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What precautions should be taken before removing the IUD?

May 26, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Removal of an intrauterine device (IUD) generally refers to taking out the IUD. Before the removal procedure, attention should be paid to the timing of the surgery, abstaining from sexual intercourse, undergoing relevant examinations, maintaining personal hygiene, and following a light diet. An intrauterine device can effectively prevent pregnancy to some extent; therefore, if planning for pregnancy, the IUD should be removed. The removal procedure involves certain precautions that must be observed.

Removal of an intrauterine device (IUD), commonly referred to as "removing the ring," requires attention to several factors before the procedure, including timing, abstinence from sexual intercourse, necessary medical examinations, personal hygiene, and maintaining a light diet. Specific details are as follows:

1. Timing of the Procedure

An IUD provides effective contraception. If planning for pregnancy, the IUD should be removed. The removal procedure has specific considerations regarding timing. It is generally recommended to perform the removal 3 to 7 days after menstruation ends. For women intending to conceive, it is advisable to remove the IUD at least six months to one year in advance. For menopausal women, removal is most suitable approximately six months after the final menstrual period.

2. Abstinence from Sexual Intercourse

Sexual intercourse should be avoided 3 to 5 days prior to IUD removal, as intercourse may stimulate the fallopian tubes and potentially interfere with the removal process.

3. Required Medical Examinations

Prior to IUD removal, tests such as complete blood count, vaginal discharge examination, and electrocardiogram (ECG) should be performed to ensure there are no underlying infections or inflammations, thus preventing complications such as endometritis.

4. Personal Hygiene

Before the procedure, the doctor will conduct a vaginal examination and cleaning to minimize infection risk. Therefore, maintaining good personal hygiene, including washing the external genital area, is essential.

5. Maintaining a Light Diet

During IUD removal, procedures such as cervical dilation and vaginal examination may stimulate the gastrointestinal tract, potentially causing discomfort such as bloating, nausea, or vomiting. Consuming a light diet helps reduce gastrointestinal burden and lowers the likelihood of such symptoms.

In addition, adequate rest should be ensured before IUD removal, and physical overexertion should be avoided.


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