When is the best time to remove an intrauterine device (IUD)?

The optimal time for removing an intrauterine device (IUD) varies depending on individual circumstances, but generally follows these principles: 1. Women of reproductive age: It is recommended to remove the IUD 3–7 days after the end of menstruation. At this time, the endometrium is thin, resulting in less bleeding and faster recovery after removal, which helps reduce the risk of infection. 2. Menopausal women: It is recommended to remove the IUD 6–12 months after menopause. At this stage, the uterus has not significantly atrophied, making the removal procedure relatively simple and less traumatic. If removal is delayed for too long after menopause, uterine atrophy may increase the difficulty of the procedure and potentially lead to complications such as IUD embedment or bleeding. 3. Special circumstances: If the IUD has reached its expiration date or if a woman becomes pregnant while using an IUD and requires an induced abortion, the IUD should be removed promptly. For women experiencing irregular vaginal bleeding, the IUD can be removed at an appropriate time, and a diagnostic curettage may be performed simultaneously to rule out endometrial pathology.