Displaced IUD: Signs, Symptoms, Causes and Solutions

Intrauterine Devices (IUDs) have gained popularity as highly effective long-term contraceptive options. 

The IUD, a T-shaped contraceptive device, is designed to stay in place within the uterus, providing effective birth control. 

While IUDs are generally considered safe and reliable, there is a possibility of displacement, where the device moves from its intended position. 

The risk of IUD expulsion is 3–6% for Levonorgestrel IUD and 3–10% for copper IUD

In this comprehensive guide, we will explore the signs, symptoms, associated risks, and the necessary steps to take if you suspect you have been IUD displaced.

Signs that your IUD is out of place

Understanding the signs of IUD displacement is crucial for early detection and appropriate intervention.

A displaced or shifted IUD can cause different feelings and changes that people should be aware of.

Here’s a breakdown of what a moved IUD might feel like:

Increased discomfort or pain

One of the initial indicators of a displaced IUD is heightened discomfort or pain. 

This can manifest as cramping or a persistent ache in the lower abdomen. 

If you experience an unusual increase in pain, it’s essential to consider the possibility of IUD movement

Changes in menstrual patterns

A moved IUD might disrupt your regular menstrual cycle. You may notice changes in the duration, flow, or timing of your periods. 

Any significant alterations from your typical menstrual patterns warrant attention and investigation.

Discomfort during intercourse

Individuals with a displaced IUD may experience discomfort or pain during sexual intercourse.

If you notice a sudden onset of discomfort that wasn’t present before, it could be an indication that the IUD has shifted. 

Unexpected bleeding

Unexplained spotting or bleeding between periods could be a sign of a displaced IUD. 

Any unusual bleeding should prompt a thorough examination to rule out potential issues with the device’s placement.

Difficulty locating the strings

IUDs typically have strings that hang down into the vagina, allowing individuals to check their placement. 

If you find it challenging to locate these strings or notice a significant change in their length or they go missing, it may suggest that the IUD has moved

Causes of displaced IUD

IUD displacement is most common within the first few months after you get it put in. 

They also tend to move more if you have:

• Strong cramps during your period
• Have an extreme tilt of your uterus
• A small uterine cavity
• Women with uterine anomalies, such as a bicornuate or septate uterus, may be at a higher risk of IUD displacement

Risks associated with IUD displacement

While IUDs are generally safe and effective, displacement can pose risks and complications that individuals should be aware of:

• Unintended pregnancy: One of the primary concerns associated with a displaced IUD is the increased risk of unintended pregnancy. If the IUD is not in the correct position, it may fail to prevent fertilization
• Pelvic Inflammatory Disease (PID): Displacement can create an entry point for bacteria, potentially leading to Pelvic Inflammatory Disease. PID is a serious infection that can cause long-term reproductive health issues
• Perforation: In rare cases, a displaced IUD may result in perforation, where the device punctures the uterine wall. This can lead to severe abdominal pain and may require surgical intervention
• Expulsion: Complete expulsion of the IUD from the uterus is another risk. This can happen without the individual noticing, increasing the likelihood of unintended pregnancy

What to do if your IUD has moved

If you suspect your IUD has moved, taking prompt and appropriate action is crucial. 

Here’s a step-by-step guide on what to do:

• Check for strings: Start by checking for the IUD strings in your vagina. If you can feel the strings and they seem normal in length, the IUD may still be in place. However, if the strings are significantly shorter or longer than usual, it might need medical attention
• Do not remove it yourself: Under no circumstances should you attempt to remove the IUD yourself. Improper removal can lead to complications and increased risks
• Visit your healthcare provider: Schedule an appointment with your healthcare provider as soon as possible. They will conduct a thorough examination, which may include a pelvic exam, ultrasound, or other imaging tests to assess the IUD’s position
• Consider emergency care: If you experience severe pain, visible or palpable displacement, or signs of infection, seek emergency medical attention promptly
• Discuss options with your healthcare provider: Depending on the assessment, your healthcare provider will discuss appropriate next steps. This may involve repositioning the IUD, considering a different contraceptive method, or, in severe cases, removing the device
  

Conclusion

Navigating the realm of IUDs involves understanding the signs, symptoms, and potential risks associated with displacement. 

Increased discomfort, changes in menstrual patterns, and difficulties locating strings are vital indicators. 

Displacement symptoms, including pelvic pain and irregular bleeding, warrant immediate attention. 

IUDs tend to move more if you have strong cramps during your period, have an extreme tilt to your uterus, or have a small uterine cavity.

Risks range from unintended pregnancy to Pelvic Inflammatory Disease. If you suspect displacement, check for strings, but never attempt self-removal. 

Seek professional help promptly, discuss options with your healthcare provider, and ensure your reproductive health remains a priority.

Frequently Asked Questions

• mayoclinichealthsystem.org
• ncbi.nlm.nih.gov