cervix; then pause • Do not force the inserter; dilate the cervical canal if necessary • Step 5: hold the inserter steady and move the slider down to the mark to release the IUD arms. • Wait 10 seconds for arms to open completely • Step 6: advance the inserter gently towards the fundus until the flange touches the cervix (fundal position is. The IUD's strings thread through the cervix and can be felt in the vagina, but most males do not feel it during intercourse. If it is a problem, a healthcare provider can shorten the strings. Correction - June 20, 2023: This article was updated to remove the statement indicating the percentage of people who experience IUD insertion pain.
Complications. IUCD migration can take many forms 13. spontaneous IUCD expulsion: passage in or through the external cervical os. IUCD displacement. abnormal rotation or inferior position in the lower uterine segment or cervix. IUCD position >3-4 mm has been associated with an increased likelihood of IUCD related symptoms, such as pain and bleeding 2,9 as well as expulsion 10 - although.. The insertion tube should be advanced into the uterus until the flange is situated at a distance of about 1.5 to 2 cm from the external cervical os, allowing ample space for the IUD arms to open.