What happens after a telemedicine visit for IUD Counseling (Pre-insertion Teleconsult)

Audience: pediatric

A telemedicine visit for IUD counseling before insertion helps you learn about the intrauterine device (IUD) as a birth control option. During the visit, a healthcare provider will discuss how IUDs work, benefits, possible side effects, and answer your questions. After the visit, you may receive instructions on how to prepare for the IUD insertion appointment. This could include scheduling an in-person visit for the actual placement of the IUD, as it cannot be done remotely. You might also get advice about what to expect during and after the insertion, including common side effects and when to seek medical help. Telemedicine is a helpful way to get information and plan your care, but it does not replace the need for an in-person procedure or physical exam. Always follow your healthcare provider’s instructions and reach out if you notice any unusual symptoms after your IUD insertion appointment.

Red flags — go in person / ER

• Heavy vaginal bleeding that soaks through a pad in an hour or less
• Severe lower abdominal pain that does not improve with over-the-counter pain medicine
• Fever over 38°C (100.4°F) or chills after IUD insertion

What telemedicine can do

• Providing information about IUD types, benefits, and risks
• Answering questions about the IUD insertion procedure
• Helping you decide if an IUD is a suitable birth control method
• Giving instructions on preparing for an in-person IUD insertion appointment

What telemedicine cannot do

• Performing the actual IUD insertion
• Diagnosing complications that require physical examination
• Managing emergency situations related to IUD insertion

What to expect during your telemedicine IUD counseling visit

During your telemedicine visit, your healthcare provider will talk with you about different types of IUDs, how they prevent pregnancy, and how long they last. They will ask about your health history to make sure an IUD is a safe choice for you. You can ask questions about the procedure, side effects, and any concerns you have. This visit is a chance to get clear information before deciding to have the IUD inserted.

Preparing for your IUD insertion appointment

After the telemedicine visit, you will usually need to schedule an in-person appointment to have the IUD inserted. Your provider may give you instructions such as avoiding intercourse or certain medications before the insertion. You might be advised to take over-the-counter pain medicine before your appointment to help with discomfort. Follow any specific advice your provider gives you to prepare safely.

What happens during the IUD insertion

The IUD insertion is done in a clinic or doctor's office. A healthcare provider will place the device inside your uterus using a small tube. The procedure usually takes just a few minutes but may cause some cramping or discomfort. After insertion, the provider will check the IUD’s placement and explain how to check the strings at home.

Aftercare and monitoring after IUD insertion

You may experience some spotting, cramping, or mild pain for a few days after insertion. Most side effects improve quickly. Your provider will tell you when to return for a follow-up visit to check the IUD. It is important to watch for signs of infection or other problems and to contact your healthcare provider if you have concerns.

When to seek medical help (Red Flags)

If you experience heavy bleeding, severe pain, fever, chills, or foul-smelling vaginal discharge after your IUD insertion, contact your healthcare provider immediately. These could be signs of infection or other complications that need prompt care.

How to prepare for your tele-visit

• Have a list of questions or concerns ready for your telemedicine visit
• Know your medical history and any allergies
• Make sure you have a private and quiet space for the tele-visit
• Have a pen and paper or device to take notes
• Arrange for an in-person appointment for IUD insertion if you decide to proceed

After your tele-visit

• Follow any instructions given by your healthcare provider after the tele-visit
• Schedule and attend your in-person IUD insertion appointment
• Take any recommended pain relief before and after insertion as advised
• Monitor for side effects like spotting or cramping
• Contact your provider if you notice any red flags or unusual symptoms

FAQs

Can I get an IUD inserted during a telemedicine visit?

No, the IUD insertion requires an in-person appointment. Telemedicine visits are for counseling and planning before the procedure.

What are common side effects after IUD insertion?

Spotting, cramping, and mild pain are common for a few days after insertion. These usually improve on their own.

How do I know if the IUD is still in place?

Your healthcare provider will teach you how to check the IUD strings at home. If you cannot feel the strings or feel the hard part of the IUD, contact your provider.

Is the IUD safe for teenagers?

Yes, IUDs are considered safe and effective for teenagers and young people, but it is important to discuss your individual health with a provider.

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

Mild pain and spotting are normal. Use over-the-counter pain medicine if needed. If pain is severe or bleeding is heavy, contact your healthcare provider immediately.

Sources

1. Intrauterine Devices (IUDs) — MedlinePlus, U.S. National Library of Medicine.
2. Long-Acting Reversible Contraception — Centers for Disease Control and Prevention (CDC).
3. IUDs: Types, Uses, and Side Effects — Mayo Clinic.
4. Contraceptive Methods — National Library of Medicine.

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