How do you remove your IUD?

The Expert: Anthony Bouvier, Liberal Midwife and Vice President of the National Trade Union Organization of Midwives (ONSSF)

Removal of the IUD: the reasons

Many reasons can lead us to remove our IUD: it can sometimes be poorly tolerated, it can reach the end of its contraceptive effect or we may want to remove it to start a pregnancy, for example.

Why have an IUD removed?

Most commonly, practitioners remove an IUD before planning a pregnancy, let alone because this contraceptive is poorly tolerated. In fact, the undesirable consequences of inserting an intrauterine device (IUD) or IUS are known and have been previously exposed to the patient by his or her midwife or gynecologist.

« With copper IUDs, heavy bleeding usually occurs during menstruation, which bothers some women. As for the hormone that can cause menstruation and spotting to stop, those little irregular bleeds, it also has its downsides. Like all hormonal contraceptives, it can affect your mood, libido, and weight gain. ),” says Anthony Bouvier, midwife. These inconveniences can be more or less difficult to endure depending on our expectations and lifestyle and can also include painful intercourse.

The duration of the effectiveness of the IUD

The duration of the effect of the IUD can also explain the reason for withdrawal, since it is only theoretically valid only between 3 and 5 years. It is therefore advisable to remove them within this period.

Can we keep an IUD longer than 5 years or even 15 years?

« Regarding hormonal IUDs, there are several types, including Mirena, the most dosed, recommended for women approaching menopause, Kyleena, slightly less dosed, used with the first intention and also valid for 5 years, and the Jaydess, a lesser dose IUD, only valid for 3 years, which is becoming less and less available “, explains the specialist. the hormone spiral can therefore not be stored for longer than 5 years, otherwise there is a risk that their contraceptive effectiveness will decrease.

With reference to copper spiralsIn addition, if it is recommended to change them every 5 years, their effectiveness can reach 10 years. ” It also depends on the age of the patient.tempered the midwife. If the IUS is inserted after the age of 45, it can be left in place until the age of 55. And if the copper coil is put in place after 40 years, it can stay in place for 10 years. There is no need to put another. It is then removed two years after menopause if it occurs between the ages of 40 and 49, and one year if it occurs after the age of 50. “. In any case, it is advisable to have the correct fit of your IUD checked by your gynecologist or midwife during your annual check-up visit.

spiral and desire for pregnancy

Good news: An IUD can be inserted or removed at any point in your cycle ! It should be noted that you cannot have an IUD inserted because you do not have children yet.

When can you get pregnant after removing an IUD?

« You can start pregnancy as soon as the IUD is removed without delaying conception. Only with birth control shots may it take longer to get pregnant after stopping. » assures Anthony Bouvier.

In very rare cases, the IUD may be expelled from or perforate the uterus. Pain and/or bleeding should then alert you to an urgent need for advice.

Between two consultations, the woman may be advised to check for the presence of the thread herself (very easily felt by inserting a finger in her vagina). This confirms the presence of the IUD.

Spiral and pain: What can be the causes?

After the IUD has been inserted by your gynecologist or midwife, you will be asked to: a Follow-up at least 3 weeks laterto check if it’s still there and not causing any unwanted effects or discomfort during intercourse. The correct fit of the spiral is then checked during the annual gynecological consultation.

« We check whether the IUD is still there, as spontaneous expulsions occur in rare cases and we are therefore no longer sure of a pregnancy ‘ the midwife explains. What if you feel severe pain? ” Please note this can a uterine perforationwhen the IUD comes out of the uterus. Fortunately, this only happens once in 1000. The IUD is then removed under anesthesia in the operating room. “Warns Anthony Bouvier. In case of persistent pain and / or heavy bleeding (with blood clots), do not hesitate to seek advice!

Who can remove an IUD?

Your gynecologist and midwife can remove your IUD. If it is technically possible to do it yourself, it is not recommended.

Is it painful to remove an IUD?

Contrary to his pose, the Removal of the IUD is painless and quick. « As with the insertion of the IUD / IUS, we use a speculum, we catch the threads protruding from the uterus and we gently pull. The arms of the coil, which is then placed in the uterus, fold spontaneously and you don’t feel anything when you expel it. I usually ask my patients to cough during removal as it helps ‘ says the midwife.

What happens if the IUD cannot be removed?

It’s possible that the IUD threads are not visible during removal, especially since it can move and rise into the uterine cavity. Your doctor will then perform a hysteroscopy to find it in the uterus and access the threads to catch it and eventually expel the IUD. Rest assured: this is not very common and does not require anesthesia.

Even if he is It is not recommended to remove your IUD yourself, this is technically possible. To do this, simply locate the wires and gently pull on them to eject the IUD. ” But even if you do manage to remove your IUD on your own — you’re in control of your body — it’s not a substitute for a gynecological consultation to make sure everything is okay. ‘” says Anthony Bouvier.

Can an IUD be changed?

If you want to change the IUD because it doesn’t fit you and is causing you discomfort, it’s entirely possible to insert a new one without waiting for your period.

Hormone or copper IUD: what effects after removal?

IUD removal can cause bleeding that feels like a light period but won’t affect your cycle. If it was a copper IUD, your period will come on the expected date of your cycle. On the other hand, in the case of the removal of an IUD, as this will result in a missed menstrual period, we cannot predict when this will happen next rules will manifest.

Do you have to be on your period to remove an IUD?

You do not have to be menstruating to insert or remove an IUD. On the other hand, if you do not want to have children and are of childbearing age, contraception must be considered after the IUD has been removed. ” It is advisable to overlap the method of contraception: pill, implant, patch, vaginal ring, injection … 7 days before stopping ‘ says the midwife. Do not hesitate to make an appointment with your midwife or gynecologist to choose the most suitable contraceptive method for you.

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