Spiral contraceptives, also known as IUDs, can be removed at any time easily, painlessly, and without side effects. If you know what to prepare and discuss your plans with your doctor, you can follow these simple steps to find the right time and method of releasing spiral birth control.
Step
Method 1 of 2: Preparing for Release
Step 1. Consider the reasons why you should remove the spiral KB
There are various reasons that require you to withdraw your birth control, or be considering withdrawal, including the desire to get pregnant, menopause, or if you want to use other types of family planning. You should also withdraw your spiral contraception if it has expired, if your birth control "leaks" and causes pregnancy, if you have a sexually transmitted disease (STD), or if you have to undergo surgery that requires removing your birth control.
- In some rare cases, you may need to remove the spiral birth control because your body reacts badly to the birth control device, such as bleeding, severe pain, or long/heavy periods.
- Hormone spiral birth control will expire 5 years after installation, and copper spiral birth control will expire 10 years after installation.
Step 2. After knowing the reason for the release of birth control, see a gynecologist
State your reasons during the examination, because you may need a consultation before the birth control is removed.
You may also be able to schedule the release yourself
Step 3. Talk to your doctor about spiral birth control, either by phone or in person
Also state the reason you took the spiral contraception to the doctor. If your reason is not accepted, the doctor will discuss the reason.
Be honest with your obstetrician so that you get the best results from the consultation
Step 4. Use another type of KB
If you removed the spiral KB to use another birth control device, due to surgery, or because of PMS, use another type of KB before removing the spiral KB. If you have sex without birth control until a few days before the birth control is removed, you may be able to get pregnant even if you do not have sex after the birth control is removed, because sperm can live for up to 5 days in your body.
You can also stop having sex before the birth control is removed if other birth control devices are difficult to obtain
Method 2 of 2: Removing the Spiral KB
Step 1. Check with your doctor before removing the birth control
When you arrive at the gynecologist, the gynecologist will check the location of the spiral birth control, by inserting one hand into the vaginal canal and placing the other hand on your abdomen. Your gynecologist may also use a speculum to locate the spiral birth control. After that, the gynecologist will feel to make sure if the spiral contraceptive is still in the cervical area.
- Your gynecologist may also use a hysteroscope. This tool is a thin tube with a light and camera at the end.
- This initial examination may also reveal severe tenderness or other physical changes that may make it difficult to release the spiral birth control.
- In some rare cases, when the doctor is unable to locate the spiral birth control, you may need to get an ultrasound or an X-ray. These tests are needed to make sure the birth control device doesn't enter the abdomen or pelvis.
Step 2. Remove the spiral KB
To remove the birth control device, the doctor will use a speculum, which is a device to widen the vagina so that the cervix is visible. Once the birth control device is visible, the doctor will use a special ring to lift the spiral cord, and pull the end so that the birth control device is out of your body.
The tip of the spiral birth control device will fold outward, so you won't feel pain when you remove the birth control device
Step 3. Face the problem when the birth control is difficult to issue
Your birth control device may shift in your body, get stuck in the cervix, or the thread may be in a hard-to-reach place. If the doctor has difficulty removing the birth control device, he or she may use a cytobrush, which is a special brush similar to a mascara applicator. The device will be inserted into the vagina, rotated, and then pulled, so that the IUD strings that are broken or stubborn can come out.
- If these methods don't work, your doctor may be able to use special hooks made of thin metal. The doctor may need to use the hook several times, depending on how deep the birth control device is in your body. If on the first try the birth control device is unrelated, the doctor will reinsert the device in your vagina until the birth control device is lifted.
- If the birth control device cannot be removed by the methods above, an operation may be required. Sometimes, a hysteroscope camera is used to find birth control if the birth control device "disappears" in the body. This step is generally done in the doctor's office.
Step 4. Know the common side effects after the spiral contraceptive is removed, namely cramping and light bleeding
These side effects generally do not last long.
In some rare cases, you may experience a more severe reaction, which could be due to a pre-existing health problem. If you experience severe cramping, pain or tenderness in your abdomen, fever, or vaginal bleeding/discharge for no apparent reason, call your doctor
Step 5. Reinstall the spiral KB if desired
If you only want to replace the expired spiral KB, you can do so as soon as the KB is removed. Contact the doctor before placing the birth control so that the doctor can plan the installation. After the new birth control is in place, you may feel a little sick or have some light bleeding.
