Intrauterine Devices: Separating Fact From Fallacy

, Magee-Womens Hospital, University of Pittsburgh School of Medicine

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In This Article

Return to Fertility After IUD Removal

Removal is easily accomplished by grasping the string with any appropriate clamp and pulling with firm traction. If the string cannot be visualized, gently rotating the cytologic brush within the cervical canal as described previously can be used to locate the string. So long as the IUD is then found to be intrauterine, it can be removed with a Facit ureteral stone forceps directed to where the device was localized. If the IUD cannot be grasped using the forceps, then removal with sonographic guidance or via hysteroscopy is necessary. If the patient wishes to continue using an IUD, a new device can be placed at the time of removal so long as infection is not present.

Fertility returns promptly after removal (Table III). Pregnancy rates in women who have the IUD removed because of a desire to become pregnant are similar to those in women who discontinued use of other methods of contraception.[35] In women involved in monogamous relationships, there is no evidence of an increased risk of infertility after IUD use.

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