Planning an IUD removal starts with a simple question: do you want to become pregnant, change contraception or replace the device? Tell the clinician your aim before removal so that the timing and next step can be discussed together.
Do not try to remove an IUD yourself. Removal should be carried out by a trained healthcare professional. If there have been problems with the threads or a previous removal attempt, mention this when arranging the visit.
If you do not want a pregnancy
Pregnancy can become possible promptly after removal. The NHS advises using another method, such as condoms, starting seven days before an IUD is removed if you do not want to become pregnant. Discuss your own circumstances with the clinician, especially if you have had sex without additional protection recently.
Ask when a replacement method will become effective and whether there could be a gap in protection. Do not assume that a new method is effective immediately in every situation. If you are uncertain about recent pregnancy risk, seek advice before the removal appointment.
Prepare your booking details
- Bring the device name and insertion date if you have them.
- Say whether you want a replacement IUD, a different method or pregnancy planning advice.
- Mention pain, unusual bleeding or difficulty locating the threads.
- Ask whether removal and replacement can be considered in the same visit.
- Confirm the procedure fee and any separate device or investigation charges.
If you cannot find your device record, explain this when booking. The practice can advise what information would be useful rather than you having to guess.
If you are planning a pregnancy
Ask whether any medicines, existing conditions or previous pregnancy concerns need discussion before you try to conceive. A preconception conversation can be useful even if you feel well. Keep a written list of questions so that your removal appointment does not become only a discussion of the procedure itself.
Afterwards, ask what to expect and when to seek help. Severe pain, heavy bleeding, fever or fainting warrants urgent assessment.
See our contraception service and contact the practice for appointments at Isipingo Hospital or St Augustine’s Hospital.
Further reading
Sources checked on 18 September 2026. General patient information; individual assessment may lead to different advice.