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Can be done easily by any trained
health care provider
Be sure to:
- Follow infection prevention guidelines
- Be slow and gentle
- Counsel client that cramping/bleeding may occur
- Refer difficult removals to specially trained provider
If desired, a new IUD can be inserted
immediately following removal
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IUD removal is usually routine and uncomplicated. The IUD can
be removed at any time, although removal during menses may make
the procedure easier for the provider. Any trained health care
provider, including anurse or midwife, can remove the IUD.
As with IUD insertion, be sure to follow standard infection
prevention guidelines to minimize the risk of infection. Apply
slow, gentle traction to avoid breaking the string. Let the
woman know that some cramping and/or bleeding is normal during
removal. Refer the client to aspecially
trained or experienced clinician for difficult removals.
A woman returning to the clinic to have an old IUD replaced
can have a new IUD inserted at the same time.
Common practice is to remove an IUD in menopausal women after
one year without menses. In cases where an IUD is not removed
after menopause, ill effects have not been reported. However,
no studies have been conducted on this to date.
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