Question for Betty.

I have an IUD in, but I'm thinking about having it removed.  Is it possible for it to move within my uterus and cause my uterus to not be able to sustain a fetus later.  How likely is that?  Is it a good idea to keep it?

Betty's Answer.

Your decision to have an IUD removed should be based on any side effects you may be having.

The IUD (intrauterine device) is used commonly worldwide.  It is a highly effective, safe, cost-effective, long-acting, and rapidly reversible method of contraception with few side effects.  It is also a private and convenient method contraception, does not interfere with the spontaneity of sex, offers several noncontraceptive health benefits, and can be used by lactating mothers.  IUDs have the highest level of satisfaction (95%) of all contraception. 

Reasons for removal include:  heavy menses or cramping with menses, partner feels the string, IUD expiration, and wanting to achieve pregnancy.  Most women experience a rapid return to fertility after discontinuing the IUD.

Your question about the possibility of the IUD moving into the uterine wall, or perforation, occurs in 1 in 1,000 insertions, almost always at the time of insertion.  Serious complications following perforation are rare.  You can check for placement of the IUD by checking for the strings.

If you have any further questions or concerns be sure to contact your health care provider or make an appointment with the SHCC.