IUD removal: Overview
The intrauterine device (IUD) is a method of birth control. It is a small, plastic, T-shaped device that contains copper or hormones. It is placed in your uterus. You may have had your IUD removed because you want to become pregnant. Or maybe it caused pain, bleeding, or an infection. You may have chosen another method of birth control. If you don't want to get pregnant, make sure to use another form of birth control now that your IUD is not in place. Talk to your doctor about other forms of birth control.
How can you care for yourself after an IUD removal?
- Once the IUD is taken out, you can become pregnant. If you want to become pregnant, you can start trying to have a baby as soon as you like. If you don't want to get pregnant, talk with your doctor about birth control options.
- If your doctor prescribed antibiotics because of an infection, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.
What happens after an intrauterine device (IUD) removal?
You can go back to your normal activities right after the IUD is removed, unless your doctor says otherwise. You might have some cramping and light bleeding (spotting) right after removal.
After the IUD is taken out, you can become pregnant. If you want to become pregnant, you can start trying to have a baby as soon as you like. If you don't want to become pregnant, talk to your doctor about using other forms of birth control. Make sure to start your new method right away.
IUD removal: When to call
Call your doctor now or seek immediate medical care if:
- You have pain in your belly or pelvis.
- You have severe vaginal bleeding. This means that you are soaking through your usual pads or tampons every hour for 2 or more hours.
- You have a fever.
- You have a vaginal discharge that smells bad.
Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.
Why is intrauterine device (IUD) removal done?
You can ask to have your IUD removed at any time for any reason. Otherwise, your doctor will remove your IUD if you have a medical problem or when it's time to remove or replace it. It also needs to be removed if you get pregnant while you have an IUD.
How is intrauterine device (IUD) removal done?
Your doctor will remove the IUD during an office visit. You may be asked to take a pain medicine such as ibuprofen (Advil or Motrin) 30 to 60 minutes before your appointment. This can help with cramps during the IUD removal.
First, you'll have some privacy to get ready. You'll be asked to take off your clothes below the waist. But you will get a covering to drape around your waist. When it's time for the procedure, your doctor will ask you to lie back on the table. It has footrests that help keep your legs comfortable.
To remove the IUD, your doctor will gently put a tool called a speculum into your vagina. It opens the vagina a little bit. You may feel some pressure. Your doctor will look for the IUD strings that usually come through the cervix. The doctor will use a tool to hold the strings and gently pull on them. The arms of the IUD fold up as it slides through the cervix and out the vagina. You might feel some cramping. Then the speculum is removed.
If your doctor doesn't see the strings, other tools may be used. Or an ultrasound may be done to help with IUD removal.
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