Accurate Diagnosis
Ultrasound and a clinical exam show whether pain is related to the IUD, where the device sits, and whether there are signs of perforation or embedding.
Symptom Management
IUD Removal Pain or a Hard-to-Remove IUD: Evaluation and Options
If your IUD causes pain or is difficult to remove, our Houston office evaluates it with an exam and in-office ultrasound and discusses removal options.
Request an Appointment →What to Expect
- ✓Assessment of IUD-related pain: cramping, pelvic discomfort or concern for perforation
- ✓In-office ultrasound to confirm the IUD position before removal
- ✓Removal of a routine IUD in the office; referral for embedded or perforated devices that need a specialist or anesthesia
- ✓Management of pain and bleeding after removal
- ✓Clear explanation of findings and next steps
- ✓Discussion of more comfortable contraceptive alternatives
In-Office Ultrasound
Confirms IUD position before removal
Pain Assessment
Structured evaluation to rule out perforation or other complications
Follow-Up
Symptom management and contraception planning after removal
Benefits & Outcomes
The Right Setting for Removal
Routine removals are done in the office. If a device is embedded or has perforated, your provider arranges removal in the appropriate setting, which may mean a referral.
Symptom Relief
Once an IUD that is causing pain is removed, symptoms typically settle within days. Residual cramping or bleeding is treated as needed.
Preventive Planning
Understand why pain occurred and explore alternatives that may be more comfortable, such as a different device or a non-hormonal option.
Frequently Asked Questions
Why is my IUD causing pain?▾
IUD pain can stem from uterine perforation, embedding in the uterine wall, infection, or simple sensitivity to the device. An exam and ultrasound identify the cause.
Is it safe to remove a perforated or embedded IUD?▾
A perforated or embedded IUD can be removed safely, but it may require hysteroscopy, laparoscopy or anesthesia rather than a simple office removal. Your provider explains the findings and arranges the appropriate setting, which may mean a referral.
What happens if I have complications after a painful IUD removal?▾
Call our office at (713) 485-4302 if you have heavy bleeding, fever or increasing pain. Calls are answered around the clock and the office follows up on the next business day. For severe symptoms, go to the emergency room. Our office coordinates imaging or specialist referral if needed.
Can I use pain medication before removal?▾
Over-the-counter ibuprofen taken before your appointment can reduce discomfort if it is safe for you; ask your provider about dosing and about other pain management options.
How long does recovery take after a difficult removal?▾
Most patients recover within a day or two. Spotting may last several days. Avoid intercourse and tampons for about a week to lower infection risk.
Should I replace my IUD if it was painful?▾
Not necessarily. Discuss alternatives with your provider. Some patients do well with a different IUD type; others prefer the implant, pills or barrier methods.
Related Topics
Related Service
Pelvic Pain Evaluation
Assessment of chronic pelvic pain, including IUD-related causes.
Alternative Contraception
Nexplanon Insertion & Removal
The implant as an alternative; ask our office whether it is available here or by referral.
Related Procedure
IUD Insertion & Removal
Safe removal and reinsertion options.
Ready to Get Started?
Call (713) 485-4302 or send an appointment request, and our office will follow up.
Request an Appointment