When you get to the doctor's office, she will check for the location of your IUD device. She will locate it by inserting her fingers into your vaginal canal and placing her other hand on your abdomen or by using a speculum. She will then feel around to see if the IUD is still at the top of your cervix.  She may also use a hysteroscope, which is thin tube that has a light and camera lens on the end of it. This pre-examination also checks for excessive tenderness or physiological changes that might prevent your IUD from being removed. In rare cases, it may be necessary to have an ultrasound or x-ray if your doctor cannot easily find the strings of your IUD. These are used to make sure that the IUD has not shifted into your abdomen or your pelvis. To get your IUD out, your doctor will first insert a speculum, which is a tool used to widen your vagina in order to see your cervix better. Now that the IUD can clearly be seen, your doctor will insert ring forceps to grasp the strings of your IUD. She will gently pull on the strings and the IUD will come out. The arms of the IUD fold outward, so they will not hurt too much coming out. It is possible for your IUD to have shifted, for the strings to be in a difficult area, or for the IUD to become embedded in your cervix. If your doctor tries to remove your IUD and it won't move, she may use a cytobrush, which is a small brush that looks like an mascara applicator. The cytobrush is inserted, twisted, and then pulled out again, grabbing the retracted or stubborn strings of the IUD and pulling out the device.  If this doesn't work either, she may use a IUD hook, which is a thin, metal instrument that is hooked on one end. This method may take several passes to work, depending on how your IUD has shifted. Your doctor will insert the hook and pull it out. If she didn't grab onto the IUD, she will then continue to insert the hook again until it has tried to grab the IUD on all sides. Outpatient surgery to remove the device is a last resort that may become necessary if the IUD cannot be removed by any other means. Sometimes a small camera (hysteroscope) is used to find an IUD if the strings cannot be found. This is usually done in the office. The only common side effects of IUD removal are cramping and minimal bleeding after the device it taken out. These effects should only last a short while before they stop all together. In some rare instances, you may have more severe reactions, which may be due to an underlying health issue. Call your doctor immediately if you have severe cramps, pain or tenderness in your abdomen, a fever, chills, or unexplained vaginal bleeding or discharge. If you are just changing your IUD because it expired, you can get another one inserted immediately. Talk this over with your doctor before the procedure so she can plan for the insertion of the new device. You may experience some mild discomfort or slight bleeding. There will be no interruption of the contraceptive abilities of the IUD if you have immediate reinsertion.
دعي الطبيبة تفحصكِ قبل العملية. ستتم إزالة اللولب. تعاملي مع عملية الإزالة الصعبة. تعرفي على الأعراض الجانبية العادية. قومي باستخدام لولب آخر إذا كنتِ ترغبين بذلك.