1.Administer preoperative nonsteroidal anti-inflammatory drug.
2.Obtain informed consent.
3.Set up instruments on a sterile field.
4.Complete pelvic examination to check for vaginitis and uterine position.
5.Insert speculum to localize cervix.
6.Clean cervix with antiseptic.
7.Apply tenaculum to anterior lip of cervix.
8.Use sound to measure uterus and note cavity depth.
9.Consider using a paracervical block for patients with cervical stenosis.
10.Load device through sterile packaging.
11.Set stop/flange to depth indicated by sound.
12.Insert IUD until stop/flange is against cervix.
13.Release IUD (method varies with type and design of IUD).
14.Remove insertion device.
15.Cut string(s) to 1 to 2 cm from the cervical os and note length in chart.
16.Remove tenaculum.
17.Observe for bleeding.
18.Remove speculum.
19.Discharge patient with appointment for position check and review of side effects after first postinsertion menses.