Is removing an IUD painful?
Nov 14, 2024
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, "removing the ring" refers to the removal of an intrauterine device (IUD). The procedure may be painful when removing a tailless IUD or one that is embedded in the uterine wall. However, it may not be painful when removing a tailed IUD or in cases where the cervical os is soft. If any discomfort occurs, it is recommended to promptly visit a hospital for proper evaluation and treatment under the guidance of a physician.
Generally, "removing the ring" refers to the removal of an intrauterine device (IUD). The procedure may be painful when removing IUDs without strings or when the IUD is embedded; however, it may not be painful when removing IUDs with strings or in cases where the cervical os is soft and relaxed. If discomfort occurs, it is recommended to promptly visit a hospital for proper evaluation and treatment under a doctor's guidance. Specific analysis is as follows:
An IUD without strings requires dilation of the cervical os and deeper access into the uterine cavity for removal, which may cause some degree of pain and discomfort. If the IUD has been in place for a long time or has shifted position or become embedded, removal may be more difficult, thereby increasing pain. Additionally, patients with a tight cervical os may require more extensive dilation during removal, potentially increasing discomfort.
For IUDs with strings, the presence of the string allows the physician to grasp the device more easily, simplifying removal and reducing pain and discomfort. Patients with a softer, more relaxed cervical os may experience less pain during the procedure.
Maintaining a relaxed mindset before IUD removal can help reduce perceived pain. For patients particularly fearful of pain, a painless removal option is available—performed under intravenous anesthesia, during which the patient sleeps through the procedure and typically feels no pain.
