Ay's Story
/ Internet Link“My copper IUD failed removal twice.
The first time when the dr tried to remove it when she tugged hard the strings broke off.
The second attempt I had to go to gynaecologist and was given heavy pain killers. When they tried to remove it was still extremely painful and the doctor failed.
I was out a wait list for surgery to get it removed. Now my IUD is ineffective, still inside me and I still experience the heavy bleeding and painful periods. I am still on the wait list, due to c i’d all elective surgeries where out on hold on the public health care system. Now that elective surgeries are back they are catching up. I am still on the wait list with not date for surgery in sight.
My doctor recommends that I get private health i sure for faster surgery but i can’t really afford it.
Submitted on April 10, 2022 “
This study describes the reasons for IUD self-removal as documented in internet forums by IUD users discussing self-removal.
In our current climate focused on improving access to IUDs, it is essential to address and reduce barriers to IUD removal when desired, in order to preserve reproductive autonomy.
No conclusions can be made regarding the clinical utility of routine pathology for removed intrauterine devices or cost-effectiveness of routine pathology for therapeutic abortion or removed intrauterine devices, due to the lack of literature identified for these questions. No guidelines regarding routine pathology for removed intrauterine devices were identified. As such, no conclusion can be made.
Reasons for discontinuation of IUD:
Bleeding Pattern (27.5%), Pain (25%), Weight Gain (5%); Other Reasons (42.5%)
A 22-year-old G1P1 Caucasian female had hysteroscopic removal of a perforated intrauterine device during which the steroid reservoir of the intrauterine device was lost. Isolated steroid reservoirs are radiolucent on plain film radiography. We located the reservoir in the peritoneal cavity with magnetic resonance imaging and removed it via laparoscopy.
Baseline generalized pelvic pain may not be a risk factor for IUD discontinuation within one year of placement.
A 28-year-old woman presented with a malpositioned intrauterine device (IUD) that was fragmented and significantly entrenched within the cervical canal and myometrium. IUD malposition with concomitant device fragmentation and embedded segments, albeit rare, should be a consideration given the device's prevalence.
We found that women's perceptions of how their method affects their sex life were associated with contraceptive continuation over time. Sexual acceptability should receive more attention in both contraceptive research and counseling.
IUD self-removal is an option that some patients may be interested in. Addressing concerns about safety may make self-removal more appealing to some patients. Addressing physicians' concern about "hasty" removal may require additional training so that providers are better able to support patients' decision-making around contraceptive use. Implications: The option of self-removal could have a positive impact on reproductive autonomy and patient-decision making.
Because adolescents are at higher risk of sexually transmitted infections (STIs), obstetrician–gynecologists should continue to follow standard guidelines for STI screening. They should advise adolescents who choose LARC methods to use male or female condoms consistently (dual method use) to decrease the risk of STIs, including human immunodeficiency virus (HIV). Obstetrician–gynecologists should counsel all sexually active adolescents who do not seek pregnancy on the range of reversible contraceptive methods, including LARC, and should help make these contraceptives readily accessible to them.
LARC methods such as etonogestrel contraceptive implants and IUDs provide effective pregnancy prevention, but discontinuation rates are higher among adolescents and young women than among adults.
We encourage contraceptive counseling and removal protocols that directly address historical reproductive injustices and that honor patients' wishes.

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August 5, 2024