After the second cesarean section, it is advisable to consider the IUD six months after the operation. If the menstruation has not resumed by this time, it is recommended to have an ultrasound examination, mainly to understand the healing of the cesarean incision, mainly the healing of the uterine incision and to exclude the possibility of diverticula. It is also recommended to do an HCG test, as most of them have not resumed menstruation at this time, so it is recommended to exclude the possibility of pregnancy. In addition, a gynecological examination should be done to rule out inflammation and a routine white belt test should be done to rule out vaginal inflammation, and only if there are no contraindications can the IUD be performed. It is recommended to keep the vulva clean and not to have sexual intercourse or do heavy work within half a month after IUD insertion. It is also recommended to check the position of the IUD after menstruation to see if it is normal and to have an annual IUD check.