Higgins JA, Ryder K, Skarda G, Koepsel E, Bennett EA. Outcome of intrauterine pregnancies with intrauterine device in place and effects of device location on prognosis. Ozgu-Erdinc AS, Tasdemir UG, Uygur D, Aktulay A, Tasdemir N, Gulerman HC. Long-acting reversible contraception: intrauterine device and implant. Published July 2011. 2008 2:293-302.Īmerican College of Obstetricians and Gynecologists. Review of the safety, efficacy and patient acceptability of the levonorgestrel-releasing intrauterine system. New developments in intrauterine device use: focus on the US. In-office retrieval of intrauterine contraceptive devices with missing strings.
A pelvic ultrasound is often used to locate the IUD (if it hasn't been expelled). If your healthcare provider cannot locate the strings during a pelvic exam, they may order an imaging test. They may have you take a pregnancy test if you haven't already. Use backup birth control: If you're worried your IUD has moved, use a backup birth control method until you see your healthcare provider.In this case, it will need to be put back in place by your healthcare provider. Determine if the strings have moved: If the strings feel longer or shorter than the last time you checked them, or if you feel the hard part of the IUD against your cervix, your IUD may have moved.If you feel the strings, then your IUD is in place and should be working. Feel for the IUD strings: They should be coming through your cervix.Your cervix will feel firm and rubbery, like the tip of your nose. Locate the cervix: While either sitting or squatting, insert your index or middle finger into your vagina until you touch the cervix.
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