What to Know Before You Get an Iud

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Experts concur that you lot can get your intrauterine device (IUD) removed at any time.^[one] The procedure is relatively elementary, causes picayune to no pain, and has very few side effects. Studies take shown that for nigh women, fertility returns quickly later an IUD is removed, and so yous tin can start trying to get significant right away if that'due south what you want. If you're not trying to get significant, you'll need to begin using another form of nascence control immediately.^[2]

1. 1

   Consider why you need removal. In that location are multiple reasons why you lot might want or need to remove your IUD. You lot should get your IUD removed if you want to become pregnant, if you have started going through menopause, or you want to starting time using an alternative birth command method. You may also need to remove your IUD if the expiration date on the device is up, if information technology failed and you have get significant, you defenseless a sexually transmitted affliction, or you need to have a procedure that requires its removal.

   • On rare occasions, you may need to remove your IUD considering of reactions to the device, such as abnormal bleeding, excessive hurting, or heavy or exceedingly long menses.
   • The expiration date on hormonal IUDs is v years. Copper IUDs can exist left in for x years.^[3]

2. 2

   Make an appointment. Once you know the reason y'all need removal, you should contact your gynecologist's office to schedule an date. Permit them know why you lot demand the date because you may need a consultation visit offset.

   • You may also be able to go ahead and schedule your procedure as well.

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3. three

   Talk to your doctor. Either over the phone or during your consultation visit, you should discuss your IUD removal with your doctor. Let her know the reason that you need or desire to remove your IUD. If for some reason your need for removal is unfounded, she will let y'all know and can hash out any reservations you lot have about keeping your IUD.

   • It is best to be completely honest with your doctor so she can help you brand the best choice for you.^[4]

4. four

   Utilise other forms of birth control. If yous are taking out your IUD in order to first some other form of birth control, considering of a procedure, or due to an STD, you should start some other form of birth command a week prior to your IUD removal. If you lot have unprotected sexual practice in the weeks leading upward to your removal, yous may be able to go significant subsequently it is removed, fifty-fifty if you lot don't have unprotected sex after it is removed. This is because sperm tin can live up to five days inside of yous.^[5]

   • Y'all could also abjure from sex for the calendar week or weeks leading up to your IUD removal if you don't have access to an alternative grade of birth control.

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1. 1

   Get a pre-procedure examination. When yous get to the doctor'due south office, she will check for the location of your IUD device. She will locate information technology past inserting her fingers into your vaginal canal and placing her other hand on your abdomen or past using a speculum. She volition and so feel effectually to see if the IUD is still at the pinnacle of your neck.

   • She may besides use a hysteroscope, which is thin tube that has a light and photographic camera lens on the end of it.
   • This pre-examination also checks for excessive tenderness or physiological changes that might prevent your IUD from being removed.
   • In rare cases, it may be necessary to accept an ultrasound or x-ray if your doctor cannot hands discover the strings of your IUD. These are used to brand certain that the IUD has non shifted into your belly or your pelvis.^[6]

2. ii

   Accept the IUD removed. To get your IUD out, your medico will get-go insert a speculum, which is a tool used to widen your vagina in gild to run across your cervix better.^[vii] Now that the IUD tin clearly be seen, your doctor will insert ring forceps to grasp the strings of your IUD. She volition gently pull on the strings and the IUD will come out.^[8]

   • The arms of the IUD fold outward, so they will non injure too much coming out.^[9]

3. iii

   Deal with a difficult removal. Information technology is possible for your IUD to have shifted, for the strings to exist in a hard area, or for the IUD to get embedded in your neck. If your doctor tries to remove your IUD and it won't move, she may use a cytobrush, which is a minor brush that looks like an mascara applicator. The cytobrush is inserted, twisted, and then pulled out again, grabbing the retracted or stubborn strings of the IUD and pulling out the device.

   • If this doesn't work either, she may use a IUD hook, which is a thin, metal instrument that is hooked on 1 end. This method may have several passes to work, depending on how your IUD has shifted. Your dr. volition insert the hook and pull it out. If she didn't grab onto the IUD, she volition then go along to insert the hook again until it has tried to grab the IUD on all sides.
   • Outpatient surgery to remove the device is a terminal resort that may become necessary if the IUD cannot be removed by any other ways.^[ten] Sometimes a small camera (hysteroscope) is used to observe an IUD if the strings cannot be establish. This is usually washed in the role.

4. 4

   Recognize normal side effects. The only common side effects of IUD removal are cramping and minimal bleeding after the device information technology taken out. These effects should merely last a short while before they stop all together.

   • In some rare instances, yous may have more astringent reactions, which may exist due to an underlying health outcome. Telephone call your doctor immediately if you take severe cramps, pain or tenderness in your belly, a fever, chills, or unexplained vaginal bleeding or discharge.^[11]

5. v

   Get some other IUD implanted if desired. If you are only changing your IUD because it expired, you can get another ane inserted immediately. Talk this over with your doctor before the procedure then she can plan for the insertion of the new device. You may experience some mild discomfort or slight bleeding.

   • At that place volition be no pause of the contraceptive abilities of the IUD if yous have immediate reinsertion.^[12]

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• Do non always endeavour to remove your IUD by yourself. You tin injure yourself and cause infection.

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Commodity Summary Ten

Although you may accept some concerns, it's relatively hurting-gratis and elementary to go an IUD taken out. Book an appointment at your gynecologist's office and talk to your medico almost the procedure and then that you feel prepared. Brand sure that you brainstorm a different type of birth control for at to the lowest degree ane week before your IUD is scheduled to be removed. When you go to get your IUD taken out, accept the pre-procedure test commencement and so that the doc tin determine the location of the IUD, which helps the procedure to run smoothly. And so relax equally the IUD is removed and remember that any discomfort won't last long. Expect mild side effects after having your IUD removed such as cramping and bleeding, which should quickly subside. For information from our gynecologist co-author almost what to expect during a difficult removal, read on.

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