Do I have to lie down on the day of getting an IUD?

Inserting an intrauterine device (IUD) is a surgical procedure used to achieve contraception by placing a contraceptive ring into the uterus. It is not mandatory to remain lying down on the day of IUD insertion; however, whether extra bed rest is needed depends on your post-procedure reaction. If there are no obvious side effects and no discomfort, normal activities can be resumed without the need for prolonged bed rest. However, if symptoms are significant on the day of insertion, especially with signs of bleeding, it is advisable to rest in bed as much as possible to avoid worsening discomfort. Specific details are as follows:

For individuals who do not experience significant abdominal pain, backache, or vaginal bleeding after IUD placement, and who feel no discomfort during physical activity without symptom exacerbation, normal daily activities are generally acceptable, and absolute bed rest is unnecessary. However, on the day of insertion, strenuous physical activities such as lifting, carrying, or moving heavy objects should be avoided to prevent increased intra-abdominal pressure, which could affect the stability of the IUD and increase the risk of expulsion or displacement.

For those experiencing noticeable abdominal pain, backache, or vaginal bleeding after IUD insertion, increased bed rest is usually recommended, although complete bed rest is not required. These symptoms suggest that the IUD has not yet stabilized and that the body may be in a relatively vulnerable state. Resuming normal activities too soon may intensify discomfort and potentially increase bleeding. In severe cases, it could lead to pelvic heaviness or even anemia. Therefore, it is recommended to rest in bed for 1–2 days after the procedure and gradually resume normal activities once symptoms subside.

In addition, maintaining genital hygiene after IUD insertion is essential. It is important to wash the external genital area daily with warm water to prevent infection. Showers are preferred over baths for at least two weeks. Sexual intercourse should be avoided for one week to reduce the risk of retrograde infection. If any unusual symptoms or significant discomfort occur during this period, prompt medical attention is advised.