IUD Home Removal: Why Are Women Doing It?
/ Internet LinkSep 15, 2021
Brut America
Women are posting videos online of themselves removing their IUDs at home.
While most doctors advise against it, here's why it's becoming a trend ...
Key moments:
0:09 - People are taking out their IUDs at home
1:00 - there can be serious Ng associated with…
2:33 - they may result in unpleasant symptoms
4:10 - In the U.S., the cost can range from $50 to $1,000 with an average cost of $262
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.
Reasons for discontinuation of IUD:
Bleeding Pattern (27.5%), Pain (25%), Weight Gain (5%); Other Reasons (42.5%)
Baseline generalized pelvic pain may not be a risk factor for IUD discontinuation within one year of placement.
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.
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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