Types of IUDs

What to Expect During Your IUD Removal

November 7, 2018

At some point, you should have your IUD removed. Why? Well, because IUDs don’t dissolve and can not remain in your uterus forever. And, for the most part, they also will not come out on their own.

The fantastic news is you don’t need to be afraid to get your IUD removed. The IUD removal process is often easier, way less painful, and quicker than your IUD insertion.

I also cannot stress this enough: Even though it could be tempting, but you should never try to eliminate your IUD by yourself. The same holds for asking a buddy (or a different unqualified person) to do this since this may lead to serious damage.


You might have a lot of explanations for why you’d want your IUD removed. These can include:

  • A desire to become pregnant
  • unwanted effects that you can no longer endure
  • creating an infection
  • simply just not enjoying with an IUD

Another Significant reason why you must get your IUD removed is because it is no more effective:

  • Mirena IUD — should be removed once you’ve had it for five decades
  • Skyla IUD – should be removed once you’ve had it for three decades
  • ParaGard IUD — should be removed as Soon as You’ve had it for 10 years

Some women believe they want their IUD removed if they switch partners. This is not correct. Your IUD will keep working just as effectively no matter how many sexual partners you have, so this really is not a reason behind the IUD removal.

The Procedure

An IUD can be removed at any time during your menstrual cycle. That being said, studies have revealed that it could be a bit simpler to remove an IUD while you’re in your period. This is because your cervix is obviously softened during this time period.

  1. Much like throughout your IUD insertion, your doctor may begin your IUD removal by determining the position of your uterus.
  1. A speculum may be inserted to separate the walls of the anus. 
  2. Your physician will look for your IUD strings. Then, the doctor will use forceps to securely grasp the IUD strings. Your doctor will gradually pull the IUD strings.
  3. The elastic arms of the IUD will fold up since the IUD slides through the opening of the cervix.

And… then your IUD removal is over! It really only takes a few minutes, and it isn’t really painful.


For the majority of women, an IUD removal is generally a routine and straightforward process. But in some cases, your physician might not have the ability to locate your IUD strings.

If this happens, it’s most likely because your strings have slipped up into the cervical canal, which can happen if they had been cut too short (possibly when you had your IUD added or if you asked to have them shortened because your spouse was able to feel them through intercourse ). Buteven if your IUD strings were initially cut to the recommended span, this might still happen.

So, now what? Your physician might try to locate the strings by using an ultrasound. If they’ve slipped into your cervical canal, your health care provider will attempt to gently pull them out of your cervix with narrow forceps, tweezers, or cotton-tipped swabs.

When the strings are pulled out and to your vaginal canal, then the IUD removal will continue as mentioned above.

It may also be possible that the strings have become into the uterus. If that is the case, your doctor may use a solid (a measuring tool ) or a sonogram to make sure that the IUD remains in the uterus (and did not come out without you realizing it).

If your IUD strings cannot be located, but your doctor has confirmed that the IUD is still in place, your IUD can be removed from the uterus with forceps or tweezer-like clamps. Do not worry, though. Your doctor will be very careful to ensure that your uterus doesn’t become injured in this process.

Serious Complications

Very rarely, an IUD may have become stuck at the uterine wall and it cannot easily be pulled out. Your doctor can use different methods, such as ultrasound, hysterography (x-rays of the uterus after giving you a contrast medium), or hysteroscopy (direct viewing of the uterus with a fiber-optic instrument) to establish if this has taken place.

If your IUD is trapped on your uterus, your physician might need to dilate your cervix and use forceps to remove your IUD. If it happens during your IUD removal, then it’s extremely likely that your physician will give you a local anesthetic to reduce any pain or distress.

IUD Replacement

You may easily have a new Mirena, Skyla, or ParaGard IUD inserted immediately after your previous IUD is eliminated. This can be done in one office visit (as long as there are no complications).

Scheduling the Procedure

When planning the day to your IUD removal, figure out if this day is near the time which you are ovulating. If you’ve had sex right before your IUD is removed (and you’re ovulating around that time), you might be at risk to become pregnant.

Sperm can live in the vagina for up to five days. Therefore, for an example, let us say that you’re advised to have your IUD removed on June 12.

  • Well, you decide to have sex (one final time!) on June 10.
  • Then you have your IUD removed on June 12.
  • Should you ovulate on June 12, June 13, or June 14, you might become pregnant since the semen (from your sex June 10) can nevertheless be inside of you–only waiting to fertilize an egg.

It’s probably a good idea to not have any gender (unless you use a condom) for a minumum of one week prior to your IUD removal. This will lower the odds of conception during humid days. 

Furthermore, in case you opt to schedule your IUD removal anytime other than when you’re on your period, speak to your doctor about beginning a new birth control procedure seven days before that your IUD is eliminated. This way, in the event that you switched to a hormonal contraceptive, it is going to be working by the time that your IUD is removed.