Is it necessary to remove the ring?

Mar 14, 2025 Source: Cainiu Health
Disease description:

I've had an intrauterine device (IUD) in place for many years. Recently, I heard that it needs to be removed after a certain period. I would like to know whether removal is absolutely necessary. If I don't remove it, will it have any negative effects on my health?

Doctor's answer (1)
Dr. Zhang Lu

An intrauterine device (IUD), commonly known as a contraceptive ring, does not necessarily need to be removed. The decision to remove it should be based on the individual patient's circumstances and preferences.

The IUD is a long-acting, safe, and reversible contraceptive method suitable for women seeking long-term contraception. If the IUD has been in place for an extended period, complications arise, or the woman plans to become pregnant, she should seek medical evaluation and, if necessary, have the IUD removed.

Different types of IUDs have varying recommended usage periods—for example, copper IUDs can be used for approximately 10 years, while hormone-releasing IUDs are typically used for 3–7 years. Upon reaching the recommended expiration date, to avoid contraceptive failure or increased risk of complications, timely removal is advised, with consideration of replacement based on individual needs.

If new medical conditions arise, such as uterine diseases or hormonal imbalances, which may affect the safety of the IUD, consultation with a physician is necessary to determine whether continued use is appropriate or if removal should be considered.

The decision to retain or remove the IUD should be made according to individual circumstances and medical advice. Regular follow-up visits and communication with a healthcare provider are essential steps to ensure safe use.