Removing a hormonal IUS

The hormone reservoir in the IUS releases a very small amount of yellow body hormone (progestin) slowly over a period of 3 to 5 years, depending on the type of IUS. The reservoir is then empty and the IUS is no longer effective. For this reason, it must be removed after 3 to 5 years depending on the type of IUS.

If desired however, a hormonal IUS can also be removed at any time. When removing it, the doctor gently pulls the return thread with a pair of tweezers.

It makes sense to use the same measures to prevent pain as during the initial fitting. Since the cervix is usually closed, removal can sometimes be painful, although the procedure is easier than insertion. If you are still experiencing regular bleeding, the IUS should be removed during menstruation.

After removal, there is no protection against pregnancy and you can become pregnant again immediately unless you use an effective method of contraception. (see the section “Fertility after IUS removal”)

If you do not wish to have children, you should switch to another safe method of contraception right after the IUS removal.