IUD Removal

  • Removal of hormonal IUDs (Mirena, Kyleena, Liletta, Skyla)
  • Removal of copper IUDs (Paragard)
  • Optional acupuncture for pain management, before, during and after your procedure

Online and in-person care available in Los Angeles, San Francisco, New York and Scottsdale

What is an IUD Removal Appointment?

An IUD removal appointment is a roughly 20-minute standalone visit dedicated solely to taking out the device, during which the provider uses a speculum to view the cervix, then gently grasps the IUD's strings and pulls it out, usually causing only brief cramping.

Where to get an IUD Removal Appointment?

Insurance and Pricing

Is this covered by insurance?

Yes, most insurance plans cover IUD removals. Please check with your insurance provider to confirm.

Who should book an IUD Removal Appointment?

IUDs are long-acting reversible contraception, so you can have yours removed at any time, for any reason.

Book an IUD removal appointment if:

  • Your IUD is reaching the end of its lifespan
  • You're ready to try to get pregnant
  • You're having side effects you don't want
  • You'd like to switch to a non-IUD birth control method

Types of IUDs

Hormonal IUDs

These IUDs release a synthetic hormone called levonorgestrel, which is a progestin. Hormonal IUDs work primarily by thickening cervical mucus, making it difficult for sperm to reach and fertilize an egg. They also have an impact on the uterine lining, making it less receptive to implantation. The hormonal IUDs available in the United States are usually effective for 3 to 8 years, depending on the specific brand. Mirena is effective for up to 8 years, Kyleena for up to 5 years, Liletta for up to 8 years, and Skyla for up to 3 years. Hormonal IUDs can also be used to manage heavy, irregular and painful periods.

Copper IUDs

Copper IUDs do not contain hormones. Instead, they have a copper wire wound around the stem of the T-shaped device. Copper is toxic to sperm, so it creates an environment in the uterus that is hostile to sperm survival and fertilization. Copper IUDs are highly effective and can provide contraception for up to 12 years, depending on the specific brand. The most well-known copper IUD brand in the United States is ParaGard.

Types of IUDs: Hormonal vs. copper IUD

Hormonal IUD
Copper IUD
Brands
Mirena, Kyleena, Liletta, Skyla
Paragard
How it works
Releases levonorgestrel (a progestin) to thicken cervical mucus and thin the uterine lining
Hormone-free — copper makes the uterus hostile to sperm
How long it lasts
3–8 years, depending on brand
Up to 10 years
How long to start working
Insert a small ring into the vagina each month or annually depending on the ring of choice.

Effectiveness: >93%
Immediately
Effects on periods
Lighter, shorter, sometimes none; spotting and cramping for the first few months
Periods may get heavier, longer, and crampier
Also treats
Heavy, irregular, or painful periods
-
Consider it if
You want lighter periods or period pain relief
You want no hormones at all

Frequently Asked Questions

What to expect at an IUD removal appointment?

Before your appiontment

When you go for your contraception consultation, your healthcare provider may talk to you about ways to reduce any pain that you may experience during the IUD insertion process. This may include taking over-the-counter pain medication before your appointment or being prescribed medication to help open your cervix and make the procedure easier. We also offer IUD placement with the assistance of acupuncture, which can help you feel more comfortable and at ease during the appointment. Be sure to eat a meal or snack and drink plenty of water before your appointment. Follow all pre-visit instructions given by your provider.

During your appointment

Upon your arrival for your appointment, your healthcare provider will conduct a thorough examination, which includes assessing your vaginal health, cervix, and uterus. Additionally, they may perform a screening for sexually transmitted infections (https://asktia.com/services/sti-std-testing/) (STIs) as part of the comprehensive care.

To insert the intrauterine device (IUD), your provider will first gently place a speculum into your vagina, allowing them to access the cervix. Subsequently, they will utilize a specialized inserter to carefully position the IUD through the cervical opening and into your uterine cavity. This entire procedure typically lasts for less than five minutes.

IUDs can be inserted at any point during your menstrual cycle. Moreover, you can typically have one placed immediately after giving birth or following a miscarriage or abortion, ensuring convenient and flexible access to this highly effective form of contraception.

After the appointment

After receiving an intrauterine device (IUD), individuals' experiences can vary. Some may feel perfectly fine immediately afterward, while others might experience cramping and backaches. It's advisable to plan for some rest and relaxation at home after your appointment, providing an excellent opportunity to unwind with your favorite book or movie. Using heating pads and over-the-counter pain medications can also help alleviate cramps.

Cramping and spotting can occur after IUD insertion, but these symptoms typically subside within 3 to 6 months. Hormonal IUDs often lead to lighter and less painful periods, and in some cases, menstruation may cease altogether. On the other hand, copper IUDs may result in heavier periods and increased cramping initially, though these effects tend to diminish with time. If your IUD causes discomfort, pain, or unwanted side effects, it's essential to contact your doctor for guidance.

Following IUD insertion, a string, approximately 1 to 2 inches long, extends from your cervix into the upper part of your vagina. Rest assured, you won't notice it in your day-to-day activities. This string serves the purpose of allowing a nurse or doctor to remove the IUD when necessary. While you can feel the string by gently inserting your fingers into your vagina and reaching towards your cervix, it's crucial not to tug on it, as this could displace or even remove the IUD unintentionally.

Is the IUD safe?

Yes. Serious problems with the IUD are rare, and most happen the first few days.

Can I get an IUD if I’ve never had a baby?

Yes. IUDs are a great choice even if you have not had a baby.

Does the IUD protect against HIV and other STIs?

No, the IUD does not protect you from sexually transmitted infections. Unless you and your partner have sex only with each other, you should use a condom every time you have sex, even with the IUD in place.

Do I need to check the IUD?

No. Schedule a visit with your provider if you have any questions, want to change your method, or would like to have your IUD removed.

Does the IUD cause an abortion?

No. The IUD works by preventing sperm from fertilizing eggs.

What happens when I want to get pregnant and I have an IUD?

Your provider can remove your IUD at any time. You can get pregnant right after the IUD is removed.

Can I breastfeed with an IUD?

Yes. An IUD can be used while breastfeeding.

Book an IUD Removal appointment

Whether you're done with birth control or ready for something new, getting your IUD removed is easy. Book an appointment today.

What our patients say about Tia

Jessica O., Tia Patient
"I cannot tell you how much I truly valued my experience here at this clinic. From the minute I walked in, I felt safe, comfortable and welcomed. The exam room had so many amenities to make you feel at home, I have a hard time calling it a "exam room" - they had amazing robes to wear, drinks/snacks just in case, and even a little sitting area in the room. My nurse was the most incredible woman and held my hand throughout the exam...everything was just perfect. I highly recommend Tia to every woman who wants to have a better doctor experience. This is unlike anything I have experienced and will be recommending every woman I know to Tia!"
Stephanie S., Tia Patient
"It's always easy and I've never felt so taken care of in my life! I actually don't dread making appointments and I don't have to put on armor when I go see my doctor. It's a game changer!"
Katherine E. Tia Patient
"I can’t recommend Tia enough. As a woman who doesn’t like going to the doctor (white coat syndrome) and has been discounted and not listened to by doctors in the past, this experience is everything a doctors appt should be. I am so happy I am now a Tia patient and would highly recommend Tia to any female friend or family member that could benefit from the amazing staff and care here 💕"
Whitney K., Tia Patient
"I’ve never experienced such personalized, sensitive, thorough, and holistic women’s healthcare in my life. So grateful for this clinic!"