Learn about IUD expulsion: signs, causes, and steps to take if your IUD falls out. Ensure effective contraception and reproductive health.
Intrauterine devices (IUDs) are one of the most effective forms of long-term birth control available. However, one rare but important complication is IUD expulsion — when the device partially or completely falls out of the uterus. Understanding the signs, causes, and proper steps to take in the event of an expulsion is crucial to maintaining your reproductive health and contraception effectiveness.
In this guide, we will explore what causes IUD expulsion, how to detect it, what to do if it happens, and how to reduce the risk moving forward.
What Is IUD Expulsion?
IUD expulsion occurs when the intrauterine device moves from its correct position in the uterus. It may be pushed into the cervix or completely fall out of the vagina. This can compromise its effectiveness in preventing pregnancy.
There are two types of IUD expulsion:
- Partial Expulsion: The IUD has moved out of place but is still partly inside the uterus or cervix.
- Complete Expulsion: The IUD is entirely out of the uterus and no longer provides protection.
How Common Is IUD Expulsion?
While IUD expulsion is not common, it does happen in about 2% to 10% of users, depending on individual risk factors. Certain conditions may increase your risk, including:
- Insertion shortly after childbirth (postpartum insertion)
- Heavy menstrual bleeding
- Younger age (teens and women under 20)
- History of previous expulsion
- Incorrect placement by the healthcare provider
Signs That Your IUD Has Fallen Out
Many individuals are unaware when an IUD expulsion occurs, which is why checking your IUD strings regularly is recommended. Here are some signs that your IUD may have been expelled:
- You cannot feel the IUD strings
- You feel the plastic tip of the IUD at the cervix or in your vagina
- You experience new or unusual cramping
- You have increased vaginal discharge or bleeding
- You notice the IUD in your underwear or toilet
If you experience any of these signs, contact your healthcare provider immediately for an evaluation.
What to Do If Your IUD Falls Out
If you suspect or confirm that your IUD has been expelled, here are the steps you should take:
1. Do Not Attempt to Reinsert the IUD
Never try to push the IUD back into place yourself. This can lead to injury or improper positioning, which reduces effectiveness.
2. Save the Expelled IUD
If you find the IUD in your underwear or toilet, try to save it and bring it to your doctor’s office. This can help confirm a complete expulsion and inform the next steps.
3. Contact Your Healthcare Provider Immediately
Schedule a pelvic exam to determine whether the IUD is still in place or has been partially/fully expelled. Your provider may use a speculum or ultrasound to verify.
4. Use Backup Contraception
Once the IUD is out of place, it no longer protects against pregnancy. Use condoms or another backup method until your provider gives the green light to insert a new IUD or switch methods.
Can You Get Pregnant If Your IUD Is Expelled?
Yes. If the IUD has fallen out and you have unprotected sex, you are at risk of becoming pregnant. If you suspect an expulsion and have had sex within the past 5 days, talk to your doctor about emergency contraception options.
How Is IUD Expulsion Treated?
Most cases of expulsion will require removal (if partial) and reinsertion of a new IUD if you wish to continue using this method. Your doctor may wait until your next period or recommend a different insertion time based on your cycle and individual risk factors.
Tips to Prevent IUD Expulsion
While there's no guaranteed way to prevent expulsion, the following tips can help reduce your risk:
- Wait 6 weeks postpartum before IUD insertion (if not immediately post-delivery)
- Avoid inserting menstrual cups during the first few weeks
- Check IUD strings once a month, especially after your period
- Attend follow-up appointments after insertion
Talk to your doctor about the best timing and type of IUD for your individual situation. There are hormonal (Mirena, Kyleena) and non-hormonal (Paragard) IUDs available, and your doctor can help you choose the right fit.
When to See a Doctor
You should see a healthcare provider if:
- You feel pain or discomfort after IUD insertion
- You notice unusual discharge or bleeding
- You suspect the IUD has moved or fallen out
- You can’t feel the strings or feel plastic in your vagina
Regular pelvic exams and ultrasound checks (if needed) can help ensure that the IUD remains in place and effective.
FAQs on IUD Expulsion
1. Is IUD expulsion painful?
It may cause cramping or bleeding, but some people feel nothing when the IUD is expelled.
2. Can I get a new IUD immediately?
Yes, depending on your doctor's advice and absence of infection or complications, reinsertion can often happen during the same visit.
3. How can I tell if my IUD strings are in place?
Wash your hands and insert a finger into your vagina. You should feel the strings near your cervix. If not, see your doctor.
4. Can an IUD fall out during sex or a bowel movement?
It’s uncommon but possible. Heavy cramping or improper placement may contribute. Always check the strings if you suspect anything unusual.
5. Are some IUDs more prone to expulsion?
Hormonal and copper IUDs carry slightly different risks, but overall, both types can experience expulsion if risk factors are present.
Conclusion
IUD expulsion can be unsettling, but recognizing the signs and responding quickly helps maintain your reproductive health. Regular self-checks and doctor visits ensure that your IUD continues to function as intended. If your IUD falls out, don't panic—contact your healthcare provider to explore your options for reinsertion or alternative birth control.
For more information on reproductive health, explore related articles like questions to ask your fertility doctor or learn about the stages of IVF.
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