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

Audience: adult

An intrauterine device (IUD) is a small, T-shaped device placed inside the uterus to prevent pregnancy. Preparing for a video visit about IUD counseling helps you get the most from your teleconsultation before insertion. During the visit, you can discuss your health history, ask questions about IUD types, and learn about benefits and risks. This guidance explains how to prepare, what to expect, and when to seek in-person care. Telemedicine can provide valuable information and support but cannot perform physical exams or insert the IUD. Preparing ahead with your questions and medical history ensures a smooth, helpful video visit.

Red flags — go in person / ER

• Severe pelvic or abdominal pain that does not improve — seek urgent in-person care.
• Heavy vaginal bleeding or bleeding with clots — contact your healthcare provider promptly.
• Signs of infection such as fever, chills, foul-smelling vaginal discharge — get evaluated in person immediately.

What telemedicine can do

• Discussing types of IUDs and their benefits and risks.
• Reviewing medical history relevant to IUD use.
• Answering questions about the insertion process and aftercare.
• Providing education on contraception options.

What telemedicine cannot do

• Performing physical pelvic exams or ultrasounds.
• Inserting or removing the IUD.
• Diagnosing infections or pregnancy.
• Managing complications requiring immediate physical assessment.

What is an IUD and Why Consider Counseling?

An intrauterine device (IUD) is a long-acting, reversible form of birth control placed inside the uterus. There are hormonal and non-hormonal types. IUD counseling helps you understand how it works, benefits, possible side effects, and whether it fits your health needs and lifestyle. A telemedicine visit before insertion allows you to discuss these topics with a healthcare provider from home.

How to Prepare for Your Video Visit

Before your teleconsult, gather important information such as your medical history, current medications, allergies, and any past problems with birth control. Write down questions you have about IUDs, including concerns about side effects, insertion process, and follow-up care. Choose a private, quiet space with good internet connection for the call. Have a list of your menstrual cycle dates ready, as this helps with timing the insertion.

What to Expect During the Teleconsult

During the video visit, the healthcare provider will ask about your health history and reproductive plans. They will explain different types of IUDs, how they work, and potential risks. The provider may help decide if an IUD is a good option for you or if an in-person exam is needed first. You can ask questions and discuss any worries. The provider will also explain the insertion procedure and aftercare steps.

When Telemedicine is Not Enough

Telemedicine is useful for counseling and education but cannot replace a physical exam needed before IUD insertion. If you have symptoms like pelvic pain, abnormal bleeding, or signs of infection, you will need an in-person visit. Also, if the provider suspects pregnancy or certain health conditions, they may recommend tests or exams before proceeding.

After Your Telemedicine Visit

If you and your provider decide to proceed, you will be scheduled for an in-person appointment for the IUD insertion. Follow any instructions given, such as timing the insertion with your menstrual cycle. Keep track of any symptoms or questions after insertion and attend follow-up visits as advised. Contact your healthcare provider if you experience severe pain, heavy bleeding, fever, or unusual discharge.

How to prepare for your tele-visit

• List your current medications, allergies, and medical history.
• Note your last menstrual period dates.
• Write down any questions or concerns about IUDs.
• Choose a private, quiet place with good internet for the video call.
• Have a pen and paper ready to take notes during the visit.

After your tele-visit

• Schedule an in-person appointment for IUD insertion if advised.
• Follow any pre-insertion instructions given by your provider.
• Monitor for any unusual symptoms after insertion, such as pain or bleeding.
• Attend follow-up visits as recommended to check IUD placement.
• Contact your healthcare provider if you experience red flag symptoms.

FAQs

What types of IUDs are available?

There are two main types: hormonal IUDs, which release small amounts of hormone to prevent pregnancy, and copper IUDs, which use copper to create an environment that is toxic to sperm. Your provider can help you choose the best option for you.

Can I get an IUD during my telemedicine visit?

No. The IUD insertion requires a physical exam and must be done in person by a trained healthcare professional. The telemedicine visit is for counseling and planning.

Are there any risks with IUDs?

Like all medical devices, IUDs have potential risks such as discomfort during insertion, spotting, or rarely infection. Your healthcare provider will discuss these risks with you during counseling.

How soon after insertion is the IUD effective?

Effectiveness depends on the type and timing of insertion. Some IUDs are effective immediately if inserted during your menstrual period; others may require additional contraception for a short time. Your provider will explain this.

What should I do if I experience pain or bleeding after insertion?

Mild discomfort and spotting are common. However, if you have severe pain, heavy bleeding, fever, or unusual discharge, contact your healthcare provider promptly for evaluation.

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. Birth Control: Intrauterine Device (IUD) — Mayo Clinic.
4. Intrauterine Device (IUD) — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. Always follow the advice of your healthcare provider and seek immediate care if you experience any emergency symptoms.