How is an IUD removal procedure performed?
May 17, 2022
Source: Cainiu Health
Dr. Lv Aiming
Introduction
The intrauterine device (IUD) removal procedure should be performed 3–5 days after the cessation of menstruation, and sexual intercourse must be avoided during this interval following the end of menses. Prior to the procedure, a vaginal discharge examination and transvaginal ultrasound are conducted, primarily to confirm the IUD’s position within the uterine cavity. During the procedure, the patient lies supine while the physician inserts a vaginal speculum to visualize the vaginal canal. A uterine sound is then used to assess the uterine cavity and determine the precise location of the IUD. Finally, an IUD extractor is employed to remove the device based on the identified location.
The intrauterine device (IUD) removal procedure is indicated for women who plan to conceive again, those whose current IUD has reached its recommended duration of use and requires replacement, those opting for permanent sterilization, or those who have ceased sexual activity and no longer require contraception. So, how is the IUD removal procedure performed?
How Is the IUD Removal Procedure Performed?
The IUD removal procedure should ideally be scheduled 3–5 days after the end of menstruation, and sexual intercourse must be avoided during this post-menstrual interval. Prior to the procedure, routine preoperative assessments typically include a vaginal discharge examination and transvaginal ultrasound. The ultrasound is primarily used to confirm the IUD’s position within the uterine cavity and to identify its specific type and shape. During the procedure, the patient lies supine on the examination table. The physician inserts a vaginal speculum to visualize the vaginal canal, then uses a uterine sound to assess the depth and orientation of the uterine cavity and locate the IUD. Once the IUD’s position is confirmed, an IUD extractor is carefully introduced to remove the device.
It is important to note that if a woman experiences excessive post-procedural vaginal bleeding, abdominal pain, or fever following IUD removal, she should seek immediate medical attention. After the procedure, strict hygiene measures should be observed: sexual intercourse and bathtub bathing should be avoided for at least two weeks. Nutritionally, it is advisable to consume foods rich in protein—such as dairy products, eggs, and legumes—and to maintain adequate fluid intake while ensuring a balanced, nutritious diet. Spicy, sour, raw, or cold foods should be minimized.
The above outlines the standard approach to IUD removal. We hope this information is helpful to you.
