What to Expect With an IUD Removal

An intrauterine device (IUD) is a small, T-shaped contraceptive device placed in the uterus to prevent pregnancy. While IUDs are long-lasting and highly effective, they are not permanent. When it’s time for removal—whether for health reasons, personal choice, or family planning—it’s important to know what to expect. IUD removal is a quick and simple procedure performed in a healthcare setting and is a key part of managing reproductive health.

Common Reasons for Using IUDs

IUDs are one of the most popular forms of long-acting reversible contraception (LARC). Women choose IUDs for several reasons:

High efficacy: Over 99% effective at preventing pregnancy
Convenience: No daily action required like pills
Long duration: Lasts between 3–10 years depending on the type
Non-hormonal or hormonal options: Copper IUDs contain no hormones, while hormonal IUDs (e.g., Mirena, Kyleena) release progestin
Fertility returns quickly after removal

IUDs are also used to treat heavy menstrual bleeding, painful periods, or endometriosis symptoms.

When to Remove the Device

IUDs remain highly effective throughout their recommended duration, but removal is necessary if:

The device reaches expiration (e.g., 5 years for hormonal, 10 years for copper)
The patient wishes to become pregnant
Side effects occur (e.g., irregular bleeding, discomfort)
There is a change in contraception preferences
There is a risk of infection or uterine complications

If a woman becomes pregnant or develops pelvic pain, an early evaluation and possible removal may be necessary.

What to Expect During Removal

The IUD removal process is quick and low-risk, usually done in a doctor’s office without anesthesia:

If the strings are not visible or if there is resistance during removal, an ultrasound or special tools may be needed to complete the procedure safely.

Recommendations After Removal

After IUD removal:

Fertility can return almost immediately, so discuss other birth control options if pregnancy is not desired.
If you’re switching methods, your provider may offer same-day placement of a new contraceptive device.
Watch for any unusual bleeding, pain, or signs of infection, and follow up if needed.

Always consult your healthcare provider before and after removal to ensure your reproductive goals are supported.

Take control of your health

with Advanced Women's Care

IUD removal is a safe and routine procedure that gives you flexibility and control over your reproductive choices. At Advanced Women’s Care, we guide women through every step—from IUD placement to removal—with expertise and compassion. Whether you’re planning for a future pregnancy or exploring other birth control options, we’re here to help you make informed decisions.