There was even a June Harper's Bazaar piece in which the writer, who was at a women's retreat, overheard that "15 women [had] removed their IUDs together in a yurt. It's true that IUDs are one of the best contraceptives options out there. Hormonal IUDs—Mirena, which last for five years, and Skyla and Liletta, which last for three—thicken cervical mucus, making it tough for sperm to reach an egg. They also thin the uterine lining so a fertilized egg would have trouble latching on to the uterus.
The non-hormonal IUD, ParaGard, uses copper to create a toxic environment for sperm and can do its job for up to for 10 years. And with over 99 percent efficacy , IUDs are great. But sometimes they've got to go. All the online chatter about people who get rid of their IUDs at home may make it seem like a swell idea, but doctors really don't want you to do this.
Little strings hang down through the cervix into the vagina, which is a helpful way to check that your IUD's not falling out , but they also make it quite easy to take out—for a medical professional.
Medically reviewed by Janet Brito, Ph. If you can, enlist someone you trust. Gather your supplies. Wash your hands thoroughly. Get into position. Bare down. Reach in and remove. Anything else I should know about removal? Take stock of how you feel. Seek immediate care if. The bottom line.
Read this next. Medically reviewed by Debra Rose Wilson, Ph. Medically reviewed by Nicole Galan, RN. Take Action vs. Interest in and experience with IUD self-removal. Effect of knowledge of self-removability of intrauterine contraceptives on uptake, continuation, and satisfaction. The Reproductive Health Access Project does not accept funding from pharmaceutical companies.
We do not promote specific brands of medication or contraception. The information in the Contraceptive Pearls is unbiased, based on science alone.
A speculum may be inserted to separate the walls of the vagina. In general, expect these steps:. Then your IUD removal is over. It really only takes a few minutes, and it is minimally painful.
For most women, an IUD removal is usually a routine and uncomplicated procedure. But in some cases, your healthcare provider may not be able to locate your IUD strings. If this happens, it is most likely because your strings have slipped up into the cervical canal, which can occur if they were cut too short either when you had your IUD inserted or if you requested to have them shortened because your partner was able to feel them during sex. But, even if your IUD strings were originally cut to the recommended length, this may still happen.
Your healthcare provider may try to locate the strings by using an ultrasound. If they have slipped up into your cervical canal, your healthcare provider will try to gently pull them out of your cervix with narrow forceps, tweezers, or cotton-tipped swabs. Once the strings have been pulled out and into your vaginal canal, then the IUD removal will continue as mentioned above. It may also be possible that the strings have gone up into the uterus. If this is the case, your healthcare provider may use a sound a measuring instrument or a sonogram to make sure that the IUD is still in the uterus and did not come out without you realizing it.
If your IUD strings cannot be located, but your healthcare provider has confirmed that the IUD is still in place, your IUD can be removed from the uterus with forceps or tweezer-like clamps.
Don't worry, though. Your healthcare provider will be very careful to make sure that your uterus does not get injured during this process.
Very rarely, an IUD may have become stuck in the uterine wall and it cannot easily be pulled out. Your healthcare provider can use different techniques, such as ultrasound, hysterography X-rays of the uterus after giving you a contrast medium , or hysteroscopy direct viewing of the uterus with a fiber-optic instrument to determine if this has taken place.
If your IUD is stuck in your uterus, your healthcare provider may have to dilate your cervix and use forceps to remove your IUD. If this happens during your IUD removal, it is very likely that your healthcare provider will give you a local anesthetic to help reduce any pain or discomfort.
An IUD is removed during a pelvic exam. Your healthcare provider will use a tool to grasp the strings and gently pull out the IUD. It is not recommended to try to remove an IUD on your own.
IUD removal may cause brief cramping or discomfort as it is being removed, but it is not typically painful unless there is a complication. However, if there is a complication or your healthcare provider cannot find the strings to remove the IUD, it may be more painful. Spotting or light bleeding is common for a few hours or days after having an IUD removed. However, heavy bleeding and passing clots are not normal.
0コメント