IUD removal is a quick, routine visit, but if you have never had one, it is normal to wonder how it will feel and what happens next. Whether your device is nearing the end of its lifespan, you are ready to try for a pregnancy, or you simply want a different method, you can ask to have your IUD taken out at any time. You do not need to wait for a particular date or a particular symptom.
At Garden State Gynecology, our team performs IUD removal at our Morristown and Princeton, NJ offices, and we offer comfort options for patients who want them, including anesthesia. Here is what the visit typically looks like, so you can walk in knowing what to expect.
When Is It Time for IUD Removal?
Many patients schedule IUD removal because their device has reached the end of its approved lifespan. Hormonal IUDs generally last from three to eight years depending on the brand, while the copper IUD can last up to ten years. Your provider can confirm the timeline for the specific device you have.
Others ask for removal earlier. Some patients are ready to start trying for a pregnancy, some want to switch to another form of birth control, and some are bothered by side effects such as heavier bleeding or cramping. Whatever your reason, it is your decision, and our team will support it without judgment.
What Happens During IUD Removal in Morristown and Princeton, NJ
IUD removal is typically much shorter than insertion. Your provider will first review your goals and answer your questions, including what you plan to use for birth control afterward. You will then lie back as you would for a pelvic exam, and your provider will place a speculum to see your cervix.
Your IUD has two thin strings that extend through the cervix. Your provider gently grasps those strings with a slender instrument and draws the device out. The small arms of the IUD fold upward as it passes through the cervical opening, and the whole process usually takes just a few minutes.
Most patients describe mild cramping or a brief pinch of pressure, and light spotting afterward is common. You do not need to time your visit to your cycle, but let us know if you have a preference when you schedule.
IUD Removal With Anesthesia
For many patients, removal is mild enough that no anesthesia is needed. For others, the thought of a pelvic exam or a past painful experience makes the visit stressful, and that is a valid reason to ask for more support. Garden State Gynecology offers anesthesia for IUD insertion and removal, and our patients choose it for reasons such as:
- Anxiety about pelvic exams or medical procedures
- A painful experience with a previous IUD insertion
- Difficulty tolerating pelvic exams
- A history of endometriosis or vaginismus
- Putting off IUD removal because of worry about discomfort
- A simple preference to be comfortable and relaxed
When you choose anesthesia, a board-certified anesthesiologist monitors you throughout your procedure. Our anesthesia services are Quad A accredited for general anesthesia, deep sedation, and conscious sedation. Because anesthesia involves a few extra steps, tell our team when you schedule, so we can prepare. You will receive fasting instructions to follow before your visit (typically about eight hours without food or drink), and you will need a support person to take you home, since driving is not permitted afterward.
What If the IUD Strings Are Hard to Find?
Sometimes the strings curl up into the cervical canal and cannot be seen during the exam. If that happens, there is no need to worry. Your provider may use an ultrasound to locate the device and specialized instruments to guide it out. In uncommon cases, further evaluation may be needed, and our team will explain each step and your options before we proceed.
What to Expect After IUD Removal
Most patients return to their normal activities right away. You may notice mild cramping and light spotting for a day or so, and over-the-counter pain relievers can help if you need them. Call our office if you develop a fever, severe pain, or heavy bleeding.
Fertility typically returns promptly after an IUD is removed, which is welcome news if you want to conceive. If you do not want to become pregnant, the timing matters. Sperm can survive in the body for up to five days, so it is important to have a plan in place before your appointment. Options include:
- Having a new IUD placed during the same visit, if you would like to continue with an IUD
- Starting a different method of birth control such as the pill, the ring, or the shot
- Using condoms, which also help protect against sexually transmitted infections (an IUD does not)
If you are switching to birth control pills, plan to use a backup method for the first seven days. Our team can help you choose the right timing for your method of choice.
Schedule Your IUD Removal With Garden State Gynecology
If you are ready for IUD removal, or you are just curious about your options, we are here to help. Call Garden State Gynecology at (800) 746-0148, or contact us online to schedule an appointment at our Morristown or Princeton, NJ office. Our offices are open Monday through Saturday, 7 AM to 10 PM, so you can find a time that fits your schedule.