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I've had my Paragard IUD for almost a year now; I should mention that this is my second, and that my first IUD was inserted about two and a half years ago and it expelled after three weeks. With the first expulsion, I didn't even feel the plastic tip of my IUD when it started to come out; all I felt was the little knot that's tied at the top of the strings, and which is right BELOW the plastic tip -- I suppose I was just starting to expel, and I had to demand an ultrasound to confirm this, because even with a visual pelvic exam my idiot doctor at the time told me I wasn't expelling. So, even though things seem to be going well for this second IUD, I do get paranoid from time to time that I'll expel this one, too.

I know that some posters in this community have become pregnant with their IUDs, sometimes in instances in which the IUD has shifted or changed position without the user knowing. I wonder if anyone here knows HOW to check placement of the IUD, other than just by feeling one's strings? My strings are wrapped around my cervix and so I can never really tell how long they are. I realize that I can go and get an ultrasound, but that's impractical, and also not a surefire strategy, since I suppose I could get the placement checked visually by an ultrasound and then the IUD could, theoretically, shift or expel afterward, right? I mean, I realize that's an unlikely scenario, but after having my own expulsion experience and reading posts here about women who have gotten pregnant without realizing their IUD has expelled, I'm starting to get really paranoid.

Any ideas? And does anyone else worry about this, or am I just being a big worrier?

Thank you!


( 4 comments — Leave a comment )
Feb. 25th, 2010 12:17 am (UTC)
My understanding is that the longer you have the IUD, the less chance it will move into a position that decreases its effectiveness in preventing pregnancy. And the chance already starts very low, since IUDs are 99.9% effective.
Feb. 25th, 2010 01:26 am (UTC)
When I had my Paragards, I worried just the same.
I don't think it's irrational or impractical to get an ultrasound if you want to just get a check up on it. But after you see it, and know that it's in place, I would take it as a sign not to worry as much anymore.
Feb. 25th, 2010 07:48 am (UTC)
Hmm... maybe you could get an ultrasound to confirm it's in place, and then have your strings cut flush with your cervix? That way you'll be able to tell if they're suddenly a lot longer?
Feb. 25th, 2010 08:09 am (UTC)
I'm one of those people who's IUD lowered, causing it to lose its effectiveness, causing me to get pregnant. I had no idea, and actually had my checkup a week before I got pregnant, so the doctor had no idea either.

But, a lot of these entries you're referring to were probably mine, since I made a bunch of posts. In reality, this kind of thing is quite uncommon. And, as someone else mentions, I think it's more likely in the beginning, before your IUD really settles down (I got pregnant 3 months after it was inserted).

I really wish I had a better answer, and will be checking this entry to see if someone else does. But I think in your case, one year in, you're pretty safe (especially if you get an ultrasound to make sure it's currently in it's right place).
( 4 comments — Leave a comment )

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