Is it painful to remove an IUD?

Feb 17, 2025 Source: Cainiu Health
Disease description:

Xiao Zhang is 29 years old this year. After the policy allowing couples to have a second child was introduced, she plans to have the intrauterine device (IUD) removed from her body and have another child. She would like to know whether removing the IUD will be painful.

Doctor's answer (1)
Dr. Zhang Lu

There may be some pain during the removal of an intrauterine device (IUD), although the degree of discomfort varies among individuals. If the IUD is positioned normally within the uterus without becoming embedded or adhered, the removal process is usually relatively smooth and associated with mild discomfort. However, if the IUD is malpositioned or has become embedded or adhered due to prolonged placement, removal may be more difficult and accompanied by increased pain. Experienced physicians can more accurately assess the position and condition of the IUD and employ more appropriate removal techniques to reduce the patient's discomfort. Additionally, individuals vary in their pain thresholds and sensitivity, so even with the same procedure, the level of pain experienced may differ from person to person.

To help alleviate discomfort during IUD removal, patients can take certain measures. For example, prior to the procedure, patients can communicate sufficiently with the doctor to understand the removal process and potential risks, which may help relieve anxiety. During the procedure, patients should follow the doctor's instructions, maintain the correct position, and stay relaxed to facilitate the physician's work. If the pain becomes too intense, patients should promptly inform the doctor so that appropriate interventions, such as the application of local anesthetic agents, can be implemented.