How To Avoid IUD Expulsion

How To Avoid IUD Expulsion

Avoiding IUD expulsion (when an intrauterine device partially or fully comes out of the uterus) involves proper insertion, care, and awareness of risk factors. Here’s how to reduce the chance it happens:

How to Avoid IUD Expulsion

1. Choose an Experienced Provider for Insertion

• Proper placement by a skilled healthcare professional reduces expulsion risk.
• Follow pre-insertion instructions (e.g., timing in menstrual cycle).

2. Timing Matters

• Insertion is safest and has the lowest expulsion risk during your menstrual period when the cervix is naturally more open.
• Immediate postpartum or post-abortion insertions may have higher expulsion risk.

3. Avoid Heavy Lifting or Strenuous Exercise Right After Insertion

• For the first 24-48 hours, avoid intense physical activity that could dislodge the IUD.

4. Monitor for Signs of Expulsion

• Check for the IUD strings regularly (usually monthly).
• Report symptoms like:
  • Unusual cramping or pain
  • Heavy bleeding
  • Feeling the device at the cervix or in the vagina
  • Missing strings

5. Attend Follow-Up Visits

• Your healthcare provider can check string placement and ensure the IUD is properly positioned.

6. Manage Heavy Menstrual Bleeding or Uterine Abnormalities

• Conditions like fibroids or a large uterus increase expulsion risk.
• Talk to your provider about treatment options if you have these issues.

7. Avoid Pregnancy Right After Insertion

• Use backup contraception until the IUD is confirmed to be in place.

8. Know Your IUD Type

• Copper IUDs and hormonal IUDs may have slightly different expulsion rates.
• Discuss options with your provider based on your health and anatomy.

If you suspect expulsion, contact your healthcare provider promptly to check and replace if needed.