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Intrauterine Device (IUD): Dealing Day-to-Day


Reviewed By: Joanne Poje Tomasulo, M.D., ACOG

Once an IUD has been inserted, there is very little care involved with the device. You will need to be seen for a follow-up visit with your physician three months after you have the IUD implanted. After this visit, the most important factor is to ensure the IUD remains in place and has not become dislodged. You should also be aware of any signs of infection or medical problems that could be associated with the IUD.

1. Check the placement of your IUD at least once a month.

Healthcare professionals recommend that women monitor the status of their IUD with self-examinations. Each month following your menstrual period, you should determine if the IUD is in place by the presence of the attached string. This can be accomplished with a few simple steps.

First, wash your hands thoroughly to avoid introducing any bacteria into the vagina. Next, assume a relaxed position that will allow you to access your vagina. Many women find that squatting or placing one leg on a stool is a good position for this purpose. Some women also find it useful to use a mirror as guidance.

Once you are comfortable, gently insert your middle finger into your vagina and move it up towards the cervix. You should be able to feel the string that is attached to the IUD in your uterus. You will most likely be unable to see the string but you will be able to locate it with your finger. This string hangs from the IUD for monitoring of the placement and removal when necessary.

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