What To Expect After Iud Removal
An intrauterine device is a more long-term solution for birth control than the pill, the ring, or an arm implant. You dont have to worry about forgetting to take it, no worries about human error since a gynecologist places it , and you dont have to perform any tasks to ensure its effective.
However, once it reaches its expiration, or if you decide you would like to conceive, you will need to have it removed. Lets talk about what you can expect during and after the IUD removal procedure and where you can find answers for your own situation.
How Long Does It Take For Mirena To Stop Periods
The Mirena IUD is the only one of the main types of IUD that can stop or reduce periods completely within three to six months. Some women get reduced periods straight away while others keep getting their period for longer and then one day it will just stop suddenly.
Some women find that once they have had their Mirena in place for a few months, they stop getting any periods at all, especially if their periods were already very light. This is not uncommon.
There are no side effects on your hormones if this does happen, you simply are not having periods any more and you may become pregnant straight away without waiting once you have your IUD removal.
Reasons For Iud Removal
One of the main reasons that an IUD needs to be removed is that it’s reached its “expiration date.”
An IUD will not be effective after a set amount of time has passed. If you want to continue using it for birth control, you’ll need to have it replaced.
Each brand of IUD lasts a certain number of years. If you don’t follow the schedule, your birth control may not be as effective.
If you’re using an IUD for birth control, it’s important to get it replaced before it stops providing you with protection. Getting pregnant while you have an IUD can have serious complications like infection and pregnancy loss.
How long an IUD lasts before it needs to be replaced depends on which one you have:
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So Can I Just Remove An Iud Myself
No, please do not, under any circumstances, try to remove an IUD yourself. Despite the latest remove your IUD at home TikTok challenge , IUD removal should always be left to your physician or other qualified health care provider.
But if all it takes is pulling a few strings, why the big deal? According to the Cleveland Clinic, the primary reason not to do it yourself is that it wont workand this simply comes down to anatomy. While you may be lucky enough to dislodge it, the chances of being able to remove it are not in your favor. If you do try to remove it yourself, the IUD will likely become improperly positioned inside you, causing pain and cramping until you can get it properly removed by a professional. Not to mention any tearing, bleeding, or breakage that may occur as youre trying to maneuver it out. So save yourself time and agony and schedule an appointment with your doctor.
What To Expect After An Iud Removal
IUDs are a wonderfully reliable and convenient method of long-term contraception. Once IUD is inserted in your uterus, some types of IUDs remain safe and effective for years. At some point in time, your IUD will need to be removed. Removal may be required because you are ready to become pregnant, your hormonal IUD has expired and is no longer effective, you want to try another type of device or other health reasons. Here is what to expect after an IUD removal.
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Bleeding After Iud Removal: How Much Is Normal
Bleeding is usually light and irregular in the first few days or weeks after your IUD removal, and it’s very unlikely you will experience any bleeding at all for the first month or so. Any bleeding that does occur will either be completely light and stringy or lighter and more flowy.
Heavy periods are possible after any type of IUD removal but they are most likely to happen after Mirena, ParaGard, Liletta, or Skyla removal.
As you can have your IUD removed at any time in your menstrual cycle, you can experience different levels of bleeding depending on what stage you’re at. It can actually take up to three months for your normal menstrual cycle to get back to normal.
If you are worried about heavy bleeding, consider waiting a little longer to start trying to conceive after IUD removal to be extra sure you’re ready for pregnancy. Always check with your doctor or a medical professional if you are worried about the amount of bleeding you experience after removing IUDs.
How Soon You Become Fertile Depends On Type Of Iud Used
Whether you are immediately fertile or not, how quickly you can become pregnant depends on the type of device you used.
Non-Hormonal IUDAfter the removal of a non-hormonal, or copper IUD, your body will not need time to return to a normal cycle. The copper IUD did not use hormones to boost its effectiveness. Without those hormones, your bodys cycle was not affected by the IUD. Thus, you are immediately fertile. You may experience minor spotting and bleeding which can interfere with accurately timing the beginning and end of your cycle, but it has no impact on your fertility.
Hormonal IUDUnlike the copper IUD, the hormonal IUD releases progestin hormones into your uterus Those hormones may temporarily interfere with the production of your cervical mucus and your bodys ability to release an egg. Therefore, how quickly you become fertile depends on the type of IUD you used, the amount of hormones it used, and the timing of the removal in your cycle. You may be fertile immediately, or it may take a week or two to become fertile. In most cases, you can become pregnant in the first cycle after removal.
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Who Can Use An Iud
Most people with a womb can use an IUD.
A GP or nurse will ask about your medical history to check if an IUD is suitable for you.
The IUD may not be suitable if you:
- think you might be pregnant
- have an untreated STI or a pelvic infection
- have problems with your womb or cervix
- have unexplained bleeding between periods or after sex
People who have had an ectopic pregnancy or who have an artificial heart valve must consult their GP or clinician before having an IUD fitted.
Is Iud Removal Painful
Anyone who has an IUD basically paid the price when getting it placed, Jacques Moritz, MD, an ob-gyn and assistant professor of obstetrics, gynecology, and reproductive sciences at Mount Sinai, tells SELF. Thats because insertion tends to be much more uncomfortable than removal. Everybody gets nervous about removal, but it should almost not be felt, Dr. Moritz says.
The caveat: In instances where your doctor has to bust out the speculum, it could be slightly more uncomfortable for some people. A couple of other IUD removal complications could also up the pain factor. These occur when the procedure doesnt go as smoothly as planned, and your doctor has to make a few adjustments. For example, the IUD strings can be too short, and the doctor may have a hard time seeing them coming from the cervix, or the strings can curl up into the cervix, Renita White, MD, FACOG, a board-certified ob-gyn in Atlanta, tells SELF. When this happens, it can be more difficult to remove the IUD, and your doctor may need to use an ultrasound to help guide the removal. In an even more uncommon situation, when the IUD strings cannot be retrieved in the office, Dr. White says an outpatient procedure called a hysteroscopy can be used to remove the IUD.
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When Should I Have My Iud Removed
Get your IUD removed if:
- It has expired. Your doctor should be able to tell you how long the type that you have is supposed to last.
- You want to get pregnant.
- You’ve had side effects like heavy bleeding, severe headaches, or pain.
- You have a sexually transmitted infection.
- Your IUD has moved out of your uterus or has broken.
- You got pregnant while the IUD was in place.
Using An Iud After Giving Birth
An IUD can usually be fitted 4 weeks after giving birth . You’ll need to use alternative contraception from 3 weeks after the birth until the IUD is put in.
In some cases, an IUD can be fitted within 48 hours of giving birth. It’s safe to use an IUD when you’re breastfeeding, and it will not affect your milk supply.
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When To Remove Mirena
You may wish to have your IUD removed when you are ready to become pregnant. You might also need to have your IUD removed 5 years after insertion and replaced with a new one.
If you have or acquire certain health conditions, your doctor may recommend removal of your Mirena device. Some side effects also require its removal. These include:
- perforation of the uterus
- pain or discomfort during intercourse
Mirena IUDs should only be removed by a doctor. To avoid complications and undue discomfort, do not try to remove it yourself or have someone else try to remove it for you.
When your Mirena IUD is removed, you can expect to feel some pain or cramping for a few minutes.
Since the Mirena IUD works by delivering progestin, side effects may occur after its removal and before your reproductive system starts to produce progesterone on its own.
For this reason, you may experience additional symptoms, although not every woman does.
Symptoms after Mirena removal are uncommon, but can occur. They include:
Leading Up To The Iud Removal
IUDs expire after three to 12 years, depending on the brand. While you dont have to get it removed on the exact day it was inserted, you should not wait too long after. Do not delay removal for more than a few weeks without having a direct conversation with your doctor. Depending on the IUD, delaying removal beyond the recommended time frame can cause irregular bleeding, challenges in removal, and an increased chance of pregnancy.
You can schedule your IUD removal at any point in your menstrual cycle. The only preparation you need to do before having your IUD removed is scheduling the appointment. However, if you are prone to cramping or pain with your period, you can take an over-the-counter pain reliever one or two hours beforehand.
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The Intrauterine Device Is One Of The Most Effective Forms Of Reversible Birth Control Available Today Here’s How Copper Iuds And Hormonal Iuds Impact Your Future Chances Of Conception
The intrauterine device is one of the most effective forms of reversible birth control available todayup to 20 times more effective than birth control pills, the patch, or the ring, according to the American College of Obstetricians and Gynecologists. But what happens when you decide that you want to get pregnant when you have an IUD? Keep reading to learn about getting pregnant after an IUD, including how this method of birth control impacts your future chances of conception.
Timeline Of How Iud Removal Affects Your Period
As a result, your body has less endometrial material to shed and your periods are lighter and shorter. IUDs that last the longest contain the highest amounts of hormone. With higher levels of hormone, you are more likely to experience lighter periods or no periods at all.A copper IUD has a different effect than a hormonal IUD on your menstrual cycle. You may experience heavier bleeding and longer periods with a copper IUD for a few months after receiving the copper IUD.Many women experience a change in their periods after IUD removal. What you can expect depends on what kind of device you have and how it affected your menstrual cycle over time.
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Schedule And Prepare For Removal
“There is a little flexibility, but not too much. I would not recommend delaying removal for more than a few weeks without having a direct conversation with your doctor,” says Kameelah Phillips, MD, an obstetrician-gynecologist at . “Depending on the IUD, the risks of delaying beyond the recommended time frame can include irregular bleeding, challenges with removal, and an increased chance of pregnancy.”
You can schedule your IUD removal at any point during your menstrual cycle, according to Barb Dehn, NP, a women’s health nurse practitioner in the Silicon Valley area of Northern California.
Some women with hormonal IUDs don’t even have periods, because the progesterone released by the IUD keeps the lining of the uterus so thin that it doesn’t need to slough off and come out.
The only preparation you need to do before removal is to schedule the appointment. No other preparation is needed, regardless of whether you have a hormonal or non-hormonal type of IUD, according to Dehn.
However, “if a woman is prone to cramping or has more pain with her periods, she can take an over-the-counter pain reliever one to two hours ahead of time,” says Dehn. A non-steroidal anti-inflammatory like ibuprofen or naproxen should be fine.
Is There A Higher Risk Of Pregnancy Complications After Iud Removal
Every form of birth control comes with some risk, which is why you may wonder if theres a higher risk of pregnancy complications after IUD removal.
The good news, says Zaher Merhi, MD, board certified OB-GYN and fertility expert at New Hope Fertility Center, is theres no increased risk of ectopic pregnancy after IUD removal.
However, he does point out that if you get pregnant while the IUD is still in the uterus, you have a higher chance of having an ectopic pregnancy.
And if youre hoping for twins, dont count on prior use of an IUD to increase your chances. Merhi says there are no higher risks of having twins after IUD removal.
Difficulty getting pregnant after IUD removal may often have nothing to do with an IUD. In most circumstances, birth control methods dont delay fertility.
According to a 2018 review of studies , contraceptive use regardless of duration and type doesnt have a negative effect on the ability to conceive after removal or discontinuation. The researchers also found that it doesnt delay fertility.
In fact, of the 14,884 women included in the study review, 83 percent were able to get pregnant within the first 12 months after contraceptive discontinuation. This includes the removal of IUDs, with 2,374 women making up the group of IUD users.
Anyone with irregular cycles, heavy, painful menses, or who has been trying to conceive for 12 months without success or 6 months without success should see a physician, explains Scotchie.
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At A Glance: Facts About The Iud
- When inserted correctly, IUDs are more than 99% effective.
- An IUD works as soon as it’s put in and lasts for 5 to 10 years, depending on the type.
- It can be put in at any time during your menstrual cycle, as long as you’re not pregnant.
- It can be taken out at any time by a specially trained doctor or nurse. It’s then possible to get pregnant straight away.
- Your periods can be heavier, longer or more painful in the first 3 to 6 months after an IUD is put in. You might get spotting or bleeding between periods.
- There’s a small risk of getting an infection after it’s been fitted.
- There’s a small risk that your body may push out the IUD or it may move. Your doctor or nurse will teach you how to check it’s in place.
- It can be uncomfortable when the IUD is put in, but you can take painkillers after, if you need to.
- It may not be suitable if you have had previous pelvic infections.
- It does not protect against sexually transmitted infections , so you may need to use condoms as well.
Iud Removal & Pregnancy
Once your IUD is removed, you are no longer protected against pregnancy.To protect yourself against unwanted pregnancy, you can have your doctor insert another IUD immediately after removing your old device, or you can use another form of contraception altogether. You should discuss the various contraception options available to you with your doctor.
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When Will My Period Return
Each womans body is different, and how long you may expect your menstrual period to return after IUD removal may also vary from person to person.
With that said, most women may get their period back after two to four weeks of having the device removed. Some women may take up to three months before they see the return of their periods.
Moreover, the type of IUD you have may also affect how long after the procedure you can expect your periods to go back. For instance, people using hormonal contraception typically do not ovulate. As such, it may take time for their normal ovulation or menstrual cycle to return.
According to the United Kingdoms National Health Service , it may take several weeks, sometimes months, for periods to return to normal after stopping hormonal birth control.
In some cases, however, a couple of factors other than pregnancy can also cause late or irregular periods.