23) IUD Expulsion: How Can I Tell if My IUD Fell Out? What Do I Do? 

My two reticences for IUD are 1) Anxiety. Less control and arbitrary assessment of "things feeling normal". It make take weeks to realize a change in menstrual cycle, at which point, there is a risk for unwanted pregnancy. Also, strings may "feel" shorter or different even if the IUD is firmly in place. Doubts can spruce up easily. 2) Access to care in case of a anxiety, a problem or just a question. So fast access to a gynecologist to appease the anxious mind would help. This is where the oral contraceptive is good for the control freak: you can physically count the pills you've taken. And also the arm implant: apparently you can poke your arm and feel the implant. Thank you Dr. D, your channel is INVALUABLE to us women.

Thank you so much for existing. I live in America in the Bible belt and just got my IUD this morning (a little over 13 hours ago). My provider did little instruct for how to check and the strings. Or a lot of information as a mattered fact. And I just felt lack of understanding on my part after talking to friends and coworkers about my procedure. (Just a bit tmi I passed a clot today even though I am early I've been spotting since my procedure. And at first I could feel the IUD or what I thought was it. And I couldn't after the clot.) You have given me knowledge to understand how to check and what to check for and what do you know my strings are in place right in the cervix. The description on how to do it was perfect. Thank you so much. Now I can finally sleep in peace.

This is an excellent series on IUDs - thank you for taking the time to make these videos.

Very helpful video. Thanks doc for sharing .

I needed to see this. I will be going back to my primary and i need a new gyno.

Thank you so much, this is super helpful

This was very informative, thank you!

Your videos are amazing Doc! . I wish you could make shorts as well.

Off topic but I love all of your glasses!

Please do a video on IUD migration to other areas.

Thank you doc you look so much like a Hollywood actress... keep making amazing content and helping us women with the value info.

The day after I had my iud placed for adenomyosis, I found this video while trying to get more informed as the gyno did not explain a thing to me. I was in a lot of pain every day. 7 days later, it is now poking at my cervix. This was not a fun experience. Ps: Im 24 and have never been pregnant. Issue: bad dysmenorrhea.

I just got back from getting my IUD checked from a doctor as during my last period I felt like I could feel something poking out of my cervix which I assumed it was the bottom of the IUD poking out. I do regularly use a menstrual cup but always make sure not to pull the strings but I think it was probably due to pulling down the cup without breaking the suction first.. but its hard when it's super high when your trying to get it out to break the suction first. The doctor ended up taking out my IUD today as she was able to see the bottom of the IUD poking out of my cervix. Get a new one next week! I had the copper IUD.

thanks doctor for the information. I got my IUD on June this year. it means 6-7 months ago. and i'm so shooked when i knew my IUD was fall out during my period this month. i didnt feel anything or hurt. just normally. i'm 20 years old, have never giving birth, have heavy and painfull period.

Thank you so much for the videos! This is so amazing for especially time like now. One quick question, how do we know if we have dysmenorrhea? Everyone is with different tolerance of pain, and sometimes in case of me, I take lots of pain relief before period starts to prevent bad cramps.. so I don't know how much pain it will be without medication. It is pretty bad with 2 tylenols normally so i take 3 at a time.. what would be the good way to know if we have it? And if i have it, would IUD shouldn't be considered? Thank you so much again!!!

Hi Dr. D! Can you please please do a video on how to know when it’s time to remove your IUD? It’s coming up for me and I’ve been have constant pelvic pain and I don’t know if this might be why or if it’s something else. Thank you!

Commonest lol! Havent used or heard that word in a very long while so it was so funny to hear it. Sounds so funny haha

Hi Dr. D! What is an acceptable amount of movement of the IUD? Since its okay for it to move a bit, how many mm or cm is the average?

I just got the IUD due to a thickened endometrium as well as very heavy painful periods. My Dr didn't go over how to check strings or anything regarding what you've explained. Thanks to your video I'm well informed so thank you so much!! Do you cover the endometrium topic and what to expect with the Mirena IUD by chance? Also I plan to document my journey before and after the IUD, would it be ok to link your channel as a reference?

Hello Dr. Dervaitis, I have expelled two copper iuds in a span of three years. Would you recommend to place a third iud? My last iud got expelled after one menstrual period?

My IUC has fallen out of place I believe as I can feel the strings very low down and the bottom of the mirena is at the cervix, do I need to get instant medical attention or can I wait until Monday for medical help? Thanks

I am new to your channel. I have hormonal IUD. I do check my strings on monthly basis. This month I been having bleeding and all sudden stops than goes back to bleeding. I check my strings today the strings where extremely long than their supposed to be. I called my obgyn earliest appointment is not until Nov 2nd. The nurse said to check with urgent care. I called urgent care they don't check the strings or any ER. I can literally feel the strings just by sitting. I'm so frustrated. I'm literally going to call on Monday and demand to be seen asap.

Hi!! I had lots of pain and cramping during my first period post insertion (copper Mona Lisa). I had an ultrasound and the nurse told me it’s low in the endometrial canal, and the strings are hanging out of me completely. Does it need to be removed and reinserted? Or can it be relocated to the right spot in the uterus?

I just got an IUD. I used my menstrual cup, and after that I felt the IUD string was maybe 1 cm longer than before. I don't feel the IUD in my cervix though. Could my IUD be misplaced, is it possible for it to lose its effect if it comes down just 1 cm?

Hi Dr.D! I got my Merina IUD back in December, This is my fourth month on it and I have been getting cramps on and off for the past week. Is this just side effects ?

Hi Dr. I wanna ask if its normal to feel the string of my iud at my cervix? I find it uncomfortable to walk everytime because its poking my cervix. I hope you can answer my question.

Heyo! New to your channel, and thanks for this I was freaking out a little. In April I had to be admitted and got a two unit blood transfusion due to the crazy bleeding I was having smh. Was not fun. So I had my first IUD placed last month and it was great BUT this week I was having a bit of cramping that got a bit uncomfortable and last night after using the bathroom I felt it poke like it was coming out of my cervix (reached in for a string check and my heart sank because yep it was being kicked out of the party.) Honestly it felt like a tampon was in there which shocked me as there was nothing in there, oof. Of course I tried to push it back in but I was thankfully proactive and read online not to do that. Today with a large clot during a bathroom visit it came out with no pain. I felt it but nothing hurt. I have a tampon in with a pad to get the blood in the meantime and I fished it out of the bowl with everything in tact. I see ob tomorrow morning. I’m kinda sad and a bit defeated as I wanted this contraception due to me having had issues with pills and such. My uterus hates me lol. Hopefully the second one will be nice and stay up there! I don’t wanna have a rerun of what happened in April. I want my life.. couldn’t have one because of heavy periods, it sucks! Thanks for reading and sorry about the TMI, but please keep making vids, this has helped me calm down.

hello, I have a question doc, what causes a iud to move ?

I had a check up 2 weeks ago and had an ultrasound and my doctor say that my iud is in the right position and today my iud fall out.

Is the IUB Ballerine available in Canada? It's gaining some popularity in Europe, but there's not much information about it. It would be great if you share with us your experience with the IUB shall you've placed it on patients :)

I have the iud for 4 years now I'll be removing it next year in April but today I tried to look for the string which is something I never done before but I can't find the strings at all.

I would like to get my hormonal iud checked but I cant because of coronavirus. My strings are there. But my period has gotten longer from 3 days to 5 days... is that normal? If the strings are present is that a definite assurance that your iud is in place?

Thanks for the very informative videos. I got an iud about 3-4 weeks ago and went for ultrasound today. The iud is lying low. Is it possible to reposition iud? Or does the iud need to be removed and replaced? Thanks

My IUD expelled last night. I want to try again with a different IUD (my period pushed it out). I'm nervous about it, but I will call my OB/GYN. Thanks for the video this was helpful. I had an appointment next Wednesday to check that the IUD was still in place lol, I don't need that apt anymore.

Hi Dr. my kyleena dislodged for the 2nd time after having it for over 1.5 yrs from my uterus to my cervix. Not sure how long it was dislodged but This time I didn’t go back to iud and switched immediately to try-cyclen 2 days after before a new cycle began. I started bleeding 4 days after my 1st try-cyclen pill for 7 days. Fiancé & I have had sex maybe 6x since iud was taken from cervix and I started pills. Is it safe to say I will not get pregnant since I haven’t missed any pills and I’m assuming had my first cycle? If so will I not ovulate In 4 days or so as normal due to pills or is it too soon to know? Also I suffer from migraines and told my dr I get Botox injections and take 150 mg topamax for migraines will this affect the estrogen and cause higher changes of pregnancy or no because the mg are low?

Hi this is a specific question but I've had my iud for 1 year and it's now moved low into my cervix. I can feel it about halfway out of my cervix. Can I just pull it out or is there risk of hurting my cervix?

If there has been expulsion, is it normal protocol to get an ultrasound to fill out perforation? How much of a risk is there for perforation from expulsion?

I feel like the failure rate for these things is way higher than people are saying. For as expensive and painful these things are, they seem to fail alot for people that need it for heavy periods.

Hello... My IUD string keeps falling out during my period. Does that mean it has been displaced?

Hello, I really don’t know if you’re still relying since this video was posted 2 years ago, I had a copper IUD Inserted and I was with my partner and he could feel it, that night I felt it poking out of my cervix immediately took a plan b and scheduled a visit with my gyno, I got a ultrasound done and they told me it was poking out of my cervix so they removed it and reinserted it, it’s been just a little over 2 weeks and I’m starting to feel random pains in my stomach through the day almost like period cramps, I also noticed sometimes a slight pain when I use the restroom, is this just side effects from the IUD? Or do you think it could possible be messed up again, I did a self examination and I didn’t feel anything poking out my cervix however I do have a heart shaped uterus which I’m scared has caused the IUD to move into a place it isn’t supposed to be. I also have a cyst in my ovary so could that possibly be the cause of my pelvic pain throughout the day? Thank you!

Has anyone experience severe pain above the belly button? Could this be away of my body telling to remove it??? It hurts very bad pain all the way to my lower back too.

I poped out my cooper IUD by taking out my diva cup too fast, its not that you pull the strings its the syphon effect

If you expel a copper IUD, is it worth even trying 1. again, 2. a hormonal IUD, or 3. should you just give up trying and IUD all together? I've tried a copper IUD three times, and two of the times (first and third) were expelled (while I got the second one out due to my own choice after a year), maybe because of my heavy periods. Is it worth trying the hormonal one, as I hear it's smaller?

Hi I got an iud last year and never gotten my menstrual period till this week and have a lot of cramping do you think my iud came out

First time IUD user, how do you tell if the strings are too long and need to be shortened vs the IUD being out of place?

Hi Doctor. D my IUD fell out 2 days ago and I have been bleeding more than my regular period is that something to worry about? Will I stop bleeding? I have some pain in my lower belly too, help please :(

I have a question and I’d really like your feedback. I recently found out I was pregnant. But, I “had” and IUD. My OB says the IUD has fallen out and I had an ultrasound that shows it’s not there as well. And they can’t feel my strings. My baby stopped growing at 6 weeks and I had a D&E at 9 weeks. I’ll be having a flat plate X-ray to ensure the IUD is not still in me. But during the surgery my OB said they found nothing. They assume it fell out with my last period which I noticed nothing. Maybe it fell out with a clot. Is there anything I should ask them to check?

How many attempts can be made to insert an IUD if it keeps getting expelled or it migrates?

I’ve had the Mirena for over 3 years not . My last period was 18 days long which has never happened to me before. Now my period is two weeks late, could this mean that my iud is out of place?

I have experienced an IUD expulsion and although my Dr. wasn't sure why it happened, I'd like to believe that it was because of heavy bleeding because it came out during my period and I saw it while I was in the bath tub... I have inserted another one and 3 months into it my last period lasted 11 days. That was an irregular period right? I had decided on waiting on seeing how my next period goes before I go see the doctor. Please advise me. Thank you so much Dr. D for this video ❤

I’m on my second IUD. I check daily and have always felt the strings however first time being sexually active since getting this one and immediately after now I can’t find or feel my strings. Has anyone experienced this? I’m anxious as I’ve never had this before.

I can't seem to find my strings like I could previously ..I did not get the strings cut so that I could monitor these closely...my obgyn doesn't seem concerned bc I'm not having symptoms...should I be more concerned?

my iud is partitially sticking out of my cervix. will by doctor take it out or push it back in. I really dont want to have that pain again.

My dr tried mirena with me with a fibroid on the top of the uterus and irregular spotting bleeding. The entire time I’ve had this I had horrible cramps, very heavy bleeding and took ibuprofen and nothing took the pain away. The second week was the worst pain and starting three days ago I started to feel one string and last night I felt the second string. Today like clockwork the heavy bleeding started at noon and within two hours the iud came out after having clots with a huge decidual cast.

What should your first period be like after getting the mirena removed? Should there be blood clots? Should it be more then 2 weeks? What is blood detox? And what is the mirena crash?

I got an IUD a week ago, and I’m not having cramping, but I have severe discomfort in my cervix or uterus. I called my doctor and the nurse said that this is normal. Everything I’ve read says I would only have pain 1-2 days later. What do you recommend me to do? I don’t know if I should make an appointment with a different doctor for a second opinion? I literally think I’m going crazy, I can’t stand the pain I’m feeling. I don’t think I can wait 3-6 months to see if the pain goes away 😢

Hi so I have the marina coil had it for 3 years, had also of stomach pain and discomfort checked couldn’t find my coil string anywhere phoned doctor she couldn’t find the string they arranged for me to go hospital for w scan day of hospital I could feel the string and was confused and she said it was in place, today I can’t feel the string again but the 3 years I’ve had the coil I’ve never had an issue finding it

I am planning on getting and IUD at my 6 week postpartum check up and I was wondering if I should use abstinence a month after to prevent PID or expulsion?

Hello, can you use menstrual cups or discs with an IUD?

Hello Dr, please I have a quick question to ask, am so scared i wnat to take off my coil but they told me they can't fine the strings that I have to go for a scan everything is making me so worried. Is there any advice to give me please..

Is there any increased risk of complication for medical termination when pregnant on copper IUD.

a few weeks ago i checked my string and it was all good and in place. yesterday i check (saturday) and it has moved down and i barely had to put my finger in there. and today my string is now hanging out of my body. (sunday) so we cannot call the office until tomorrow, but is this a sign that my iud will fall out by itself?

Hi Dr. D I got Kyleena about a month ago. Ive been spotting on and off but I’ve noticed that I spot everytime after sex. I’ve also noticed that recently sex has started to hurt as well as inserting a tampon. Should I be concerned?

How can your partner check for the IUD string

is it safe to exercise while having iud? thanks for noticing, from phils 🥰

My I iud is half way out due to heavy period how do return it , do need to see a doctor is it still usable.

I went in to get an IUD today but when they went to measure they said they couldn’t get more than 2cm in. I was told I need to come back when I’m on my period when my cervix is softer because I either have a very tight opening or my cervix is at an unusual angle but probably the former. How often does this happen? And what can I do to help ensure that it gets inserted next time? Are IUDs more painful to get when you’re on your period? I thought I’d done a lot of research but hadn’t heard of people needing to go back on their periods. Thank you for making your informative videos!!

Dr, please tell me, the solution. .i am using iud since 10 yers but this month my period time got out so am scared what happens...

Does iud have side effects? I've been using it since 2018 and sometimes I get abnormal pains.

I have had a iud for about a year i have always been able to feel the string but in the past week i havent felt it atall i knew i felt it a week ago for sure . I have had a normal exact on time period since i got the iud . Before the iud it was crazy everywhere like not there then there skip a month then i get it twice in a month. Since about 3/4 months ago my periods have been Irregular . I dont want to go to the doctor because my mom will get the bill and know if i am pregnant. Can you help please?

Hello after coil removal our cycle going to irregular or disturb??

I have a beautiful ten year old boy thanks to mirena falling out. Never did find it

I’m 16 and I just got my IUD (Mirena) two days ago. I had little to no pain getting it inserted and I bled for two days and then it stopped but I have pink/ brown discharge and I’m a little crampy . Is that normal?

I have the liletta IUD it was placed when I had my son in 2020 they never told me how long it lasted or told me anything about checking it. I have never been able to feel my strings and the first few months I had awful smelling discharge but they would not check it and when I finally got them to try and see me they said my son was 6 months old so they couldn't see me anymore to try elsewhere. Most places told me to go to where I had it put in so I've yet to have a Dr check to see if it is where it should be or tell me when it expires.

My Kyleena expelled back in 2018 then I switched to nexplanon. I want to switch back to the IUD but since it expelled, would getting a bigger IUD like mirena lower the risk of expulsion?

I have a question 🙋‍♀️ I have the iud copper i have tried checking for string but cant feel them im also breastfeeding 🤱 my 1 year old daughter I did take a pregnancy 🤰 test and it is a faded positive Is that posible that i am pregnant 🤰

I’m not sure but I started bleeding a bit when I usually don’t have a period at all with the mirena and felt a change

If you see strings outside, should you be worried about that?

Hi, I just got my iud a couple days ago & I started feeling a small uncomfortable pinching feeling in my vagina. Can that mean it came out?

Hey! Idk if you’re still responding to comments but I’ve had the liletta iud for about 3 months now- I had a check up about a month after to make sure it was in place & it was. Moving on... I’ve had a boyfriend for 6 months & he’s clean & I was a virgin, so we weren’t worried about STD’s so therefore we didn’t use a condom on top of the iud. I felt the string before and after sex to make sure all was well and everything was fine- although it’s been about 5 days since I’ve had sex and I check again (cause I’m paranoid) and now the string feels significantly longer, I can’t feel any plastic or anything but I’m worried it wiggled out of place- should I be worried about being pregnant?? The iud has stopped my bleeding completely & ive only had a bit of spotting after sex so I can’t see it being heavy bleeding that’s messing it up. I’m definitely going to get a checkup with my doctor to get it check up on & definitely will be using another form of birth control until then but I just need a little bit of an ease of mind here cause I’m in college and have some midterms I need to finish & i’m too busy freaking out ☠️

Idk if this is a dumb question but can the IUD be moved higher up or move out of place during sexual intercourse?

I don't know if my iud is fall out but I experienced light menstrual period my iud is about a year now but I didn't feel also the string of my iud when I checked it out

Strings of copper iud is poking vagina, and two strings are visible. Is it normal.

Hello, my question is that I sometimes feel my strings at the opening of my vagina and causes a little discomfort, so is it okay?

Hi,my IUD thread comes out after 4 days of insertion ..what to do now is it a serious matter or its normal nothing to worry??

IUD was insulted four months ago during Cs and since then I haven't seen my periods and I don't feel the string and feel mere abnormal pain in my lower abdomen. Is it normal?

I have my copper IUD 5 months now and I’ve never been able to feel the strings, i feel fine and I don’t think the IUD had moved but I rang my doctors and she said that they only look at those strings when they are going go take the IUD out, ever time I ring I feel like I’m bothering her 🙈

Im thinking might could've fell out ive been having spotting for 3 days not a period.. just spotting and mild cramping with low back pain

during sexual intercourse, our partners are not supposed the feel the IUD correct? Not only that I've been feeling cramps, but no menstrual cycle, I decided to feel and I definitely feel mine. like a chunk of it very obivous.

Hi does having ruff intercourse can cause the iud to move out of place?.

I am doing workout with iucd since 2 years now it is displaced should I continue workout as I am bleeding since month

Hie Dr,is it normal to feel the bottom of the uid when you put your middle finger? Also the strings are slightly on the outside of the vagina.

I had mine for 3yrs and I had cramps that also felt like I needed to pee all day and couldn't I also had pressure down below like a needing to push pressure then while on the toilet I felt something pass I looked in toilet and it looked like pinky fleshy color (so I already wiped and dropped toilet paper in the bowl before noticing) when I noticed specs of pink in the bowl then I moved the toilet paper and it looked like a pink fleshy thing .... then I had bright red bleeding after wards not heavy ... now my cramps have stopped 😮‍💨

Just wondering if the person still has heavy bleeding after insert mirena means the IUD maybe not acceptable by the uterus? 😢

I have the mirena and when checking the strings I noticed I can feel I good bit of the hard plastic coming out, is this bad and does this mean it’s moved and I’m at risk for pregnancy?

Hi! My copper IUD expelled two times in a row. I am hypermobile. Do you know if there's a relation between IUD expulsion and hypermobility?? Thanks in advance! :)

I used to be able to feel my strings but I checked them today and I can't feel them...should I be worried??

My first copper t attempt is fail Can I use another copper t is it suits for my body r not please reply iam regarlly waiting mam

Do you think is it normal if the strings feel like they are sitting to one side of the vagina? Do they need to be dead in the centre?

Hi madam I also undergone mirena insertion bt it came out second day itself,now again 15 days back emily iud insertion done,bt today periods n severe cramping