Reason for Removal
IUDs come in two types: copper and hormonal. The copper IUD can last for 12 years, while the hormonal can remain in place for five years. A woman does not need to have it removed before it's expiration unless she experiences complications or wishes to discontinue using the device. Medical care providers will remove the IUD for any reason and as soon as a woman requests the device be taken out. It is often removed during or just before ovulation to reduce the discomfort of the procedure.
Preparing for Removal
If the patient reports serious discomfort from the device the provider will observe the cervix carefully to be sure no damage has been done. Only trained health care providers should attempt to remove the IUD. The device is removed in much the same way that it was inserted. The woman rests her buttocks at the end of an exam table with her feet in stirrups. The vaginal area is cleansed with an antiseptic solution. A speculum is inserted into the vagina to reveal the cervix.
If the IUD cannot be seen at the base of the cervix, there is a chance that it has been expelled. An ultrasound may be necessary to locate the IUD. Surgery will be performed if the device has become embedded into the uterine lining. There is also the risk of the device perforating the uterus, or going through it. Surgery may also be required to remove the device in this situation.
Removal of the IUD
Provided that the IUD is in its proper place in the uterus, normal removal continues. The cervix is cleaned with antiseptic solution to prevent bacteria or infection from entering. The provider instructs the woman to relax and take deep breaths. Small forceps are inserted into the vagina and used to grasp the threads attached to the base of the device. The threads are pulled steadily until the IUD comes completely out.
