Intrauterine Device (IUD) Removal
Overview
You can use an intrauterine device (IUD) to prevent pregnancy for 5 to 10 years, depending on the type. In some cases an IUD can be used longer.footnote 1 Talk to your healthcare provider about how long you can use it.
It's always your choice to have the IUD removed at any time for any reason. You may want it removed because you want to become pregnant or to use a different birth control method. Otherwise, your healthcare provider will remove your IUD at the end of its effectiveness or if you have a medical problem.
It takes just a few minutes for your healthcare provider to remove the IUD. You can ask to have a new IUD placed at the same time.
How it is done
Your healthcare provider 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 healthcare provider will ask you to lie back on the table. It has footrests that help keep your legs comfortable.
To remove the IUD, your healthcare provider will gently put a tool called a speculum into your vagina. It opens the vagina a little bit. You may feel some pressure. Your healthcare provider will look for the IUD strings that usually come through the cervix. Your healthcare provider 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 healthcare provider doesn't see the strings, other tools may be used. Or an ultrasound may be done to help with IUD removal.
What To Expect
You can go back to your normal activities right after the IUD is removed, unless your healthcare provider 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 healthcare provider about using other forms of birth control. Make sure to start your new method right away.
Why It Is Done
You can ask to have your IUD removed at any time for any reason. Otherwise, your healthcare provider 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.
References
Citations
- Ti AJ, et al. (2020). Effectiveness and safety of extending intrauterine device duration: A systematic review. American Journal of Obstetrics and Gynecology, 223(1): 24–35.e3. DOI: 10.1016/j.ajog.2020.01.014. Accessed August 29, 2022.
Credits
Adaptation Date: 8/18/2023
Adapted By: Alberta Health Services
Adaptation Reviewed By: Alberta Health Services
Adaptation Date: 8/18/2023
Adapted By: Alberta Health Services
Adaptation Reviewed By: Alberta Health Services
Ti AJ, et al. (2020). Effectiveness and safety of extending intrauterine device duration: A systematic review. American Journal of Obstetrics and Gynecology, 223(1): 24–35.e3. DOI: 10.1016/j.ajog.2020.01.014. Accessed August 29, 2022.