A woman may also become pregnant with an IUD if it falls out of place. Doctors call this IUD expulsion. When an IUD is in the right place, it will sit at the bottom of the uterus, just past the cervix. The IUD strings extend through the cervix into the vagina. In some cases, when an IUD moves out of place, it will fall out entirely. A woman may notice that they are not able to find it. In other cases, the IUD may shift positions.
If this happens, the woman may not know that their IUD has moved, and they might not experience any symptoms. If a woman becomes pregnant while using an IUD, they may notice some typical pregnancy symptoms — particularly if the embryo has implanted in the uterus. Women who become pregnant while using an IUD may also notice that the strings are out of place, missing, or uneven. Women who become pregnant while using an IUD are more likely to have an ectopic pregnancy.
Ectopic pregnancies occur when the embryo implants outside of the uterus — usually in the fallopian tubes. According to the ACOG , a woman with an ectopic pregnancy may notice:. According to a review of studies that included , deliveries from women who became pregnant with an IUD in place, there are several possible complications. As mentioned above, an ectopic pregnancy is also a potential complication. Ectopic pregnancies can result in a ruptured fallopian tube.
If this occurs, there may be internal bleeding, which can lead to death. If a woman suspects that they are pregnant, they should talk to their healthcare provider, who will first confirm the pregnancy.
They will also confirm whether or not the pregnancy is ectopic. If it is, a health professional may need to perform surgery or prescribe medication to terminate the pregnancy. If they prescribe medication, it may be an injection of methotrexate, which will stop the embryo cells from growing. The body will then absorb the pregnancy within 4—6 weeks.
According to the ACOG , a typical surgical procedure for an ectopic pregnancy is a laparoscopic procedure. Pregnancy tests check for human chorionic gonadotropin. Your doctor will then do a pelvic exam. They may need to use a cytobrush or other tool to aid in removal. Current guidelines suggest that the IUD should be removed before the end of the first trimester.
Removing the IUD after this point may result in complications for both the person carrying the pregnancy and the pregnancy itself. You should have the IUD removed regardless of whether you plan to keep or terminate the pregnancy.
An ultrasound will also help your doctor determine if the pregnancy is healthy or if there are problems, such as ectopic pregnancy. IUD pregnancies are slightly more likely to be ectopic, or occur outside of the uterus.
Ectopic pregnancies sometimes form in the fallopian tubes. An ectopic pregnancy that occurs outside of a fallopian tube — in the cervix, for example — is unlikely to grow without endangering your overall health. There have been reports of congenital abnormalities in live births. You can take the abortion pill before week 10 of pregnancy. Medical abortion is available at or after week 10 of pregnancy.
Abortion laws are more restrictive in some states than others. If you suspect that your IUD has failed, call your doctor or other healthcare provider right away. You may be able to take Plan-B or another form of EC to prevent pregnancy. Emergency contraception can prevent unwanted…. Even with perfect use, birth control isn't an absolute guarantee, so it's important to double up on protection.
Delaying its removal can complicate the removal process, can leave you unprotected against pregnancy, and can create some health risks to you. One very serious risk is that of an ectopic pregnancy, which can result if you become pregnant with an IUD in place.
IUDs can be removed any time prior to the expiration if you wish to become pregnant or to change your birth control method. To have your IUD removed, you need to first schedule an appointment with your doctor for the removal procedure. No drugs or anesthesia are needed. It is faster and easier than having the IUD inserted. However, if you are prone to cramping or pain during your periods , you may want to take an over the counter pain reliever like ibuprofen or naproxen one to two hours ahead of time.
To begin the removal procedure, your doctor will first insert a speculum into your vagina and find the IUD strings. In some patients, the doctor will need to use a small brush or tool to coax the strings into view. Once the IUD strings are located, your doctor will grasp them using forceps, then gently pull the IUD down through your cervix. You may feel some cramping as it passes through your cervix, then through your vagina, and out of your body.
You become fertile immediately and can get pregnant when you next ovulate.
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