What Happens After a Telemedicine Visit for IUD Counseling (Pre-insertion Teleconsult)

Audience: adult

After a telemedicine visit for IUD counseling, you will have a clearer understanding of whether an intrauterine device (IUD) is a suitable birth control option for you. The healthcare provider will discuss your medical history, preferences, and any concerns you may have. They may explain the types of IUDs available, how they work, potential benefits, and possible side effects. If an IUD is appropriate, the provider will guide you on the next steps, which often include scheduling an in-person appointment for the insertion procedure. You may also receive instructions on how to prepare for the insertion and what to expect afterward. Telemedicine visits are a helpful way to get personalized information and ask questions from the comfort of your home. However, the actual IUD insertion requires an in-person visit with a healthcare professional. Always watch for any warning signs after insertion and seek medical care if needed.

Red flags — go in person / ER

• Heavy vaginal bleeding that soaks more than one pad per hour for several hours
• Severe lower abdominal pain that does not improve with over-the-counter pain relief
• Fever over 38°C (100.4°F) or chills indicating possible infection

What telemedicine can do

• Discussing contraceptive options including IUDs
• Reviewing medical history and suitability for IUD
• Answering questions about IUD types, benefits, and risks
• Providing guidance on preparation for IUD insertion appointment

What telemedicine cannot do

• Performing physical exams or IUD insertion
• Diagnosing complications requiring in-person assessment
• Managing acute post-insertion complications
• Prescribing medications that require physical evaluation

What to Expect During Your Telemedicine Counseling

During your telemedicine visit, the healthcare provider will review your health history, menstrual cycle, and any previous contraceptive use. They will explain different IUD options, such as hormonal and copper types, and discuss how each works to prevent pregnancy. You can ask questions about effectiveness, side effects, and what fits your lifestyle best. This visit helps you make an informed decision about using an IUD.

Scheduling the IUD Insertion Appointment

If you and your provider decide that an IUD is right for you, the next step is to schedule an in-person appointment for the insertion. This procedure is done by a trained healthcare professional in a clinic or medical office. The timing of the insertion may depend on your menstrual cycle and any medical conditions discussed during the teleconsult.

Preparing for Your IUD Insertion

Before your insertion appointment, you may be advised to avoid sexual intercourse, take certain medications, or use pain relief options. Your provider will give specific instructions based on your health and preferences. It's important to follow these guidelines to help make the procedure as comfortable and safe as possible.

What Happens After IUD Insertion

After the IUD is placed, you might experience mild cramping or spotting for a few days. Your provider will explain how to check the IUD strings and when to schedule a follow-up visit to ensure the device is positioned correctly. Contact your healthcare provider if you experience severe pain, heavy bleeding, fever, or signs of infection.

When to Seek Immediate Medical Care

Certain symptoms after IUD insertion require urgent attention. These include heavy vaginal bleeding, severe abdominal pain, fever, chills, or fainting. If you experience any of these, seek emergency medical care promptly.

How to prepare for your tele-visit

• Have your medical history and any previous contraceptive use information ready
• Prepare a list of questions or concerns about IUDs
• Ensure a private, quiet space for your telemedicine visit
• Have a pen and paper or device ready to take notes
• Check your internet connection and device functionality

After your tele-visit

• Schedule an in-person appointment for IUD insertion if decided
• Follow any preparation instructions given before insertion
• Monitor for common side effects like mild cramping or spotting
• Learn how to check IUD strings as instructed by your provider
• Attend follow-up visits as recommended
• Seek medical care promptly if red flag symptoms occur

FAQs

Can I get an IUD inserted during the telemedicine visit?

No, the IUD insertion requires an in-person visit with a healthcare professional. The telemedicine visit is for counseling and planning only.

What types of IUDs can I choose from?

There are mainly two types: hormonal IUDs, which release hormones to prevent pregnancy, and copper IUDs, which use copper to create an environment that is toxic to sperm. Your provider will explain the benefits and side effects of each.

Is the IUD insertion painful?

Some people experience mild to moderate cramping during and after insertion. Your provider may suggest pain relief options to help manage discomfort.

How soon after insertion am I protected from pregnancy?

Protection timing depends on the type of IUD and when it is inserted during your menstrual cycle. Your provider will give specific guidance based on your situation.

What should I do if I experience heavy bleeding after insertion?

Heavy bleeding is a red flag. You should contact your healthcare provider or seek emergency care immediately if bleeding soaks more than one pad per hour for several hours.

Sources

1. Intrauterine Devices (IUDs) — MedlinePlus, U.S. National Library of Medicine.
2. Contraception: Intrauterine Devices — Centers for Disease Control and Prevention (CDC).
3. Intrauterine Device (IUD) Insertion and Removal — Mayo Clinic.
4. Long-Acting Reversible Contraception (LARC): IUDs and Implants — American Academy of Family Physicians.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. Always consult a healthcare professional in person for diagnosis, treatment, and procedures such as IUD insertion. If you experience any urgent symptoms, seek immediate medical attention.