IUD expulsion is a rare condition where an intrauterine device (IUD) becomes dislodged from its proper position in the uterus. While only affecting about 6% of IUD users, it's important to understand the signs and know what actions to take if it occurs.

Common Risk Factors:

• Recent vaginal delivery or abortion
• Having four or more children
• Heavy menstrual bleeding
• Obesity or overweight
• Younger age

Key Symptoms:

• Abdominal pain
• Pelvic pain
• Vaginal bleeding
• Missing or longer IUD strings
• Feeling the hard plastic of the device

What to Do If Your IUD Falls Out:

1. Don't try to reinsert it yourself
2. Contact your healthcare provider immediately
3. Use backup contraception until you see your provider
4. Keep the IUD if you find it (for medical examination)

Monthly Self-Checks:

• Feel for the strings after each period
• Only touch the strings, not the device itself
• Check if strings feel longer or shorter than usual
• Note any unusual cramping or bleeding

Medical Attention is Needed If:

• You cannot find the IUD strings
• You can feel the plastic part of the IUD
• You experience unusual pain or bleeding
• You suspect pregnancy

Complications of Displaced IUDs:

• Increased risk of pregnancy
• Possible ectopic pregnancy
• Infections
• Heavy bleeding
• Uterine perforation
• Pelvic inflammatory disease (PID)

Prevention Tips:

• Attend follow-up appointments
• Complete regular string checks
• Be aware of risk factors
• Report any unusual symptoms promptly

Regular IUD checks with your healthcare provider are essential, especially in the first few months after insertion. If expulsion occurs, alternative birth control methods should be discussed with your healthcare provider to ensure continued pregnancy prevention.

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