How is an IUD removed?

For women, intrauterine device (IUD) insertion is an effective contraceptive method. However, IUDs may need to be removed for various reasons. How is an IUD removed?

How Is an IUD Removed?

The IUD removal procedure is as follows: routine disinfection is performed; the IUD’s retrieval strings are located; and gentle traction is applied to the strings to remove the device. If the retrieval strings cannot be located during the procedure, transvaginal ultrasound can be used to confirm the IUD’s position, after which the physician may use a small speculum or other appropriate instrument to facilitate safe removal.

IUD removal refers to the surgical procedure of extracting an intrauterine device. Reasons for removal fall into two categories: physiological and pathological. Physiological indications include family planning considerations, expiration of the IUD’s effective lifespan, adoption of alternative contraceptive methods, absence of sexual activity, or postmenopausal status. Pathological indications include IUD malposition (e.g., embedding or perforation), pregnancy with an IUD in place, or abnormal uterine bleeding.

After IUD removal, maintain good vaginal hygiene. Abstain from sexual intercourse for two weeks following the procedure, and avoid sitting baths or soaking in bathtubs to prevent infection and inflammation. Rest adequately and avoid excessive physical exertion. Diet should be light and nutritious—emphasize high-protein foods to help prevent anemia caused by heavy menstrual bleeding. Include fresh fruits and vegetables rich in vitamins, and avoid spicy or irritating foods such as chili peppers, black pepper, garlic, and onions. Also avoid raw or cold foods. Prioritize rest and avoid overexertion.