Life After The IUD Removal – What to Expect when Removing your IUD

Life After The IUD Removal – What to Expect when Removing your IUD

Life After The IUD Removal – What to Expect when Removing your IUD


IUDs, also known as intrauterine devices, are little T-shaped or spherical-shaped instruments that reside snugly inside the uterus and ward off pregnancy with a variety of mechanisms. The hormonal kinds release levonorgestrel, a synthetic form of the hormone progestin, to prevent ovulation, thicken cervical mucous, and thin the lining of the uterus. The non-hormonal IUD releases copper ions, which are toxic to sperm.


For most women, the removal of an IUD is a simple procedure performed in the doctor’s office. To remove the IUD, your doctor will grasp the threads of the IUD with ring forceps. In most cases, the arms of the IUD will collapse upward, and the device will slide out.


If the IUD doesn’t come out with a slight pull, your doctor will remove the device using another method. You may need a hysteroscopy to remove the IUD if it has attached to your uterine wall. During this procedure, your doctor widens your cervix to insert a hysteroscope. The hysteroscope allows small instruments to enter your uterus. You may require anesthesia for this procedure. It can take between five minutes to an hour to complete a hysteroscopy.


Recent research also indicates that an ultrasound-guided removal is an effective way to take out an IUD that won’t come out with forceps. This procedure can be less invasive than a hysteroscopy and more cost effective.


What to Expect When Removing an IUD

Firstly, when is it a good time to have your IUD removed? The official recommendations are to remove Mirena, a common hormonal option, five years after insertion. The same goes for Kyleena, another hormonal option from the maker of Mirena. You'll need to replace hormonal IUDs Liletta and Skyla a bit earlier (four and three years, respectively). As for the CopperPearls, which doesn't use hormones - you can keep that superstar in for up to 5 years.


What happens during the removal procedure. The vast majority of the time, IUD removal simply involves doing a simple exam much like a Pap smear. If the strings are visible, the doctor grasps them using an instrument called ring forceps and gently pulls the IUD out.

Will IUD removal hurt? Anyone who has an IUD basically paid the price when getting it—the pain happens during insertion. Keep in mind that even when rating the experience as terrible, many women say the pain of getting an IUD was well worth it since they provide such stellar protection against pregnancy.


Are there any side effects after it is removed? You might feel a cramp as it the doctor pulls it out (again, it shouldn't feel anything like the one some women experience during insertion) or you might not even realize it's happened. You may also experience some residual cramping or a little bleeding after an IUD removal, but as long as it isn't severe and goes away in a few hours or, at worst, a couple of days, you don't have anything to worry about.


One thing to really think about is that your period may change. The specific way it might change after IUD removal depends on what kind of IUD you had and how the device changed your cycle over time. Hormonal and non-hormonal IUDs change periods in different ways. As for the copper IUD, it's all about how your body adjusted to it over time. Copper IUDs can make periods heavier and crampier at first, but for some women, that abates, while others deal with more intense periods the entire time. After getting a copper IUD removed, your period might become lighter and less annoying or not change much at all.


Lastly, how long before I can fall pregnant after removing my IUD? Fertility is possible immediately. If you're not ready to have kids yet or ever and your removal was normal, it might make sense for you to get another IUD in the same visit (this is often easier both time-wise and mindset-wise)


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