What are the precautions for removing an intrauterine device (IUD)?

Jun 14, 2024 Source: Cainiu Health
Disease description:

I'm planning to have a second child recently and would like to have my IUD removed. What should I pay attention to when removing the IUD?

Doctor's answer (1)
Dr. Zhao Xiaodong
Important considerations for IUD removal include the following: 1. Timing: The optimal time for IUD removal is 3 to 7 days after menstruation ends, when the endometrium is thin, making the procedure easier and minimizing bleeding. IUDs with retrieval strings can be removed at any time. 2. Preoperative preparation: Avoid sexual intercourse and tub baths for 3 days before the procedure to prevent infection. Take a shower before the procedure, clean the external genital area, and bring sanitary pads. 3. Pre-removal examination: An ultrasound should be performed prior to removal to confirm the IUD's position and check for complications such as embedding, displacement, or expulsion. 4. Postoperative rest: Rest appropriately after the procedure and avoid heavy physical activity for one week to prevent bleeding. 5. Hygiene and contraception: Maintain cleanliness of the external genital area after the procedure. Avoid sexual intercourse and tub baths for 2 weeks. Use contraception after the procedure to prevent unintended pregnancy in the short term. Following these precautions ensures a safe and smooth IUD removal process.