If necessary, your doctor can give you emergency contraceptives and a backup method of birth control. This depends on your:. If you want, the IUD can be replaced immediately. If your IUD was expelled, you and your doctor should talk about other options for birth control. Your doctor may also be able to see your IUD in your cervix before doing an ultrasound or X-ray. If they do, this means the IUD was partially expelled and will need to be removed. There are many birth control options to choose from.
An IUD has many benefits, but it may not be the right choice for you. IUDs are a very safe and effective form of birth control. Although rare, your IUD can move, which increases your risk of pregnancy and other complications. IUD displacement is most common within the first few months after you get it put in. They also tend to move more if you have strong cramps during your period, have an extreme tilt to your uterus, or a small uterine cavity.
If you think your IUD may have moved, or you have other concerns, talk to your doctor. Never try to put an IUD back into place by yourself. In some cases, you may definitively experience your IUD coming out. This will typically happen during the first few months of IUD use. Your IUD is most likely to slip out of place during your period, so check your pads and tampons to confirm that your IUD has not been expelled. Perforation means that the IUD has been pushed through the uterus wall.
Generally, this is quickly discovered and can be corrected right away. If either of these situations happens to you, make sure to use a backup method to protect against pregnancy because the IUD will not be of much help.
This may be due to fibroids or pregnancy. If this has occurred, the IUD is still in the uterus, but further investigation would be needed. The good news is if the ultrasound reveals that the IUD is in its proper position within the uterus , you can continue to use it for contraception even though you cannot locate the IUD strings.
If you are in this situation, healthcare providers recommend that you have an ultrasound once a year for the first few years when you are more at risk for expulsion , just to make sure your IUD is still there.
There's also the chance that the IUD is still in the correct position, yet for whatever reason, the IUD strings have coiled and bent back into the passageway between your cervix and your uterus known as the endocervical canal. The strings could have also broken off.
It's also possible that the IUD may have rotated either during or after insertion. This turning around could cause the IUD strings to retract up higher in your body. If this is the case, the good news is that the IUD is still working and is in place; the issue is just with the IUD strings. As long as it is determined that you are not pregnant, healthcare providers have several ways to try to recover your IUD strings.
Healthcare providers use a special brush called a cytobrush that looks like a long mascara brush to try to maneuver out the IUD strings. This usually works. If attempts with the cytobrush are unsuccessful, your healthcare provider may use various tools to dilate open the cervix, measure your uterus, and obtain a precise view of the endocervical canal.
Your healthcare provider can then determine if the IUD may be in the process of expulsion. Contact your healthcare provider right away, and use a backup form of birth control when you have sex. An IUD is a small, T-shaped device designed to provide long-term and effective birth control. It sits in your uterus and prevents you from getting pregnant by either stopping ovulation or keeping sperm from reaching your eggs. There are two types of IUDs:. Your local medical provider will place the IUD in your uterus.
Once your IUD is inserted, you can forget about it until you want to have it removed. Getting an IUD is a quick and easy procedure performed by your local medical provider, often during your period, when the cervix is more open, relaxed, and sitting lower in your body.
The process typically lasts five to 15 minutes. During this time, the healthcare provider will insert a speculum into your vagina as if you were getting a Pap smear to visualize and access the cervix, then carefully insert the IUD through the cervix and into the uterus.
At this point, two strings attached to the end of the IUD should be hanging in your vagina, which your medical provider will trim to the appropriate length. These indicate that the IUD is in the right place. Many women experience mild discomfort and cramping during and after the IUD insertion process.
Taking an over-the-counter pain reliever before the procedure and asking your provider for a numbing medication can help if you have a low pain tolerance. In rare cases, however, it might move, start to slip out of the uterus, or fall out completely.
This is most common in women who:. 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. Mirena vs. ParaGard vs. 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. You may find the IUD to be a perfect fit for you. Talk to your doctor about all of your options for birth control.
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