What Should You Do If Your IUD Falls Out?

The IUD insertion process usually takes place at a doctor’s office. Your doctor should discuss the insertion procedure and its risks before insertion occurs. You may be advised to take an over-the-counter pain reliever such as ibuprofen or acetaminophen an hour before your scheduled procedure.

The IUD insertion process consists of several steps:

At some point during the procedure, you’ll be shown how to find the IUD strings. The strings hang into your vagina.

Most people resume normal activities after the insertion procedure. Some doctors advise avoiding vaginal sex, hot baths, or tampon use for a couple of days after insertion to reduce the risk of infection.

Expulsion occurs when your IUD falls out of the uterus. It may fall out partially or completely. It’s not always clear why an IUD is expelled, but the risk of it happening is higher during your period. If an IUD is expelled to any degree, it must be removed.

Expulsion is more likely for women who:

You should check your IUD strings each month after your period to make sure the IUD is still in place. You should contact your doctor right away if any of the following events occur:

Don’t attempt to push the IUD back in place or remove it on your own. You should also use an alternative method of birth control, such as a condom.

To check your IUD strings, follow these steps:

If your IUD has become partially dislodged or expelled completely, you may feel pain or discomfort. Other symptoms associated with expulsion include:

An IUD is a small, T-shaped device that can prevent pregnancy. It’s made of flexible plastic and used for long-term pregnancy prevention or emergency birth control. Two thin strings are attached to help you make sure the IUD is in place and to assist your doctor with removal. There are two types of IUDs.

Hormonal IUDs, such as Mirena, Liletta, and Skyla brands, release the hormone progestin to prevent ovulation. They also help thicken cervical mucus, making it harder for sperm to reach the uterus and fertilize an egg. Hormonal IUDs work for three to five years.

A copper IUD called ParaGard has copper wrapped around its arms and stem. It releases copper to help prevent sperm from reaching an egg. It also helps change the lining of the uterus. This makes it harder for a fertilized egg to implant into the uterine wall. The ParaGard IUD works for up to 10 years.

Mirena vs. ParaGard vs. Skyla: Choosing the Right IUD

Common IUD side effects include spotting between periods, cramping, and back pain, especially for a few days after IUD insertion. Risk of pelvic infection increases for a few weeks after insertion. Less than 1 percent of IUD users experience uterine perforation, which is when the IUD pushes through the uterine wall.

In the case of ParaGard, your periods may be heavier than normal for several months after IUD insertion. Hormonal IUDs may cause periods to be lighter.

Some women shouldn’t get an IUD. Talk to your doctor if:

Sometimes, specific IUDs aren’t recommended if you have certain conditions. Mirena and Skyla aren’t advised if you have acute liver disease or jaundice. ParaGard isn’t advised if you’re allergic to copper or have Wilson’s disease.

You may find the IUD to be a perfect fit for you. However, after trying it, you may realize that it’s not exactly what you want. Talk to your doctor about all of your options for birth control.

When sifting through your options, you should consider the following factors:

An IUD is one of the most effective forms of birth control. In most cases, it stays in place and you can forget about it until it’s time to have it removed. If it does fall out, use backup birth control and call your doctor to determine if the IUD should be reinserted. If you try the IUD and don’t feel it’s the best choice for you, talk with your doctor about other birth control options available to you.