers counseling to discuss options, benefits, and possible risks. A video visit, or teleconsult, can help you prepare for this procedure by allowing you to ask questions and share your medical history from home. During this visit, the provider will explain how the IUD works, what to expect during insertion, and how to care for yourself afterward. Preparing well for the teleconsult can make the process smoother and help you feel more comfortable. Remember, this guidance is educational and does not replace an in-person exam or professional medical advice.

Red flags — go in person / ER

• Severe pelvic or abdominal pain that starts suddenly or worsens rapidly — seek emergency care immediately.
• Heavy vaginal bleeding soaking more than one pad per hour for several hours — go to the nearest healthcare facility.
• Fever above 38°C (100.4°F) with chills or foul-smelling vaginal discharge — contact your healthcare provider or visit urgent care.

What telemedicine can do

• Discussing IUD types and benefits.
• Answering questions about the insertion procedure.
• Reviewing medical history and suitability for IUD use.
• Providing guidance on preparation for in-person insertion.
• Discussing common side effects and aftercare instructions.

What telemedicine cannot do

• Performing physical examination or pelvic exam.
• Inserting the IUD device.
• Diagnosing or treating infections or complications.
• Managing severe pain or emergency symptoms.
• Providing prescriptions that require physical assessment.

What Is an IUD and How Does It Work?

An IUD is a small device placed inside the uterus to prevent pregnancy. It can be hormonal or non-hormonal (copper). Hormonal IUDs release hormones that thicken cervical mucus and sometimes stop ovulation. Copper IUDs release copper ions that are toxic to sperm. Both types are highly effective and can last for several years.

What to Expect During a Pre-insertion Video Visit

During your video visit, the healthcare provider will ask about your health history, menstrual cycle, and any concerns you have. They will explain the types of IUDs, how insertion is done, and possible side effects. This is a good time to ask questions and discuss any fears or special needs you might have.

How to Prepare for Your Video Visit

Find a quiet, private space with a good internet connection. Have a list of questions ready. If possible, have your medical records or a list of medications nearby. Make sure your device’s camera and microphone work well. Consider having a trusted adult with you for support if you want.

When to Seek In-Person Care

If you have severe pelvic pain, heavy bleeding, fever, or signs of infection, you should seek in-person medical care promptly. The video visit is for counseling and preparation but cannot replace physical exams or urgent treatment.

After the Video Visit: Next Steps

You may be scheduled for an in-person appointment to insert the IUD. Follow any instructions given during the video visit, such as scheduling lab tests or avoiding certain medications. Keep notes from the visit and share them with your caregiver or parent if appropriate.

How to prepare for your tele-visit

• Ensure a private and quiet space for your video visit.
• Check your internet connection and device camera/microphone.
• Prepare a list of questions or concerns about IUDs.
• Have your medical history and current medications available.
• Consider having a trusted adult with you for support if needed.

After your tele-visit

• Schedule an in-person appointment for IUD insertion if advised.
• Follow any pre-insertion instructions given by your provider.
• Keep notes from the video visit for reference.
• Inform your healthcare provider if you experience any unusual symptoms after insertion.
• Attend follow-up appointments as recommended.

FAQs

What questions should I ask during my IUD counseling video visit?

You can ask about the types of IUDs available, how the insertion procedure works, possible side effects, how long the IUD lasts, and what to do if you experience any problems.

Can I have an IUD inserted right after the video visit?

No, the video visit is for counseling and preparation. You will typically need to schedule an in-person appointment for the actual insertion.

Is the IUD safe for teenagers?

IUDs are generally considered safe and effective for teenagers and young adults. Your healthcare provider will discuss if it is a good option for you based on your health history.

What should I do if I feel pain after IUD insertion?

Mild cramping is common after insertion. Use over-the-counter pain relief as advised. If you experience severe pain, heavy bleeding, fever, or unusual discharge, seek medical care promptly.

Can I get pregnant with an IUD?

IUDs are highly effective but not 100% foolproof. If you suspect pregnancy or have symptoms like missed periods or unusual bleeding, contact your healthcare provider.

Sources

1. Intrauterine Devices (IUDs) — MedlinePlus, U.S. National Library of Medicine.
2. Contraception: Intrauterine Devices (IUDs) — Centers for Disease Control and Prevention (CDC).
3. Intrauterine Device (IUD) - Mayo Clinic — Mayo Clinic.
4. Contraceptive Methods: Intrauterine Devices — American Academy of Pediatrics (AAP).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. Always consult a healthcare provider in person for diagnosis, treatment, and urgent health concerns.