The best time to remove an intrauterine device (IUD)

The optimal timing for intrauterine device (IUD) removal varies individually but can generally be summarized as follows: 1. Women of reproductive age: Under normal circumstances, the best time is 3–7 days after the end of menstruation. At this time, the endometrium is thin, resulting in less bleeding during IUD removal and faster post-procedure recovery. For women planning future pregnancies, it is recommended to remove the IUD 3 months in advance to allow sufficient time for endometrial recovery. 2. Menopausal women: Six to twelve months after menopause is considered an optimal period for IUD removal. At this stage, the uterus has not yet significantly atrophied, making the removal procedure relatively easier. If menopause has occurred for an extended period, progressive uterine atrophy may increase the difficulty and risk of IUD removal. 3. Special situations: Women who become pregnant while using an IUD can have it removed during an induced abortion. For those with an ectopic pregnancy associated with IUD use, the device can be removed during preoperative diagnostic curettage or before discharge following surgery.