IUD Removal: Will it Hurt? (IUD FAST FACT #10, @dr_dervaitis) 

Men get local anaesthesia for vasectomies (local freezing injected into the surrounding area). The studies on local freezing to the cervix for IUD insertion are limited in their numbers and have shown mixed results- some studies show some improvement, while others show it might actually make the pain worse (because of the pain from a needle going into the cervix). My practice is evidence based, and so I will not put needles into my patient’s cervix unless there is strong supporting evidence that it will definitely improve pain (and not cause more pain). IUD removals are typically not as painful as insertions, so much so that I am unaware of any study in the literature that has been done specifically regarding pain at removal. My video descriptions of the IUD removal and insertion process is not meant to “minimize” pain, but to describe what the majority of patients can expect. I 100% acknowledge that a small percentage of patients may experience significant pain, and this description is not meant to minimize that experience. In my own office, if a patient has had a very painful IUD insertion (or, much less commonly, removal)I provide oral analgesics, I have a separate area to allow them to recover where there is a heating pad for them, etc. I acknowledge their pain and treat them accordingly. -Dr. Dervaitis

I’ve had an iud 3 times and not once has it ever really hurt during removal. IMO anesthesia is not necessary.

Sorry to hear about your experience. Extreme pain at IUD removal is rare (but possible, depending on the situation and the patient’s anatomy.) -Dr. Dervaitis

I believe you because i had to go to a specialist before. I went to our tribal clinic and they said they had to right tools but it was extremely painful going in now im afraid for them to remove

BRO IM SCAREDDD

@@tamikagreen593it was extremely painful for them to put it in probably bc they measured your uterus before putting it in. That was the absolute worst part for me, was having a ruler shoved in. It was insane. The removal process shouldn’t be quite as bad just cuz you shouldn’t have to be measured again. At least that’s what I’m hoping for as well! Lol they say you just grab the strings in the end of the IUD and pull. Like a tampon. Some drs are even leaving the string about a cm longer if their patients say they would like to self remove it. You can remove it on the toilet, in the shower, etc at home. That’s how easy it is! So I’m hoping it won’t be painful at all. lol Best of luck to you, on this journey!

​​@@AM_Entertained naw I tried and it was soooo painful, I have a high pain tolerance, I've given birth twice, once with just gas & air and the other time with no pain management at all put the pain pulling on that thing was nauseating & I was cramping bad for days after... I want it out so bad, I just need to work up the courage and bite the bullet.

❤hope you are doing better. Hugs!

​@luulhajji6614 it's so terrible. I had mine replaced and I'm horrified to even think about removing this one. 😞

I just had mine removed today with similar issues. I have a very high pain tolerance and I was crying. This is my third IUD and I have never felt that level of pain during the removal. I've been bed ridden all day and it sucks!! I'm sorry you went through that but I'm happy I'm not alone and not being dramatic with how painful it was.

@@amandanorrisart I'm so sorry it happened to you too. 🫂

I have my removal appointment tomorrow and I'm terrified 😨

So sorry to hear this. Every patient’s anatomy and situation is unique, it’s impossible for me to comment on this since I was not personally involved in your case and your insertion. I can’t give personalized medical advice over the internet, but if you are interested in a formal second opinion I’d suggest that you see a gynecologist in your area for further discussion. All the best, Dr. Dervaitis

my iud insertion was the most painful experience i’ve ever had. and i stepped into a fire when i was a kid. my personal advice as someone who’s been encouraged to try nearly every form of birth control by my OBGYN instead of finding the root cause of my hormonal balance. I am never using birth control again. it’s terrible for our bodies and we are shown no genuine care or mercy when it comes to prescription. ( my personal experience)

I got an iud put in one and half year ago and the same situation s plzz help me what I should do dr said that your iud is invisible what's the way to remove my iud😢😢😢plzz help me

same thing happened to me with a gyno! it’s def best to get a checkup and see how comfortable u r with ur gyno before getting one inserted or removed, my new gyno makes me so comfortable and she’s extremely informative where as my last one just wanted it done as quick as possible and always seemed annoyed by me, i’m assuming it’s because i was young and she was busy but still mine was inserted wrong and when she tried to “fix it” she moved it further out of place and i’ve waited a year now to get it removed because i’ve been scared!

Omg that’s actually my story 😢😢😢 am having infections and scared of removal .. worst decision of my life was insertion

Same for me. I have appt to remove tomorrow and I am so anxious 😢

@@tracymayer5519 I was asked to cough. It was a short pain that lasted 2-3 seconds then I had a couple of mild cramps and it was finally over. The pain wasn't too bad cause it was gone almost right away and far from the insertion pain level. No bleeding, nothing.

@@lgoodbyekittyl thank you so much. That is so comforting ☺️

Thank you so much for taking the time to share your experience! -Dr. Dervaitis

For me it was horrific, the arm was much better for me 🥰🥰

I’ll never recommend the iud and only the implant 🥰🥰

The measuring of the uterus is the WORST PART!! I hated it so much!

Was the removal itself painful? Or was it fast and painless?

Why would you do it yourself? You could have done permanent damage

Generally speaking, the adjustment with subsequent IUD’s is often easier.

@@dr.kristinadervaitis789 Thank you very much. It was very difficult to adjust the first time, hope it will be fine.

This channel is not intended to provide personalized medical advice. If you are concerned about your bleeding, talk to your doctor. (Bleeding after IUD removal is typically fairly light and not heavy, but depends on where the patient was in her menstrual cycle at the time of removal). -Dr. Dervaitis

There is no evidence to link IUD use to vaginal or vulvar itching, irritation or yeast infections (a common cause if itching). See your doctor.

Hey. Or maybe strings a bit long

This channel is not intended to provide personalized medical advice. Please see video #13 for more information about IUD removal. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-P3KND_3ysY8.html

This channel is not intended to provide personalized medical advice. Please talk to your doctor. -Dr. Dervaitis

It took me 9 months to surpass all the symptoms of Mirena insertion: pain, cramps, weight gain(15 kilos in almost 2 months), daily menstruation, heavy menstruation. After 9 months period stopped. Maybe it takes longer for you too.

At replacement, efficacy is immediate- HOWEVER, there is a chance of IUD expulsion or shifting with a new insert, so my own practice is to advise my patients to use back up contraception until their one month check up appointment (where I check that the IUD is still in good position). -Dr. Dervaitis

@@dr.kristinadervaitis789 thank you so much for the reply . I’m shocked that I can’t find any info on this anywhere else . Your feedback is greatly appreciated and extremely helpful !

For more information on this topic, please see video #13 (IUD Removal FAQ’s) and video #27 (How to check your IUD Strings). -Dr. Dervaitis

Hello- Unfortunately I can’t give personalized medical advice over the internet. You will need to seek advice from your own doctors who can do the proper investigations and examination. All the best, Dr. Dervaitis

@@dr.kristinadervaitis789 ok thank you

Hello Dr kristina.. am so scared of removal of iud . If u could explain the steps how to minimise the pain ?

It is not standard of care to perform an ultrasound prior to IUD removal (where strings are visible). -Dr. Dervaitis

@@dr.kristinadervaitis789and why not? The strings simply let you know the distance. Not the position of perforation

The chance of pregnancy with an IUD alone is 2-8/1000. Most patients feel comfortable with that low risk and do not concurrently use condoms (unless they are using condoms for STI protection with a new partner). Some patients prefer to also use condoms to further reduce the chance of pregnancy.

Yes, it’s absolutely OK to exercise/ workout regularly (no activity restrictions with an IUD) There is not any evidence for weight gain with an IUD (see video #10). -Dr. Dervaitis

@@dr.kristinadervaitis789 Thank you for your reply.

See your doctor!!

@@dr.kristinadervaitis789 i literally just took it out myself 30min ago. it was totally fine, no pain, so much better. Going to get a new one placed (hopefully better this time) in about 2 weeks.

It is generally a similar experience (although the level of your experience of the person doing the insertion can impact discomfort… if you have the second insertion performed by a different health care provider there may be some variation). -Dr. Dervaitis

For me it did