Risks From Pregnancy With An Iud
While pregnancy with an IUD is uncommon, it can be dangerous for the pregnant person and the fetus. In some cases, a pregnancy with an IUD may result in an ectopic pregnancy.
An ectopic pregnancy is a rare condition in which the egg attaches to tissue outside of the uterus, such as the lining of the fallopian tubes. If this type of pregnancy isnt removed, it can cause tears, bleeding, and even death.
Becoming pregnant with an IUD in place increases your risk of:
- Infection of the fluids and tissue around the fetus
- Slow growth of the fetus
- Early membrane rupture
- Low birth weight
Iud Removal & Pregnancy
Once your IUD is removed, you are no longer protected against pregnancy.To protect yourself against unwanted pregnancy, you can have your doctor insert another IUD immediately after removing your old device, or you can use another form of contraception altogether. You should discuss the various contraception options available to you with your doctor.
How Do I Get An Iud
Read our ‘Getting your IUD’ page so you feel ready for your appointment. If you have any questions, write them down to ask the nurse or doctor. If you’re not sure about whether an IUD is right for you, you may want to book an appointment before the IUD is put in to talk about your options.
If it’s not possible to put in the IUD at your first appointment, another appointment will be made for the IUD to be put in.
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If You’re Under 16 Years Old
Contraception services are free and confidential, including for people under the age of 16.
If you’re under 16 and want contraception, the doctor, nurse or pharmacist will not tell your parents or carer as long as they believe you fully understand the information you’re given and the decisions you’re making.
Doctors and nurses work under strict guidelines when dealing with people under 16. They’ll encourage you to consider telling your parents, but they will not make you.
The only time a professional might want to tell someone else is if they believe you’re at risk of harm, such as abuse.
In these circumstances, the risk would need to be serious, and they’d usually discuss it with you first.
Page last reviewed: 30 March 2021 Next review due: 30 March 2024
Notes After Removing The Iud
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How Long After Iud Removal Will I Get My Period
Most women who have had an IUD for several years will get their period back within two to four weeks of having it removed. Some women will not see the return of their periods after the removal of an IUD for a little longer. If you don’t get your period by the three-month mark, or if your period is particularly light and/or irregular, you might want to talk to your doctor.
The copper in the device creates a local inflammatory response that can cause your body to hold on to endometrial tissue as a self defense mechanism. This is why many women do not start having periods at all once they have an IUD inserted, and can be the reason they are slower to get back to normal after it’s removed.
Is It Safe To Get Pregnant After Mirena Removal
It is safe to get pregnant after the removal of Mirena. Having Mirena inserted into the uterus does not lower the chances of conceiving after it has been removed. Women who wish to get pregnant can easily do so after the Mirena has been removed. The device itself works on the basis of its release of hormones such as progesterone which is the main element in the prevention of ovulation and menstruation. When you wish to get pregnant, your doctor will take the IUD out. Once the hormone releaser is away, your body is ready to ovulate and conceive.
Are There Complications of Getting Pregnant After Mirena?
Most women were able to get pregnant soon after removing Mirena. But some of them reported miscarriages, though there are other factors that account for such complications. In some very rare cases, the Mirena may not have been placed properly into the uterus and therefore causes a hole in the uterine wall, thereby embedding itself in the uterus. In these cases, surgery is required to remove the Mirena. If the damage to the tissues is too excessive in some extreme cases, a hysterectomy may be required and pregnancy may not be easily achieved.
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Can You Get Pregnant Right After Iud Removal
Your periods and fertility should go right back to normal after you have your IUD removed, so you can actually get pregnant straight away.
However there really isn’t a set time for everyone as every person’s body reacts differently. Some women get pregnant within the first month and others take up to a year or even longer to conceive. Really, it depends on the woman. If you are concerned about getting pregnant when you get your IUD removed, ask your doctor for advice.
Please remember to seek medical attention if you’re ever worried about your IUD.
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Is Iud Removal Painful
Anyone who has an IUD basically paid the price when getting it, Dr. Moritz says, explaining that insertion tends to be much more uncomfortable than removal. Keep in mind that even when rating IUD insertion as terrible, these devices provide such stellar protection against pregnancy that most people consider the temporary pain well worth the reward.
Everybody gets nervous about , but it should almost not be felt, Dr. Moritz says. Cant you practically feel your uterus relaxing at this very welcome news? Even better, depending on your insurance, the cost of the removal may be covered.
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How Do I Prepare
You dont need to do anything to prepare. Removing an IUD is usually less painful than putting it in.
Fertility In The Long Run
Studies have shown that birth control should have no impact on your chances of getting pregnant once you stop using it. However, there are a number of different factors which can influence your fertility. Its important to remember that getting pregnant can take longer than you think, regardless of contraception you may have used in the past. If youre under 35 and have been trying to get pregnant for a year, over 35 and have been for over six months, or over 40 and interested in trying to get pregnant, talk to your healthcare provider about potential infertility concerns8.
There can be many reasons for , including ovulation issues, PCOS, short luteal phases, early menopause, fibroids, , age or . What doesnt cause infertility? Previously using birth control.5
According to the 2018 meta-analysis published in Contraception and Reproductive Medicine mentioned above, resumption of fertility following cessation of contraception was not affected by use of contraception, type of contraception, duration of use and type of progesterone.5
According to the American Society of Reproductive Medicine , some types of birth control have additional benefits unrelated to pregnancy. For example, oral contraceptives can help treat heavy or painful periods endometriosis acne hirsutism and alopecia .9 Per the ASRM, women who use birth control pills have also been found to have fewer cases of anemia, ovarian cancer and uterine cancer. 9
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What Happens If You Want To Continue The Pregnancy
If you choose to continue with the pregnancy, a healthcare professional will likely remove the IUD. This may help reduce the risks of complications, but the pregnancy will still be considered high risk. Most pregnancies with IUDs in place result in ectopic pregnancy or miscarriage.
Still, it is possible to deliver a healthy baby if the embryo is viable. Your healthcare professional will help you choose the best options for your health and the fetus.
Reasons To Remove Kyleena
I need a new one
Kyleena can remain in the uterus for up to 5 years. If you choose to continue using Kyleena, youll make an appointment with your healthcare professional to remove Kyleena and place a new one. Your new IUD can be placed immediately after the removal of the old one.
I want to get pregnant
If you are removing Kyleena because you want to get pregnant, you can start trying as soon as Kyleena is removed. Your healthcare professional can remove Kyleena at any time. You may become pregnant as soon as Kyleena is removed. About 7 out of 10 women who want to become pregnant will become pregnant sometime in the first year after Kyleena is removed.
I no longer want to use Kyleena
Kyleena is intended for use up to 5 years, but you can stop using Kyleena at any time by asking your healthcare professional to remove it. You could become pregnant as soon as Kyleena is removed, so you should use another method of birth control if you do not want to become pregnant. Talk to your healthcare professional about the best birth control methods for you, because your new method may need to be started 7 days before Kyleena is removed to prevent pregnancy.
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The Return Of Fertility After Stopping The Pill
Birth control pills either have a combination of two hormones, estrogen and progestin, which work primarily by stopping ovulation, or come as progestin-only pills which mostly work by disrupting fertilization through changes to the cervical mucus and uterine lining. With either pill, you’re safe to start trying to conceive immediately after you stop taking the pill, Nathan says.
Because ovulation resumes quickly after birth control pills, you should start another birth control method immediately if you don’t want to get pregnant . Also, if you’re starting a new hormonal birth control method, like the pill or a hormonal IUD, they can take up to a week to become effective at preventing pregnancy.
In addition to stopping conception, birth control pills are also used to lessen painful or heavy periods, regulate cycles or help with other hormone-related concerns. Dr. Shari Lawson, assistant professor of gynecology and obstetrics at Johns Hopkins University School of Medicine, says that sometimes patients have been on the pill for so long, they forget the reasons they started it in the first place.
More Things You Should Know About Mirena And Pregnancy
Returning to a Normal Menstrual Cycle
Many women have said they waited between six months and a year between having their Mirena IUD removed and their menstrual cycle returning to normal. Others have said that they had to wait more than a year or two before they regained their fertility. If you have been waiting more than 18 months or are desperate to get pregnant, you should consider talking to a fertility doctor as other factors may be preventing conception.
Fake Pregnancy After Mirena Removal
After your Mirena is removed, it is common for the body to go through a readjustment period in which it gets used to the new hormonal balance. During this period you may experience symptoms similar to those associated with pregnancy such as spotting, irregular periods, mood swings, sore breasts, nausea, bloating, or pain.
Possible Fertility Issues with Mirena
Good Candidates of Mirena
Mirena can be used to prevent intrauterine conception for 5 years. It can also help treat heavy menstrual bleeding and can be used by women who have previously had a child.
Poor Candidates of Mirena
Women with one of the following conditions should not use Mirena:
- Acquired or congenital uterine anomalies
- Breast carcinoma
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How Removal Affects Fertility
The removal procedure has no effect on your bodys fertility. Whether you used a hormonal IUD or a copper IUD, your menstrual cycle will return to normal within a few weeks. You become fertile immediately and can get pregnant when you next ovulate. If you are infertile, it is not due to the IUD or the IUD removal procedure. Infertility can be caused by disease or infections of the organs and tissues in your pelvic region and the scarring that if often leaves behind. Absent those conditions, your ability to get pregnant after using an IUD is the same as it was before your IUD.
Notwithstanding your immediate fertility, some doctors recommend their patients wait for a cycle or two after IUD removal before trying to conceive. By waiting, it is easier to track your cycle and determine the exact date of conception.
Are You More Fertile After Birth Control
Lawson says that while it’s not likely, there’s information that suggests that being on a combination birth control pill that suppresses your ovaries raises the “possibility that you may have more than one ovulation event,” meaning two eggs could be released and the likelihood of at least one of them getting fertilized is greater.
Infertility doctors may also put their patients on birth control pills to keep their uterine lining “nice and clean” prior to pregnancy initiation, Nathan says. But for the average patient? “That’s a myth,” she says.
Where Can I Get My Iud Removed
You can usually get your IUD removed at the same health center that put it in for you. But any nurse or doctor who puts in IUDs can also remove them. The nurses and doctors at Planned Parenthood health centers, family planning clinics, and private gynecologist offices can all do IUD removal. Use our health center locator to find a Planned Parenthood health center that offers IUD removal near you.
Getting Pregnant After Stopping Birth Control: How Long Does It Take
Ready for a baby? If youve been using birth control to prevent pregnancy, you may wonder how long it will take to get pregnant after stopping birth control. Unfortunately, theres no quick, easy, surefire answer to the question because everyoneand every methodis different. Additionally, factors like overall health and age can influence conception. Fertility declines with age, so, statistically speaking, a 23-year-old woman will have an easier time getting pregnant than a 38-year-old woman, regardless of their birth control histories.
Understanding what to expect when you stop using birth control can help you plan pregnancy. Note: Even though it may take a while to become pregnant, you should not stop your birth control until you are sure youre ready to have a child, as pregnancy may happen sooner than you expect.
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How We Handle Pregnancy With An Iud
Our first step is to determine the type of pregnancy, which could be either:
Intrauterine, which is the normal location for pregnancy development, allowing for fetal growth over 9 months, or
Ectopic, which is when a fertilized egg implants in a fallopian tube or other location outside the uterus and poses serious health risks to the woman
We used to believe that having an IUD increased the risk of having an ectopic pregnancy. Now we understand that because IUDs are so effective at preventing intrauterine pregnancies that, if a pregnancy does occur, theres a higher likelihood that it developed outside the uterus. But patients arent at increased risk for ectopic pregnancies just because they have an IUD.
Next, we look for the IUD strings in the cervix to potentially remove the device. Studies have shown that the risk of miscarriage, preterm birth, and infection of the amniotic sac and fluid before delivery is significantly higher when IUDs are left in place during pregnancy compared to pregnancies in which the IUD is removed. However, while taking out the IUD improves the pregnancy outcome, there is still a higher risk of pregnancy complications compared to patients who never had an IUD in place. For most women whose IUD strings are visible through the cervix, we recommend removal of the IUD at the first visit.
How Long Does It Take To Get Pregnant After The Iud
The IUD is placed within seven days of the start of the menstrual period and is 99% effective as a contraceptive. A woman may try to conceive right after the IUD is removed. It takes the average young couple about 4-6 months to conceive and after one year approximately 85-90% of couples will conceive.
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