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This flowchart can help ensure a smooth procedure by helping the ob/gyn recognize potential challenges.
Several steps prior to insertion of an IUD can provide valuable information about potential challenges and set a provider on the path to success. A careful bimanual exam is critical to assess cervical and uterine position, in addition to uterine size, shape, and mobility. Appreciation of cervical position guides smooth speculum insertion, minimizing discomfort for the patient in the early stages of the process.
For more information on IUD insertions: Tackling the difficult IUD insertion