How is an intrauterine device (IUD) removed?

Updated: Nov 29, 2018
  • Author: Sarah Hagood Milton, MD; Chief Editor: Christine Isaacs, MD  more...
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The patient is placed in dorsal lithotomy position, and the speculum is used to visualize the cervix. The IUD strings are usually readily visualized. If this is not the case, refer to the "Difficult Removal" section below. Grasp the IUD strings with the ring forceps and apply steady gentle outward traction, and the IUD should easily appear in the vagina. Remove the speculum. Patients should be counseled that immediate return of fertility is probable and if they do not desire conception they should immediately initiate an alternative form of contraception. [12] For patients desiring continued IUD use, a new device can be placed at the same visit.

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