IUD replacement (removal + insertion of new IUD) in Ponferrada

The answer is yes. If you identify any of the following situations at any point during the treatment, it is important to visit your specialist for a check-up of the device:

1. Displacement or natural expulsion of the device: the device moves from its place in the uterus and you begin to notice symptoms such as persistent pain, part of the device protruding from the vagina, or being unable to feel the threads that hang from the device. In this situation, it is important to visit the specialist to perform an ultrasound and confirm the position of the IUD before removing it and performing the replacement.
2. Persistent pain and discomfort: when you suffer from severe pelvic pain, it can be a sign of infection, displacement or other gynaecological conditions, and it is necessary to perform the removal and replacement of the device.
3. Abnormal bleeding: if you experience heavy and irregular bleeding in the months following the IUD insertion, a check-up is necessary as this is one of the symptoms of IUD displacement, and its removal and replacement is essential.
4. Suspicion of pregnancy: this situation is unusual since the IUD is almost 100% effective, but there is a small possibility of experiencing a missed period and showing symptoms of pregnancy. Upon any suspicion, it is very important to visit the specialist for a check-up.

Do you need to replace your IUD with a new one?

Make an appointment now with one of our gynaecology specialists and schedule your IUD device replacement quickly and easily.

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As we have mentioned previously, IUD devices have an expiry date and therefore, leaving the device in for longer than its expiry date carries risks.
The most common risks that occur in this situation are:

• Loss of contraceptive effectiveness of the IUD: the effectiveness of the contraceptive method is tied to its expiry date (the copper wears down and the hormones run out over time). If the IUD is left in for longer past this date, the patient is highly likely to lose contraceptive protection against the risk of pregnancy.
• High risk of infections: if the IUD is left in for a prolonged period after having reached the end of its useful life, there is a high risk of pelvic infections due to the accumulation of bacteria caused by the wear and tear of the device.
• Greater difficulty in removing the device due to embedment: if the IUD remains in the uterus for years past the expiry date, there is a risk that the material may become stiffer and even adhere to the wall of the cervix due to the natural wear and tear of the device. This wear and tear causes greater difficulty in subsequently removing the device.

The process of IUD replacement consists of first performing the removal of the old or faulty IUD device and the insertion of a new device.

It is a procedure that is performed during the same appointment and lasts only between 10 and 15 minutes.

On the agreed day with the Hospital de la Reina, you go to the gynaecology consultation where the procedure will be performed:

1. Once prepared on the examination table, the specialist first proceeds to remove the IUD. First, they place the speculum to keep the vagina open.
2. The specialist's next step is to locate the threads that were left protruding from the cervix and are attached to the device.
3. They proceed to remove the IUD, holding the threads with forceps and pulling them gently.
4. The IUD slides and comes out through the cervix, folding up.

It is normal to feel mild discomfort during the IUD removal process, but it is a minimal and bearable pain.

Next, the gynaecologist proceeds to perform the insertion of the new IUD device. The steps of the process are as follows:

1. Without removing the speculum, the specialist cleans the cervix with an antiseptic solution to disinfect it.
2. A uterine sound is introduced, a measuring instrument called a hysterometer, which helps the gynaecologist measure the size and depth of the uterus.
3. Following the examination and measurement of the cervix, the IUD device is inserted into the uterus. The IUD is inserted with the help of an applicator tube that helps slide the instrument through the cervix, and once inside, the arms of the device deploy to remain placed in a T-shape at the fundus of the uterus. The applicator tube is removed.
4. Finally, the IUD guide threads that are left hanging outside the vagina after the insertion of the device are cut. The specialist leaves about 2 centimetres of thread protruding from the cervix so that the device can be removed when the time comes. With this final step, the speculum is removed.
5. The gynaecologist performs a gynaecological ultrasound to check that the position of the IUD is correct. Once everything is verified to be fine, the procedure ends.

Does the IUD replacement process hurt more?

It does not hurt more than the independent processes of IUD insertion and removal. In fact, many patients report that the replacement is less uncomfortable as the cervix is already accustomed to the device.

The cramping that patients usually feel during the replacement is brief and passes in a matter of minutes.

The price of the IUD replacement with Operarme is 180 € and includes the following services for the performance of the procedure:

• Medical fees.
• Outpatient stay.
• Surgical material necessary for the medical procedure.
• Gynaecological consultation for the procedure.
• Gynaecological ultrasound.
• Removal of the IUD device.
• Insertion of the IUD device.
• New IUD device not included in the price.

If you need to replace your IUD with a new one, at Operarme we make it easy for you to purchase and schedule your appointment with one of our gynaecology specialists. You only need to follow these steps:

1. Click on the "Purchase service" button.
2. Complete the fields and make the payment for the treatment.
3. You will receive a purchase confirmation email with your medical voucher and invoice attached.
4. Our Patient Service team will contact you by phone to confirm details and schedule your appointment for the replacement.

Do not hesitate to contact our Patient Service team by calling at +34 91 141 33 56 or leaving a message on our contact form if you need assistance or have any questions. Our team will be happy to help you with whatever you need.

You can purchase your voucher for the IUD replacement at the Hospital de la Reina by clicking on the following banner: