12) IUD Removal: FAQ’s Answered (And More!) (Talking IUC With Dr. D)
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- čas přidán 20. 07. 2024
- IMPORTANT 2023 UPDATE re: IUD DURATION OF USE- US FDA now approves 52mg levonorgestrel IUD (Mirena, Liletta) for 8 YEARS use for contraception. When treatment of heavy menstrual bleeding is the primary indication, best results are usually seen in the first 5 years. Kyleena (19.5mg) is still 5 years. See video #35 for info on copper IUD extended use.
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Dr. Kristina Dervaitis, an OB/GYN in Newmarket, Ontario, answers your questions about intrauterine contraception:
-What can I expect at an IUD removal appointment?
-What symptoms will I have after my IUD is removed?
-When can I start trying to conceive after my IUD is removed?
-Can I have a new IUD inserted at the same time the old IUD is removed?
-What if my GP can’t see the IUD strings?
Please note: this channel is provided as a volunteer public health education initiative (not for profit, no industry support, the channel is not monetized with ads). Dr. Dervaitis received her MD in 2000 and completed her OB/Gyn residency training in 2005 at Western University.
For more information on contraceptive options and IUC, I recommend the official sexual health website of the Society of Obstetricians and Gynaecologists of Canada: www.sexandu.ca
I needed to make an updated comment! I have officially gotten my IUD out! I had previously said I was terrified to get this done because of the immense pain from the insertion. It was not like that at all! Obviously there was a slight small amount of pain, but it was so small and fast. 0 pain afterwards. I had made myself so worried for nothing! I hope this helps and calms anyone who is scared. I promise it isn't that bad!
Thanks. I’m having mine out tomorrow and was a little nervous. I remember the awful cramps I had when it went in! 🤦🏼♀️🤦🏼♀️🤦🏼♀️🤦🏼♀️
How have your periods been?
Planning to take mine out and i have been terrified. Thank you
My insertion was more painful than my tattoo I'm worried that when it is time for removal that it's going to be the same.
@@jordangann7438 It barely feels like anything honestly. 1,2,3 and cough. That's it.
Thank you so much for this video I was so nervous ! I am on my way to get it removed and getting it placed was one of the worst pains I’ve ever experienced I’m glad to hear the removal is not as painful
did it hurt? im getting mine taken out monday with an ob/ gyn cause it was too painful to take out at a clinic
For real! I have an appointment this week to talk about getting mine removed. Ive been terrified! Getting it in was the worst pain in my life but the 2 or 3 days of torture was worth the 6.5 years of bliss.
Taking it out does not hurt! It just feels weird for 10 seconds. The whole procedure is super quick!
Please update on the pain, I’m having mine removed tomorrow 😢🥺😳
Sethu Siwele hi girl! I feel okay. I feel so relieved. I had cramps for like 30-45 minutes, nothing serious. I haven’t had my period yet, but I feel it coming. I had mine removed like 3 weeks ago.
Just got mine out today. This video was really comforting to me because I was very scared to get it removed. Having it put in was scary. I also haven’t had it checked during the five years I had it. After I had my youngest child I had to quit my job to stay at home with my kids. So I lost my health insurance. I also waited five months after it “expired” to get it out. I just kept putting it off. But getting it removed wasn’t that bad. It hurt a little, more like uncomfortable. But it came right out. It took about 10 seconds. My fear was it was stuck in there because I never had it checked. But it came out just fine. If you are scared to get it removed. Don’t be. It should go ok. This coming from someone who never had it checked or checked the strings. Which I don’t recommend. It’s just the way it happened for me.
Thank you for sharing your IUD removal experience with the other viewers, I’m glad to hear it was a positive one! 👍
All the best,
Dr. Dervaitis
@@dr.kristinadervaitis789 dr I want to conceive I remove my IUD 6 month ago but still I dnt see any kind progress... i am 29 years old is their any I just feel pain in lower abdominal veins I constant with dr but she said everything is ik
@@dr.kristinadervaitis789
Thank you so much! My appointment is coming up for my removal and having no idea what to expect is scary, but this is very comforting to know it’s way less painful than insertion.
I had my Mirena removed 2 weeks ago today after having one in for over 15 years (3 changes). This would be my last one until I'm 52, but I'm 49 and wanted it out to rule out the continued problems I'm having. The removal was quick and painless. So far I have had no negative symptoms, no bleeding, etc. My legs feel better, no longer achy and I seem to have more energy. I have FBS, so I really think this was making my symptoms way worse. I don't know why it took me so long to realize this may be the culprit, but after praying on it, my answer came to me from my sister. God is so good!
I had mine removed yesterday and I had near instant relief. I was diagnosed with pseudotumor cebral a year ago and every doctor I talked to said nope, not caused by Mirena and I think that is the biggest problem is that most doctors don't listen to their patients (there are some that do, but very rare these days). I am 24 hours post removal now and have no headache and I can see my cellphone without my glasses and the damn thumping in my ear from the pressure is no longer there ...I was literally going insane. The IUD definitely was not for me
Did u remove it yourself or u went to a Doctor?
I don’t think you can still have babies at 49.
If a woman is still having periods (and hasn’t entered into menopause) pregnancy is still possible (although much less likely, still possible- so contraception is still recommended if pregnancy is not planned).
@@ecat1111 Oh, you are sadly mistaken lol.
Me in labor: "I'm good, thank you for asking. When you get a second, I think maybe we could start planning for my epidural..."
Nurse: *Shoooook at how calm I am*
Me during IUD insertion: "OH F_CK!!!!"
Lmfaoo is it really that bad?? I'm suppose to get one in 8 weeks cause I'm currently 4 weeks post partum but I don't plan on getting the IUD at my 6 week post partum appmt because I did tear and it is still pretty painful so I am going to wait another 6 weeks (maybe longer 😅) before returning to sexual relations lol so I ain't worried about pregnancy before getting my IUS
@@andreabengoa9670 mine was horrific and I ended up on the floor in the drs office. I was not on my period by the way, which lessons the pain they say.
@@andreabengoa9670 u
This is really helpful thank you, I will be getting an IUD inserted soon, and have heard that it is painful, and after learning about the mechanism and pain, I wanted to know about the removal process, to see if it was as bad as insertion. Thank you for setting my mind at ease, now I feel like I'm ready to take the first step in this journey
Thank you so much for making this video. Next year I am having my IUD removed to start trying for another baby. I was worried about the procedure on having the IUD removed until this video. It has really helped with my nerves.
So glad you found it helpful! (You might also be interested in video #23- “When Can I Get Pregnant After an IUD is Removed?”
Thanks for watching!
-Dr. Dervaitis
I am actually one of those very rare cases where they just weren't able to remove it. I visited 2 Gynaecologists and neither of them was able to remove it because the IUD moved all the way up in my uterus. I've had it for a little over 5 years now and I just hope I'll be able to have the removal procedure done soon since it has given me so many problems that I thought were not related to the IUD but turns out they are.
I really appreciate you doing this video and all of the information you provide Dr.Dervaitis, thank you!
Hi Adriana-
I am sorry to hear you’ve experienced this rare situation. Your doctors will guide you through the next steps.
Thanks so much for your comment, I’m glad you found the videos helpful.
Wishing you all the best,
-Dr. Dervaitis
😢 Hi I'm in this situation right now...I have tried to get the IUD removed twice, by tools, and the doctors have told me that I need to go under surgery, because there is no string, and it has moved up into the uterus. Do you know how risky this surgery is? Would this be a case in which a Laparoscopy is next, and how is scarring?
Thanks it was really helpful
Glad to hear everything’s OK! 👍
Hi gm i put in a 5 yearIUD in 2006 and i take it out my IUD in 2017 so it will be for 2 year and 5 months now and i not give pregnant y can u place help me
I can’t give personalized medical advice over the internet. You’ll need to see your doctor.
-Dr. Dervaitis
Thank you so much for this information! Very helpful! I am getting my IUD removed this week (as we are trying to get pregnant). I have been so nervous about the removal (I have had it in for almost 5 years). But this has gave me some reassurance.
Hi ! Can we have an update if you got pregnant ! I’m worried about fertility after having this lol x
Fk12...I am so sorry to hear about your experience! It is definitely not typical. I can understand your fears about this. When you do go for removal, I’d recommend that you go directly to an OB/Gyn (we sometimes have access to certain instruments that can help the process...) -Dr. D
is it ok if you decided to removed iud after 12 years?
Hi Karina-
Most IUD’s are good for 5 years, 10 at most. If your IUD has been in for 12 years, it is no longer providing contraception and you should see your doctor for removal (and make sure you are using another form of contraception!)
-Dr. D
Your glasses are so cute!
Thanks so much for the encouragement! Very very educative
I got my Kyleena put in last April, and it was the worst pain I have ever experienced. I had a vasovagal reaction shortly after and passed out in front of the nurses. They wheeled me back and my GYN kept an eye on me for about 2 hours. For the past 9 months, I have had nearly constant abdominal pain and cramping. I finally got it removed today. It didn’t even hurt! More like something slightly pinched me for a moment, and my cramps literally vanished in a matter of seconds. It’s not scary at all, and literally takes less than 10 seconds.
Thank you. Been planning to have mine removed. Not so so are anymore.
I'm so over the constant non stop bleeding since I had a mirena put in 6 months ago and the constant utis (which I've never had in my life) I can't wait to have my mirena out tomorrow. Oh please let it go well. I am praying even though I am not religious.
Had mine removed after constant bleeding for 5 months and gain weight- a nightmare-
@@oct480did you lose the weight after? I had mine removed yesterday and this morning my weight jumped ANOTHER 3 lbs for a grand total of 20. I’m so humiliated I don’t even want to leave the house
I am so anxious about getting mine replaced. I have a year left and am already having to mentally prepare myself.
Hi Courtney-
It’s understandable to feel anxious. Might I suggest that you also watch video #6- “IUD Insertion-Step by Step”? It hopefully may help you feel less anxious...
All the best,
-Dr. Dervaitis
I been having my Paraguard for 6 years now & I keep making appointments to get it removed but I never show up cause I’m so nervous 😟 but this video is really helpful . I’ll be 28 this year & I finally want to have my first baby
Thank you for the video
So glad to hear that you found the video helpful! Thanks for watching!
-Dr. Dervaitis
Delliah's i have mine for 6 years too and I keep making appointments too to get it removed 🤭🤭and a day before cancel them i have an appointment this Thursday hopefully I will have it removed...
I do the same thing ( my is over due) but i have a appointment on Tuesday and very nervous because of other reason.
Hey did you have alot of discharge ? With paragrd
i had mirena for 2 years and got it out today, just wanted to let yall know its so fast and easy, nothing to be afraid of, period cramps are worse than the feeling of getting it out.
Thank you so much for this video. My IUD strings went "missing" within a few months of insertion. Doctor couldn't locate them but confirmed with an ultrasound that the IUD is where it should be. Now years later it's time for removal and I'm beyond nervous. This video gave me some peace of mind.
Update: After an unsuccessful first attempt at removal last month, I finally had it removed yesterday. It was a more invasive procedure and was admittedly uncomfortable but not too painful. My strings were apparently very short and wrapped around the iud itself.
Can u remove it now or not..?? Plz tell me
@@simransk2004 unfortunately I am one of the 1-5% discussed in this video. They couldn't find the strings and it hurt too much to continue, so I will be going back next month where they'll use a different method to attempt removal. I will say though that while it hurt, it wasn't as bad as I thought it would be. And I think the strings would have been easier to find if I had it removed years ago when they first went missing.
@@jennifermoore6438 ohh okk.. thanks for reply.. I will remove it tomorrow nd I m soo damm nervous..
@@simransk2004 don't be too nervous! I honestly just have really bad luck in general, so it wasn't a surprise that they couldn't remove it. Good luck with yours though! I hope it goes better than mine :)
@@jennifermoore6438 ya.. hope so.. I will tell u what happened with me.. thanks for encourage dear.. u r from where
Hi Andreanna-
It’s possible that primary dysmenorrhea (ie. painful periods with no pathological cause) might get worse with a copper IUD. Some women (not all) may experience increased menstrual cramping with a copper IUD. Conversely, the levonorgestrel (hormonal) IUD is actually used as TREATMENT for primary dysmenorrhea, with up to 70% of users noting less painful periods.
-Dr. Dervaitis
Hi I'm so glad i found ur videos..I had my iud removed last Feb 6,2023 and until now I am still having this spotting sometimes its dark brown and sometimes when i peed it's red..Is it normal to have this up to present?Hoping you can ale to read my comment.thankks.
@@ritchelllumacang2917 This channel is not intended to provide personalized medical advice. Generally speaking, some spotting, discharge, or light bleeding after IUD removal is normal (usually would not last more than a few days or a week or so). If it persists and you’re concerned, see your doctor.
Dr. Dervaitis
My removal was SO painful. I actually screamed and jumped back. Dr told me it's rare to have pain but I should have been told it was possible. She also didn't say anything about the cramps that continued after. If I knew it was going to be that bad I may have left it in longer. I loved it but have been trying to lose weight and wanted to see how it is affecting my weight loss.
Was is affecting it?
Yhooo just had mine removed today and it was a horrible experience it was sooooo painful😢😢😢
Thank you so much for this info! My Mirena is due to be removed in about 4 months, and I was starting to get nervous about it because of how severely I cramped when it was inserted.
Autumn, you are welcome! Glad the video was helpful!
My Gynecologist removed it when me and my mom was talkin and honestly i felt a little cramp and it was instantly gone. I was so shocked when she told me it was removed and I was like WOW 😭 now I feel a whole lot better.
Can you please do a video covering the first period after getting an IUD removed? I had my Kyleena IUD removed last Friday, and it seems like I've already started my period 4 days later. I'm not finding much information online about this...
Cycles should return to what they were prior to the IUD relatively soon after an IUD is removed. This channel is not intended to provide personalized medical advice. If you are concerned, talk to your doctor.
-Dr. Dervaitis
I have a tilted uterus and I haven't had my strings checked in a long time... Im scared to get mine out in three weeks. The pain of putting it in was just horrible..
experiencing lower back pain and abnormal bleeding after period :( freaking out after googling my symptoms. Just want it out and get to how I was before. Pray for me!
Hello-
Unfortunately I can’t give personalized medical advice over the internet. But I would recommend that you watch video #3 and video #7. If you have concerns, I’d recommend that you see your doctor.
-Dr. Dervaitis
Hi!
I had lower back pain 6years(copper coil)removed it today.Feeling so light down there👇
Maybe I will sound mad but my back pain disappeared straight after removal.What experience did you have ?
getting my iud removed.. i got skyla put in october of 2020, i’ve had about 9 months of acne, terrible cramps, mood swings, and unable to gain weight despite eating more and being more active. i don’t know when i’m getting it removed but i have the consultation tomorrow. will make an updated comment lol mainly just posting this for myself to come back to
This was a great and informative video Thanks Doctor!
Glad it was helpful!
I had my iud removed in February, it was inserted almost 10yrs ago, my cycle is normal it from 7 days to 3 days.... I bleed for a few days after the removal, then a week later my monthly came... I was so scared I thought it was going to be stuck inside...but it only took a few seconds... Now I’m ready for a baby.. I’ve having baby fever since I hope and pray my body can still reproduce..
Hi I removed my iud after my period stop last one month what I do now can u tell me please
This channel is not intended to provide personalized medical advice. Talk to your doctor.
-Dr. Dervaitis
@@ashrafikhan9028 same as a mery sath h please guide me
@@ashrafikhan9028 please AP no kab ai dobra Meri bi same position h
I got my Skyla IUD removed today because it was positioned incorrectly and gave me HORRIBLE cramps and also I developed ovarian cysts :( I was terrified of the removal process since I knew it was positioned wrong like what if it got caught somehow??? But thank god my gynecologist made me feel comfortable and the removal was seriously painless!!! I was so so scared but in reality it was about a 30 second process and left without experiencing any cramps or anything.
Sorry to hear about your experience but glad to hear that the removal process was painless for you! Thanks for sharing your experience.
-Dr. Dervaitis
Hi Dr. Kristina. Thank you for your video, it’s very helpful, informative and comforting. 👌 In my case, my IUD string was removed accidentally. I just noticed it when I was taking a shower. The next day I told my husband to try locate if my IUD was removed in the proper position. And he easily located it and got it removed. What can you say about this doctor?
Thank You So Much I Was so scared To Remove It
(This response is to viewer Shena May... having problems with the “reply” feature today)
Shena- if you watch video #23 (When Can I Get Pregnant After an IUD is Removed?) I think you will find the answer to your question (even if you aren’t trying to get pregnant, it does talk about the issue of what periods might be like after IUD removal)
All the best,
-Dr. Dervaitis
Hi dr Kristine I remove my IUD but she leave me a piece now they send me to another dr to remove the piece with a ultrasound do you think she can remove with that ??😩
Hi Lorena-
Sorry to hear this. Please review the section of my IUD Removal video that discusses ultrasound guided removal. I obviously can’t comment on your specific situation as I am not your physician and don’t have all of the necessary details, but I am wishing you the best!
-Dr. Dervaitis
I got my IUD almost 3 years and I start my prenatal can i get pregnant easy
I can’t find my strings, So I’m going to go to the doctor and just have it taken out. I HOPE they knock me out first
See also video #27. (Removal is not necessary for the situation of “lost strings”, but of course it is up to each individual to decide what’s right for them.) Fortunately, an IUD can be removed at any time.
-Dr. Dervaitis
I was told to cough and as I coughed the nurse pulled gently, as she pulled it out (mirena), nothing to worry about it was over very quickly and did not hurt. It hurts more to put mirena in in the first place. Watch out for quite a heavy period which for me was in the week after removal, I was never normally heavy but I’m talking changing pads every 20 minutes, the heavy period lasted 5 days normal period length.
symptoms after removal?? im 3 days out from the iud and im feeling like weird but everyones different? i wanna know :)
After removal all is good, apart from the heavy bleeding which lasted 5 days like a period would.
The mirena caused me to swell up on boobs and stomach and gain weight, I looked horribly bloated.Once it was taken out all that disappeared. From research it looks like because you don’t bleed during having it in your body holds onto toxins and fluid.
I would never recommend mirena.
I have pcos (polycystic ovary syndrome) and was recommended by doc to get the mirena IUD to lessen heavy bleeding. First attempt at insertion in docs office failed so I was referred to hospital to be put under with anaesthesia and have it inserted. Pain after I woke up post procedure was like nothing I’ve ever felt. I could barely walk for weeks, the cramps woke me up every night crying, and the bleeding was constantly heavy. It’s now 4 months later and the cramps are still there, bleeding is still really heavy and I have to take painkillers almost daily. I’ve also had major skin rashes, acne and alot of anxiety and depression since getting the Mirena. My doc is refusing to remove my IUD until it’s been 6 months, so I have to wait 2 more months.. but I can’t wait to have the bloody thing removed! This video is very reassuring, i was so scared about getting it removed, thinking it would be just as painful. The comments on this video are also super helpful. Thank you!
Sorry to hear about your experience, but glad to hear that you found the video (and comments) helpful!
-Dr. Dervaitis
I had mine (Liletta) inserted at 17 in 2017, it was the worst pain I've ever felt in my life (and I've had a tooth drilled by a dentist without any sort of numbing). I had horrible cramping to the point that I cried while my mom let me squeeze the life out of her hand. I bled nonstop for 3 months straight afterward, it gave me acne I never had, sharp stabbing cramps I never had, mood swings from hell. I also haven't been able to keep any weight I gain. I've been stuck at 115-120 lbs for 5 years and I feel far more comfortable with myself at a heavier weight. Literally the only positive I got from it was the fact that I haven't gotten pregnant in the last 5 years that I've had it. I'm preparing to have mine removed this year and needless to say, I've been absolutely dreading the removal since the day of insertion. I'm hoping removal won't be as bad as the insertion 🤞🤞🤞 because this IUD has been one of my main sources of stress for the last 5 years of my life.
For clarification to any other viewers reading this comment, if a patient is unhappy with their IUD experience, it can be removed at ANY time (it does not need to remain for the full five years). There is neither evidence for weight loss nor gain with the hormonal IUD. Individual anatomy varies, and so each patient’s IUD insertion is unique. Studies have shown that 70% of patients rate their IUD insertion as mild to moderate pain. There is a subset of the population that may experience more significant pain, it is difficult to predict.
Contraception is about choice. If the idea of potential pain at IUD insertion is unacceptable, consider other options.
I am in the 1% for the second time. I am actually sitting in the waiting room to remove the Copper T under ultrasound guidance. I was going to put the Mirena in this time because my period is still heavy after 3 years of having the Copper T and the same was true with the one I removed 3 years ago. My period never went back to normal and it was always a messy and embarrassing experience. Now that I see that I have to basically have it surgically removed again, I changed my mind about putting in the Mirena. I CANNOT go through this experience a third time; it is horribly painful I want to explore the option of tubal ligation🤦🏾♀️. Praying about it.
Thank you so much for this video. Im seeing a new gp this week as "meet and greet" to discuss getting my iud removed and new one put in. Ive been terrified that #1 removal will hurt as much as implantation and #2 ive been very worried that i will have to wait for another implanted. I have chronic illnesses auto immune disease and having the IUD has stabilized my symptoms - in that my symptoms arent the rollercoaster ride that comes with having menstral cycle!
Hi-
I’d refer you back to the video for more information on this- I discuss what to expect with removal, and also the process of immediate insertion of a new IUD at time of removal.
Thanks for watching!
-Dr. Dervaitis
Had mine removed today, it's the second and LAST one I'll ever have. I never had pain during insertion or removal before today. It was the absolute worst because doc said he couldn't reach the strings; I think the bed space was too cramped. He was using multiple tools to poke and pull and it was alot more blood than I would have imagined it should be. He decided to move to another exam room with a bed that was much lower and within a minute, it was out. It just seemed to be ridiculous to go through that much pain if it could have been avoided.
Ugh, so sorry that you had to experience that!
@@l_7376 Update: After the first few days there was light spotting; then about 4 days later I had hard cramping and by body expelled a couple of masses; this happened twice. My insurance doesn't cover Urgent Care or ER and other doctors in my area are booked through November so still waiting to see someone. The cramping and bleeding stopped after 3 days. Just hoping I haven't lost tubes or ovaries.
@@amenahking7863 hopefully just a side effect of the iud being taken out. I think your ovaries and tubes will be okay. Sending you positive vibes and hoping you can put this behind you soon!
I had my bud removed yesterday through a surgical procedure. I was sedated and I am experiencing cramps and a lot of out removal symptoms. please do a video on it.
Hi-
Sorry, I can’t really commit to doing a video on this, it is not common to require surgical removal of an IUD (although I did already discuss this possibility in the video).
All the best,
-Dr. Dervaitis
@@dr.kristinadervaitis789 Thank you.
Can you tell me why you needed sugery?? My gyno told me today i have to get surgery he couldn’t remove my iud in office and order for post of surgery at the hospital? Im literally so scared what if he hurts me trying to yank it out and messes up my uterus😭😭
Barbara Villa Hi. Apparently the string got lost and they couldn’t take it out just like that. They had to put in a tool that had a camera to properly get it out. It only took about 30mins and it wasn’t painful but you’ll get cramps afterwards.
Omg thank you. I went through two syncopals (one with failed placement, one with actual) and I've been avoiding removing it on time because of how terrible it was.
You are most welcome! Good luck with your removal! -Dr. D
Mine hurt very bad when she pulled it out so bad that I jumped and my back hurt for 3 days and my sciatica and where she pulled it from I've had three IUD through the years never hurt that bad coming out.
I had Liletta removed 6 weeks ago after having it for 3.5 years. Is it normal to have irregular/late/missed periods? Thank you for making this video!
Hello-
Unfortunately I can’t give personalized medical advice over the internet. If you are having irregular or no period more than 1-2 months after hormonal IUD removal, I’d recommend that you see your doctor for further evaluation.
-Dr. Dervaitis
I had my Mirena removed 11 days ago. My provider at the health clinic couldn't find one of the strings so she sent me to Planned Parenthood where they easily removed it. I'm 51 years old and have had a Dr and a NP tell me my only options for birth control were another Mirena or the Depo Provera shot. I didn't like either choice so I was stressing about it. While I was at Planned Parenthood, I discussed this with the lady who took out my IUD and she told me I could get on a progesterone only pill and it would not be dangerous or a problem so I bought a pack of Tulana 0.35 mg to start taking. I'm on my 9th day of taking them. I was just wondering what your opinion is of me being on the Tulana. My only health history concerns are high blood pressure and cholesterol but they are under control with meds. Thank you for any input. I'm confused as why 2 providers would tell me I couldn't take any form of pill for BC but the lady at PP said it was perfectly fine. Thank you.
Hello-
While I can’t give personalized medical advice over the internet, I can say that generally speaking, a progesterone only pill is an absolutely acceptable method for a woman in her 50’s (even with a history of high blood pressure and high cholesterol). Mirena, Depo PROVERA, and the progesterone only pill are all acceptable progesterone only options.
-Dr. Dervaitis
One reason someone would try to take it out themselves is because it takes too long to get an appointment in some areas.
Doctor,
I have Mirena IUD - was inserted in July 2014. Technically expired last july. Walked into office to get it removed - they told me I was good for 2 more years.
It is June and I am now getting multiple signs I am pregnant. Took a test with first morning pee, nothing happened for a while and when I checked back hours later faint positive sign. Next test was just a tinkle and it was negative. I haven’t missed my period officially but last months was late and very short.
I never know if what I am feeling is really correct, but I don’t want to not trust my instincts and have a medical emergency.
Hi-
Watch video #35 for information about extended use of Mirena- during the pandemic, guidelines have authorized extended use up to 7 years if it was inserted at age 25 or greater (although the exact chance of pregnancy in years 6 and 7 is not precisely known, the chance is still very very low).
If you are worried about pregnancy, see your doctor (who will arrange a blood pregnancy test). At any time (in years 0-5 or 5-7) there is a small chance of pregnancy with the IUD.
-Dr. Dervaitis
I guess I’m that rare person of less than .1%. My first IUD was placed in the operating room under anesthesia as I had a D&C and hysteroscopy with it. The removal of that one was fine in the office. But my physician was unable to insert a new one because I had stenosis of the cervix. My current one has been in too long and needs to be removed. My doctor tried in the office but the strings were gone and the IUD had migrated. So now I get to go to the operating room again to have a hysteroscopy with removal of the IUD. Murphy’s Law follows me. LOL
Sorry to hear this Debbie. Good luck with your procedure.
All the best,
-Dr. Dervaitis
@@dr.kristinadervaitis789, thank you. :)
I just got my Mirena removed today! And let me tell you that it did HURT! The doctor said no it won’t but it did rn I have abdominal pain like if I was in my period and I’m spotting a bit!
From scale 1-10 how bad was the pain because I get mines out tomorrow and I am so nervous !!
I don’t know about y’all but I had severe pain bloating I would say it was a 8 I never felt so bad in my life bloating nausea headaches severe pain and swelling and fatigue will never put that in my body was my second one the 1st one didn’t hurt to come out I was 27 then this one I was 37 when I took out my second one both was took out at a year because I get severe cramping along with my periods not stopping was worse and loss of libido and mood swings.
i just removed my iud after having it for 3 years. the doctor couldn’t find the strings and tried to pry for it for about 10 min. then they used a small camera at the end of the instrument to find the strings in the cervix. right then they were able to find the strings and pull it out. It was scary at first but so happy it’s out now!
Hi- Glad to hear everything turned out OK! Although it’s not common for strings to get “lost” like that, we do have some tricks and tools to help us with the removal in that situation.
All the best,
-Dr. Dervaitis
To “C L Y”- thanks so much for your kind comment and thanks for watching! Don’t forget to tell your friends about my channel and IUC! 😊 (and I’m now on Instagram @ dr_dervaitis)
All the best,
Dr. D
Hi Dr Dervaitis. My skin has slowly gotten worse and worse since getting my Mirena IUD. I am wanting to get it out soon (and also because I will want to start trying to conceive in the next year). Can you speak to the timeline of skin clearing up after Mirena removal? I am also on spironolactone 50mg daily and hoping that will help mitigate some of the hormone flux/skin breakouts after removal.
Hello-
Every patient is unique... just as it is difficult to predict which patients might experience acne with the levonorgestrel IUD, unfortunately there is no real way to predict the timeline for improvement after removal.
-Dr. Dervaitis
Hello! You’ve been so informative I apologize if you’ve answered this before but I plan on getting my iud removed due to severe cramps. I’ve had it for 2 years now and my doc said it’s from my uterus contracting. My question is if I’m switching back to the pill would I be protected right away? I have the kyleena so not sure if the hormones will remain protecting me long enough for the pill to kick in. Thanks!
Hello-
Glad you have found the videos helpful!
Although it depends on when in your menstrual cycle you start a birth control pill.... generally speaking, it takes 7 days for the pill to to become effective. If you have access to the prescription, consider starting the pill one week before your IUD removal appointment (otherwise, use back up contraception for the first week).
-Dr. Dervaitis
Dr. Kristina Dervaitis thank you so much!! You’re the best☺️
I’ve had my copper non hormonal iud in for 7 years now , I was told it’s good for 10-12 years . Should I be concerned?
There are different kinds of copper IUD’s, with different duration of use/ efficacy timeframes (many are 5 years, ,some are 10 years...) It’s important to know exactly how long your particular IUD is intended for use (ie, how long it works to prevent pregnancy). If you’re not sure, check with your doctor.
-Dr. Dervaitis
Thank you for such informative videos. It is very generous of you to put such quality information out there in the public domain.
I am wondering whether you could do a video explaining some of the complications or symptoms which might arise from a longer-more complicated, in-office, removal-like the one I had? (My Merina was sideways, causing a lot of pain, and it complicated the removal process quite a bit. It took about 30 minutes). After a long removal, is it normal to have delayed onset cervix pain? Are these just normal cramps you might expect after ? Is there a cluster of symptoms women like me should expect, or monitor after a complicated, in-office, removal?
Thanks.
Hello-
I’m glad you have found the videos helpful. I’m sorry to hear about your personal experience, which is not common and beyond the scope of this channel. Since this channel is not intended to provide personalized medical advice, I’d recommend that you discuss this further with your doctor.
All the best,
Dr. Dervaitis
Hi Dr. How many days should one wait after sex before removing the Mirena IUD? It's been in for 5yrs. It says on the site that if you take it out within 11days, pregnancy is possible. But if you wait 5days, is this enough? 11days seems like a long time!
Can you make a video explaining mirena crash?
There is no scientific evidence to support the concept of the “Mirena Crash”. Very little hormonal gets into the bloodstream (measured in units that are a trillionth of a gram, 100x less compared to the pill). There is such a low level in the circulation to begin with, the drop in progesterone levels upon discontinuation is minor. Most women using Mirena continue to ovulate and it does not have an impact on natural hormone cycling (which simply continues after removal).
-Dr. Dervaitis
I had my Iud removed 9 days ago, I was peeing and felt a sharp pain I took my phone camera with flash and saw my strings coming out a little bit. I told my nurse she told me to come immediately and the Gyno said it was hanging out my cervix and he tried to remove it and he said oh its stuck and he just yanked it and it came out It was so painful. since that day Ive been having cramps randomly but no spotting
Thank you so much for the video. I had an iud removed and started bleeding (it was more than spotting more like a period)immediately for 4 days so far, but I’ve just had my period before it was removed. Could this be hormonal or I might have been injured in the removing process ?
Hi Bing-
Some light bleeding is normal after an IUD removal. If you’re having heavy bleeding that’s not improving, I’d recommend that you see your doctor.
-Dr. D
Do you ever get this checked out? I got mine removed 2 days ago and I just had my period like a week ago and now I’m bleeding almost like a period with cramping.
My iud string was really short so the nurse had to go in blindly to pull it out.. still having bleeding so I’m assuming I was cut in the process
I've been bleeding since December n it still haven't stopped so I need this out
Hi thank you so much for the video I got my iud removed today from lisoning to your video I'll start my period next month? I'm scared bc I'm on seizure meds and just want to make sure thank u so much
If your IUD was removed, (and if it was hormonal and you weren’t having a cycle on the IUD), your cycle should return the next month.
-Dr. Dervaitis
Getting my IUD put in hurtled more than having my csection all 3 times and my epidural combined
I had a mirena removal about a week ago and have been experiencing extreme nausea, depression, and anxiety (normally I don´t). It´s getting a little better everyday, but still quite difficult to handle. Do you have a recommendation on how to regulate my hormones?
I can’t really explain your symptoms based on the information provided. If you are concerned, see your doctor.
-Dr. Dervaitis
Hi Val I’ve had mine for almost 10 years. Since I’ve had the mirena I’ve experienced mild to severe dizziness, anxiety, and now confirmed heart arrhythmia. I originally got the mirena for severe pain from adenomyosis. The adenomyosis was severe enough to deal with the side effects of the mirena all these years. But I think I’m ready to have it removed as the side effects are becoming too great. I’m very nervous of the hormonal imbalance after removal. Are you better now or still struggling?
I had my strings trimmed by my obgyn a couple days ago as they were too long (i use a menstrual cup and have previously pulled out my own iud as i removed the cup so i need shorter strings), placement was confirmed with ultrasound at the appt. But now a couple days later the strings have shortened even more than what she trimmed them to, so I'm thinking they're in my cervical canal. Is it okay to leave coils in even if the strings disappear completely as long as the placement was confirmed?
Yes- please see video #13 and video #27 for more info on “lost” strings or strings within the cervical canal.
-Dr. Dervaitis
I had my mirena inserted during me second day of my menstrual period which was quite heavy, I was asleep during the procedure because I also had some polyps removed, but I am very curious to know how can this be done during your period? How can the dr see anything down there specially when cutting the polyps. I also haven't bleed that much as I still had 3 more days of my period, wondering if all my period came off during my procedure. I will see him for a check up in six weeks.
I’m getting mine removed to see if I’m able to lose some weight, I gained about 60 pounds being on it in the last 5 years... so I already set up my appointment, anyone have results on that??
Not much, in the waiting room to get mine out now actually. Did also gain close tot 35 pounds though, I was always extremely constant in my weight and even started eating healthier and working out more (cycling for 3 hours a day five days a week) after getting the iud, but the weight kept piling on. Hope this changes after having it removed!
Doctor was harsh in removing IUD removal process and it started bleeding. Is it ok like that because this is my third day and it is still bleeding
Having an IUD inserted without good pain measures (sedation/pain meds) is inhumane. I’ve had a total of 3 IUD’s. I need to have my current one removed because it’s expired, but I’m way too scared
Some medical procedures can cause discomfort: having blood drawn, a mammogram, colonoscopy, major surgery… There is a spectrum of discomfort, and not all procedures warrant sedation or exposure to the risk of anaesthesia. Large studies (and my own experience with inserting close to a thousand IUD’s every year) confirm that the vast majority of patients experience no pain, or only mild to moderate pain. I routinely have patients comment after their insertion: “that’s it?!” or “that wasn’t nearly as bad as I thought it would be”. Severe pain is much less common and unfortunately there is no way to predict which patients will have more pain than others. Unfortunately, studies have shown that pre-medication, freezing, or topical anaesthetic agents do not significantly decrease the discomfort associated with the insertion.
It is up to each individual to weigh the risks and benefits of any contraceptive method and decide on the option that is best for them. Most patients feel that the short term discomfort of an IUD insertion is worth the long term benefits. If the possibility of discomfort is unacceptable, there are other contraceptive options to consider.
-Dr. Dervaitis
I had a horrible first experience the first time 5 years ago. They cut the strings too short and it way wayyy to high when in was Inserted. They took 5 minutes to do it. But he was so nice and been so careful with me. And now I’m getting mines removed tomorrow my youngest is 4 and I’m soooo scared
Sorry to hear about your experience. Best wishes on your removal- it is usually a far easier and less uncomfortable procedure compared to insertion.
-Dr. Dervaitis
Thanks for the video Dr. Kristina.
My fam doc wasn’t able to remove it (I had extreme pain while she tried) and as she is a newer doc, she asked a more experienced one to try and same thing. So now I’m being referred for an ultrasound and then a gyno to try and remove.
Meanwhile, my OB who inserted it has offered to remove it (I should have seen her in the first place, as now I wonder if the family doctors may have lodged it in or removed it at a bad angle?). At this point I don’t want any more attempts at removal without some sort of pain relief option. If I let my OB try, would there be pain relief or is that usually just when there is surgery?
Also it wasn’t clear from the video, is the sono removal a non-surgical procedure?
Hello-
Sono HSG guided removal is a non-surgical procedure.
I can’t give personalized medical advice over the internet or comment on specific cases.
Individual practices re: pain relief options may vary from doctor to doctor and depending on the clinical scenario. Talk to your doctor for more information.
-Dr. Dervaitis
Removing mine with my medical practitioner on Tuesday and I’m scared. Has anyone that’s removed it in the past year conceived?
Update, had my iud removed less than 12 hours ago and it was not a struggle really, just some discomfort and started spotting after about an hour. Was given antibiotics and as I type this I feel nauseous, I’ve thrown out once but most definitely feeling nauseous.
Hi Dr. Kristina, your videos are so informative and helpful, i was watching them a lot 2 yrs ago when my first IUD (Jaydess) was inserted (i was 42 back then, having 2 kids already). I had spotting for 7-8 months, but since then i am very satisfied, having no problem at all. Next year i'll need to change it so i am wondering what if i switch to Mirena. Do you suggest the "upgrade"? If yes, should i expect longer/harder adjustment phase? Thank you.
Jaydess lasts only 3 years. Mirena lasts 5 years but can be extended for up to 7 years if inserted after age 43 (current Canadian guidelines). If you “upgrade” to Mirena, there is a chance that your next IUD may be the last one you require before menopause. Hormone exposure is slightly greater with Mirena, but effects are still mostly localized to the uterine lining.
-Dr. Dervaitis
@@dr.kristinadervaitis789 yesterday finally my IUD got replaced, and i decided to switch from Jaydess to Mirena. The replacement was smooth, not painful at all, even though i am on the 3rd week of my cycle. I will be fine with Mirena until the age of 52 so i cannot be happier at the moment. :) No spotting so far. Thank you for your videos and helpful information again! ❤
@@dorasomlai6230 Glad it worked out! You are most welcome!
Is it possible to request an IUD without any strings at all? If so, in this case how difficult is it to remove the IUD? And would you advise this at all? Thank you!!
Short answer: no. No strings would be a “set up” for a difficult IUD removal (although removal is possible with “lost strings” it is certainly more challenging and it would not be wise to place a patient at risk for this scenario).
-Dr. Dervaitis
I have the Mirena and it is due to be removed in November as that is the five year mark. I have had no periods since being on Mirena but before I had it, my periods are naturally irregular, super heavy, and long with little time in between them. This caused me to be anemic from so much blood loss, so I have been on the pill since I was 16, then the mirena the last 5 years (I am 25). Do the irregular periods I've had mean that I ovulate abnormally, as well? I just worry this will affect my ability to conceive since we want to start trying after this November.
Hi Summer-
It’s very common for teens or young women to have less frequent ovulation and thus, somewhat irregular cycles. Time has passed, so you’ll have to see what your cycles are like with the Mirena removed (sometimes, things may be different after a number of years, also depending on weight/ BMI, other variables....)
That said, if you go back to having very irregular cycles after the Mirena is removed, I would recommend that you see your doctor for further investigation/ management. There are several different potential causes for infrequent/ irregular ovulation, and treatment would depend on the cause. (Note that there are medications available to help women ovulate when they are trying to conceive).
-Dr. Dervaitis
What about if it’s lodged into tissue? I tried to get mine(mirena) removed but I have to be sent to a specialist because it could be stuck and now I’m terrified it’s gonna hurt more
Before insertion I explained to the Dr not the OB/GYN that I had been told I have a tilted cervix that sits in the lower back. Anyways long story short the experience was so painful that I dread going back to get it removed. Is there something different the docs can do to make this not be so traumatic?
From what I hear, there’s quite a few women that find it very painful having an IUD inserted but having it removed is much easier.
I had my iud taken out yesterday (3rd one as I have always gotten them between kids) The first 2 I had no issues with. Slight cramps getting them in. This last one was a battle to get it in, the ob had to cauterize inside my vagina because of how much blood there was! ?! And then I was in excruciating pain for multiple days afterward. I got it removed 2 yrs later and my cramping is crazy painful to the point where I can't get comfortable and I'm super nauseous... is this normal? Getting my 1st two out was nothing like this.
Hello-
This channel is not intended to provide personalized medical advice. If you are concerned, please see your doctor.
-Dr. Dervaitis
Hello, I have had a high FSH blood test result and have a few new symptoms which relate to menopause. I am on my 4th Mirena. The last of which was inserted 3 years ago aged 50yrs old. I never have menses since using a mirena coil, so unsure is peri menopausal or menopausal? Im wondering if to remove the mirena and see if I have a period, or keep it in a couple of years in case bleeding may happen and be heavy or irregular? Not sure if to use the mirena as part of Hrt with oestrogen? So confused. FSH was 78.3iu/L. Can you offer any advice, before I go back to my doctors to discuss the results? Thankyou in advance, Caroline
Please see video #16 “Using IUC Near Menopause” for detailed answers to your questions.
-Dr. Dervaitis
When removing the IUD do you place anything into the cervix or do you just pull on the strings?
Usually we use an instrument to pull on the strings (if strings aren’t visible, it might be necessary to use other tools within the cervix or uterus). -Dr. D
Hi mam my iud comes out in few days back
I want to refit again is any problem please reply
Hello Dr. Kristina, I am unfortunately one of those very rare cases where the IUD is misplaced. When I went in for my string check, the NP did not locate the strings so she performed an ultrasound, still didn’t locate the IUD, so I got an X-ray done. The NP gave me a call to let me know that unfortunately the IUD is misplaced horizontally and from what I remember since I began to get very anxious, she mentioned something about it being very high in the uterus close to the pelvic wall? I believe it was something along those lines.
My appointment with an OBGYN is not until next week and I just can’t stop thinking about this. I feel so anxious. I’m terrified of getting surgery. I just want to know that everything will be okay. If you have a chance can you please tell me what the next step will be?
Also I just had a baby 4 months ago and I keep wondering if this happened because I gave birth not too long ago. I was also breastfeeding when I got the IUD inserted.
Hi Daniela-
I’m sorry to hear this news. This is a rare but manageable complication of the IUD, and your doctor will help you through the next steps. I am sorry that I don’t yet have a specific video about this subject but I plan to do one soon.
While I can’t give personalized medical advice over the internet, generally speaking:
- if an IUD is “misplaced” or has perforated through the uterus into the abdominal cavity, it usually will require a surgery to remove the IUD
-the surgery is usually done laparoscopically (“key hole” “video camera” surgery), done using a few very small (
Thank you so much for taking the time to write back to me! I really appreciate it. 😊
I had my Liletta removed almost two months ago and went back to pill form. I had gotten it after having my son was born. The first 5 months it worked great but then my bleeding was irregular. Since then my periods have been all over the place. I’ve been having bleeding/spotting for almost two weeks at a time. Is this normal?
Hi Andrea-
Unfortunately I can’t give personalized medical advice over the internet. If you are concerned about your bleeding I’d recommend that you see your doctor.
All the best,
Dr. Dervaitis
What are the main reasons for not recommending home removal? Usually I wouldn’t consider this however the procedure is classed as non essential and so here in the UK I can’t have it done and there is no time frame that I will be able to.
Hi Hannah-
While there is no actually “study” I can reference on this topic (since self removal is not recommended, there is not really a body of evidence here), there might be several negative consequences of home removal:
-done improperly, the strings could be ripped free from the IUD itself, making subsequent removal by a physician more difficult (which would make it a more painful procedure, which might make removal in the OR necessary...)
-if the IUD gets stuck in the cervical canal during a home removal attempt (which might cause significant pain)
-potential for increased infection risk
Dr. Dervaitis
I have the 5 year Mirena. I'm coming up on 5 years and this whole covid19 started. What happens if you go past 5 years? Due to the fact I can't get a Dr's appt. (I haven't tried to get a Dr's appt yet, I'm nervous, I'm assuming I can't get an appt.)what happens after 5 years?
Hi Laura-
I discuss this issue in great detail in video #35: “IUD Replacement During the Pandemic”- so please refer to video #35 for an answer to this question.
All the best,
-Dr. Dervaitis
Hi Dr., I had my IUD (Kyleena) removed in January and had a period for about 10 days but have not a period since then. I’ve had mild cramps but no actual period. I’ve taken a couple of pregnancy tests to check if I’m pregnant but they are negative. Should I be worried that I’ve not gotten a period since January?
Hi “MizzNette”-
I’m going to have to answer with “See your doctor”. Usually when an IUD is removed, your menstrual cycles should return to normal within a couple of months after removal. If your cycles aren’t occurring regularly, it might be due to some other issue (but not the recent IUD...) Your doctor will need to consider many variables, such as: what were your cycles like prior to the IUD?Your doctor might want to do some blood work to investigate further. Make sure you are using appropriate contraception (if you are not trying to get pregnant) while you are getting this sorted out (even if you haven’t had a “regular” period, it’s still possible for you to ovulate at any time).
-Dr. Dervaitis
I am planning on getting my Liletta removed soon but was wondering if I can get a copper iud inserted upon removal of my first one. Is there a certain amount of time I have to wait or can it be done immediately?
Can be done at the same visit! (ie, removal of Liletta and immediate insertion of new IUD).
-Dr. Dervaitis
I rly wanna get it out bcuz I’ve had rly bad side effects. But the insertion was so bad, included throwing up, passing out, and my fingers going numb, I’m honestly so scared.
Thank you for sharing! İ removed my hormonal İUD (3 yrs w/ it) today by a GP and it was no fun, slight discomfort, but quick. İ was deep breathing the whole time to relax my body from the pressure of the metal specula. Two reasons for removing the İUD early: conceive a baby this year & lose the water retention. Also, İ undetstand that it helps with my moodswings and brain fog.
Thank you for sharing your experience, and thanks for watching!
-Dr. Dervaitis
After watching this video I went to the washroom took a second to pull it out 😂 thank you for the informative video.
Self removal is not generally recommended (as I mention in the video...) but I’ve had lots of questions on this topic during the pandemic (with some patients having difficulty getting in to see their doctor).
I hope it came out intact and that there aren’t any complications!
All the best,
Dr. Dervaitis
Hi, I have had my IUD now for 4 years next year in October is the time I get it removed and get a new one but I don’t want to get the new one because I been getting pelvic pain, feeling nausea, sore breast, dizziness and headaches it hasn’t been going away is this normal?
Do you check your strings? I’ve had the same symptoms and I found out a few weeks ago that it was out of place.
I am removing my IUD this week because I have had non stop spotting for 82 days now. Approximately how long after removal will this stop!??
Hello-
Sorry to hear about this persistent spotting you’ve had, I can appreciate that you must be frustrated!Unfortunately I can’t give personalized medical advice over the internet (and really there is no way for me to answer your question, no way to “predict” this). After your own doctor examines you (and rules out any other causes of the bleeding) they might be able to better answer your question.
-Dr. Dervaitis
This my issue as well 😭
I want to get my IUD out(I have Kyleena). I have never had acne before getting an iud and since I got it 2 years ago I have had cystic acne, weight gain, and an inability to lose weight no matter what I do. I was wondering if I can expect to have these symptoms change back to normal?
ME TOO it’s so terrible
My Dr. Can't find mine but she say that it's OK where it is
I am getting my Paragard 10 year copper T IUD remove next week after 5 years because of the side effects, I’m over it!! The cystic acne and 10 day long heavy periods. I’m not looking to have anymore kids, would you recommend a hormonal birth control instead?
Heavy periods can definitely be caused by the copper IUD, but there is NO LINK between the copper IUD and acne. Acne can be a side effect of the hormonal IUD. Talk to your doctor about other options (this channel is not intended to provide personalized medical advice).
-Dr. Dervaitis
I’m getting my Liletta removed soon. Are there any side effects after getting it removed?
Hi Jacqueline-
Sometimes a bit of bleeding or brief mild cramping after IUD removal, but not usually any major side effects (because it is a hormonal IUD, your periods may change... essentially they would go back to what they were like before Liletta).
-Dr. Dervaitis
@Dr. Kristina Dervaitis how long it take to get your regular period back ...i had mine removed on june 4th, 7days later i got a seven day bleed. In july i got my first positive opk which is still going on and im now on cd69. I bleed every month on the mirena and for any hormal birth control i always saw my period like clockwork and had a 34 day cycle. Mirena gave me a 28 day cycle and sometimes missed a month. All im getting is period pain but no period.
Hello-
Regular periods should return fairly immediately after IUD removal. If you are concerned about your periods, see your doctor.
-Dr. Dervaitis
Dr. Kristina Dervaitis ok Thank you
I had my iud removal before 3 days.. its duration was 5 yr..
I am feeling very down after removal.. energy level got down.. not feeling activeness in my body as previous.. kindly suggest