Intrauterine Device Extraction Periprocedural Care

Updated: Aug 30, 2021
  • Author: Sarah Hagood Milton, MD; Chief Editor: Christine Isaacs, MD  more...
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Periprocedural Care


The equipment necessary for IUD removal includes a speculum and a pair of ring forceps. Having an IUD hook, polyp forceps, and a single-tooth tenaculum on hand for difficult removals is also helpful.


Patient Preparation


No anesthesia or analgesia is indicated for routine removal of either the ParaGard or the Mirena IUD. Removal of IUDs is generally less painful than insertion.


For both the Mirena IUD and the ParaGard IUD, removal is best accomplished with patient in dorsal lithotomy position.