Intrauterine devices (IUDs) are highly effective long-acting reversible contraceptives used by millions of people worldwide. However, some users encounter barriers to desired removal. A recent study has shed light on the practice of self-removal among some users.
The small pilot sought to develop a guide for IUD self-removal with the aim of increasing user control over the method. The study found that IUD self-removal was safe and low risk. Primary components of successful IUD self-removal elicited were ability to feel and grasp the strings, a crouched down position, and multiple attempts.
However, while IUD-users reported satisfaction with the self-removal guide, the majority were unable to remove their own IUD. A larger study is needed to assess acceptability, feasibility, and efficacy in increasing successful self-removal.
Healthcare providers play a crucial role in counseling patients about the proper use and maintenance of IUDs, as well as addressing any concerns or issues that may arise. By promoting open communication and providing comprehensive support, providers can help ensure both safe and effective use of this popular form of contraception.
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Collins F, Gilmore K, Petrie KA, Benson LS. Developing an intrauterine device self-removal guide: a mixed methods qualitative and small pilot study. Contracept Reprod Med. 2022 Jul 1;7(1):10. doi: 10.1186/s40834-022-00177-w. PMID: 35773738; PMCID: PMC9247965.