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Understanding IUDs
From Planned Parenthood Federation of America
1996
Checking Your IUD
Sometimes the uterus pushes out an IUD. "Expulsion" is more common in women who have never
been pregnant. The stretching of the uterus during pregnancy may make it less likely to
reject the IUD. Expulsion is most likely to happen during the first few months of use,
but may occur later. If it does, you must check with your clinician. Until then, use
another form of birth control—barrier methods like condoms or vaginal pouches that
you can buy over the counter at a drugstore.
Although uncommon, an IUD can be expelled without your knowing it. This is most likely to
happen during your period. It is a good idea to check your pads or tampons daily while you
are menstruating to see if the IUD has fallen out. The string attached to the IUD hangs
from the uterus into the vagina. This makes it easy for you to check if the IUD is still
in place. Feel for the string regularly between periods. It is especially important to
check every few days during the first few months after insertion.
To Feel for the String:
- Wash your hands. Then either sit or squat down.
- Put your index or middle finger up into your vagina until you touch the cervix.
The cervix will feel firm and somewhat rubbery, much like the tip of your nose.
- Feel for the string that should be coming through. If you find the string, it
means that the IUD is in place and working. However, if the string feels longer or
shorter than before, it may be that the IUD has moved and needs to be repositioned
by a clinician. Be sure to use another form of birth control until it is repositioned.
- Do not pull on the string. Pulling might make the IUD move out
of place or even come out. Remember, your IUD was carefully positioned during
insertion; it shouldn't be disturbed.
Continue - Warnings that Something Is Wrong
Understanding IUDs Table of Contents
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