Dear XXXXXXX
Thank you for writing in. Here are the answers to your queries:
1) CuT insertion is done on an OPD basis, which means no anaesthesia is routinely used. Its not a painful procedure but you may feel a small twinge of a little sharp sensation when the mouth of the uterus is held with an instrument to steady it before the insertion. Thereafter you may sense a feel of something there in lower body - after all, something has been left in the uterus. But by the time you walk out to your car and reach it that feel will go away because the body adapts to CuT very quickly. You simply will not be able to tell that its there. If you were to take one tablet of anti anti spasmodic by mouth, one hour before the procedure, you'll be very comfortable. Just relax.
The procedure itself takes barely 5 minutes but plan to have an hour with you depending upon waiting time with your doctor.
This is a good time to insert CuT. Any spotting that may occur after the procedure becomes a part of your period and the patient doesn't get alarmed.
At this point, may i tell you that the only way one can make out that CuT is in is when doctor looks for the thread and when you locate the thread with your fingers. Its important to have a check by doctor after first next period and by yourself after that, after every period. If you don't feel the thread, inform your doctor.

2) The vagina is potentially an area which has many bacteria. Insertion of the CuT into uterus needs passage through this vagina. Theoretically, insertion of CuT may cause infections, but in reality it does not, provided your doctor uses sterile precautions. International guidelines say no antibiotics are required at the time of CuT insertion, but in India, some doctors may prescribe a course of antibiotics for you.
There is a myth that a CuT inside means one can get pelvic infections more easily. This is not true. The only possibility of infection in connection with CuT occurs at insertion and removal, not while it is silently sitting inside.

3) Oh yes, you can walk/go to work - the full load of work, immediately from the table after insertion.

4) It will not affect your sex life. But yes, it may make you feel very secure and relaxed since it is an excellent contraception and thereby change your sex life :)

5) No, it cannot change the hormonal balance in your body unless you are having a hormone intra-uterine device inserted. CuT is not this device.

6) No, you will not gain weight because of CuT. But look at it like this - when women feel very secure, they do tend to overeat and thus gain weight. Such a weight gain cannot be scientifically said to be caused by CuT. Please take the same care of diet and exercise because you have PCOS wherein one tends to gain weight easily.

7) No, CuT does not change either the quantity or quality of breast milk.

8) No, removal of CuT cause no pain; maybe you may sense that exact moment - but no pain.

9) The duration of protection with CuT varies depending upon which device you have had inserted. This may range from 3 years to 5 years to 9 years. Please do check with your doctor on this and keep a record of the insertion and expected removal dates.
I hope this answers your queries. If you have more, i'll gladly answer them for you but in case there are none in this connection, please close the discussion and rate it.
Take care.

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