2025 Guide: IUD Replacement Cost, Timeline & What to Expect

Preparing for your IUD replacement? This comprehensive guide covers how to get ready, what happens during your appointment, and potential side effects to expect.

If the thought of replacing your intrauterine device (IUD) makes you anxious, take a deep breath—most people find the process less uncomfortable than the initial insertion.

Ready to get informed? We’re answering all your top questions about IUD replacement.

When Should You Replace or Remove Your IUD?

The timing depends on your specific IUD type and your personal reasons for removal.

You can remove your IUD anytime, but replacing it before expiration can help prevent pregnancy and often avoids the need for a pregnancy test at your appointment.

Typical replacement durations for popular IUD brands are:

• ParaGard: up to 10 years
• Mirena: up to 8 years
• Liletta: up to 8 years
• Skyla: up to 3 years
• Kyleena: up to 5 years

What to Expect During Your IUD Replacement Appointment

Your visit usually starts with reviewing your medical history and signing consent forms, plus a chance to ask questions.

Some providers schedule an initial consultation to discuss benefits and risks, followed by a separate insertion appointment.

On the day of replacement, you might be offered pain relief for cramps, or asked to take medication beforehand.

Typical Steps Include:

Pregnancy Test

A pregnancy test may be administered, especially if you experience unusual bleeding or are sexually active.

Pelvic Exam

The healthcare provider checks your uterus position and assesses for any tenderness or abnormalities.

Speculum Insertion

A lubricated speculum is inserted to allow access to your cervix, similar to a Pap test.

IUD Removal

The doctor gently extracts your current IUD by pulling on the strings, causing the device’s arms to fold for easy removal.

Uterine Measurement and New IUD Insertion

A thin instrument measures your uterine cavity, guiding the placement of the new IUD which is carefully inserted to the correct depth.

Optional Ultrasound

A quick ultrasound may be done to confirm proper positioning of the new device.

Duration of Removal and Insertion

Typically, the entire removal and insertion process takes just a few minutes—usually under 5 minutes for each step.

What Does It Feel Like?

Most people report less pain with replacements compared to the initial insertion, thanks to reduced anxiety and prior cervical changes.

Expect some mild cramping after removal, but significant pain is uncommon.

Managing Anxiety and Discomfort

Taking an over-the-counter pain reliever like ibuprofen or acetaminophen 30 minutes before your appointment can help.

In rare cases, your doctor may prescribe anti-anxiety medication. It’s also wise to have someone available to drive you home for added comfort.

Possible Side Effects and Risks

Common side effects usually subside within 3 to 6 months and include:

• Cramping
• Lower back pain
• Spotting
• Irregular periods

Rare complications may involve:

• Infection
• Device expulsion or displacement
• Uterine perforation (very low risk)

How to Prepare for Your Appointment

• Schedule your replacement during your period—cervix dilation may ease insertion.
• Bring water and snacks for post-procedure energy.
• Have recovery supplies ready: pain medication, heating pads, and protective liners or period underwear.
• Consider taking time off work or school to rest if needed.

When Can You Resume Sexual Activity?

You can typically resume penetrative sex whenever you feel comfortable after replacement.

If cramping or spotting bothers you, alternatives like mutual masturbation or dry humping are great options.

Using a backup contraception method and barrier protection during the first month can reduce infection risks and ensure pregnancy prevention.

Follow-Up Care

Expect a check-up 6 to 8 weeks post-replacement to confirm correct IUD positioning and address any concerns.

Contact your healthcare provider immediately if you experience persistent pain, unusual bleeding, foul-smelling discharge, fever, or suspect pregnancy.

Final Thoughts

IUD replacement in 2024 is a quick, manageable procedure that usually causes minimal discomfort.

Proper preparation and communication with your healthcare provider can make the experience smoother.

Remember, any anxiety or discomfort can often be eased with medication and support.

Written by Adrienne Santos-Longhurst, a seasoned health and lifestyle writer based in Canada, passionate about empowering readers with trustworthy information.

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