The difference between inserting and removing an IUD
Sep 13, 2022
Source: Cainiu Health
Dr. Lv Aiming
Introduction
The main difference between insertion and removal of an intrauterine device (IUD) lies in their purposes. IUD insertion is used for contraception, and in some women, it also treats certain gynecological conditions such as menorrhagia and endometriosis. IUD removal is performed when contraception is no longer needed or when the recommended duration of use has expired, to avoid potential side effects after removal. The procedures are generally similar, except that during insertion, a speculum is used to place the IUD into the uterine cavity.
Women can use intrauterine devices (IUDs) to prevent sperm from entering the uterus, thereby achieving effective contraception. What are the differences between IUD insertion and removal?
Differences Between IUD Insertion and Removal
The primary difference between IUD insertion and removal lies in their purposes. IUD insertion is primarily used for contraception; in rare cases, it may also be employed to treat certain gynecological conditions—such as menorrhagia or endometriosis. IUD removal is performed when contraception is no longer required or when the device has reached its recommended usage period, to avoid potential side effects after expiration. Although the procedural steps are largely similar, the techniques differ: during insertion, a specialized inserter (often described as a “fork”) is used to place the IUD into the uterine cavity; during removal, a retrieval hook is used to extract the device.
Timing is also important for both IUD insertion and removal. Generally, these procedures are best performed 3–7 days after menstruation ends. However, for women undergoing pregnancy termination, the IUD can be removed concurrently with the abortion procedure. In cases of abnormal uterine bleeding requiring endometrial curettage, the IUD may be removed at any time during the procedure; the scraped tissue can then be sent for pathological examination to rule out endometrial pathology. For perimenopausal women, it is advisable to remove the IUD within six months after menopause.
After IUD insertion or removal, patients should maintain good personal hygiene: abstain from sexual intercourse for a short period, keep the external genitalia clean and dry, change and wash undergarments frequently, and expose undergarments to direct sunlight to help reduce the risk of vaginal infection. Diet should remain light and balanced; adequate rest is essential, and physical overexertion should be avoided. We hope this information is helpful. Wishing you good health and happiness!
