Moritz says, potentially allowing for an IUD to slip from your uterus into your vagina more easily. More risk factors include a history of heavy or prolonged periods, severe menstrual pain, and having expelled an IUD already, among others.
The point: Sex is not a known risk factor for IUD expulsion. Minkin says, explaining that your cervix is too thick for vaginal activity to move the contents of your uterus. If you did have a problem with IUD perforation, you would potentially experience pelvic pain, but you also might not, Dr. Minkin often encourages people to check their IUD strings periodically after placement, around every month or so until they feel comfortable that the device is not going anywhere.
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Other research shows that younger women and teenagers aged 14—19 have a higher risk of IUD expulsion. The risk decreases once a woman is over the age of Some evidence also suggests that it might be advisable for women who have recently had a medical abortion to delay getting an IUD. However, the difference was not significant. The results showed that 6. In the delayed insertion group, 3. When an IUD falls out or becomes displaced, the woman may notice at least one of the following changes when checking the strings:.
Some women may also have signs of infection, including fever and malaise. It is essential to make an appointment with a gynecologist if any of these symptoms present. A woman will have an increased risk of unintended pregnancy if her IUD falls out or becomes displaced.
If an IUD remains inserted during pregnancy, this could result in health issues for the woman and the baby. Ectopic pregnancy is when the embryo implants outside the uterus, usually in the fallopian tubes.
This is a medical emergency. Aside from an increased risk of unintended pregnancy, a displaced or expelled IUD can lead to the following complications:.
All of these complications are relatively uncommon, but if any do occur they will require medical attention. A woman should see her doctor if she suspects an IUD expulsion or displacement. The doctor is likely to carry out a physical examination and order an ultrasound to locate the IUD.
These strings are left in place when the IUD is inserted, but they can sometimes work their way up into the uterus. Lost strings can mean a couple of different things. Sometimes the missing strings are merely hidden higher inside of the cervix. Most of the time, the IUD is in the right place in the uterus and is still effective. It could also mean there is a larger issue such as expulsion, or perforation. One of the most serious complications that can arise because of an IUD is infection.
IUD infections are generally a result of the insertion process. The risk of infection is very minimal, and if an infection occurs, it can be treated without removing the IUD. If an infection does occur, it can lead to pelvic inflammatory disorder.
Expulsion occurs when the IUD has moved from its intended position at the top of the uterus. This is one of the more common complications and occurs in percent of women using an IUD. The two types of expulsion are complete and partial. A complete expulsion occurs when the IUD is pushed out of the uterus and into the vagina. A partial expulsion is when the IUD moves out of its normal position at the top of the uterus. A partial expulsion might cause cramping and the woman might feel the strings are lower than they should be.
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