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I made this post simply because I'm unsure of/don't know what I'd ever have to expect if this ever happened. I also check my strings regularly, being able to touch the cervix entry and the strings usually feel the same length they always have..unless it's around the time of my period and they go from shorter to longer and then back to my usual.
After sex with my boyfriend yesterday, which was a little rougher than normal, I found just a little blood in my underwear a few hours later with only a few mild cramps (this could have just been post-sex cramps though because it sometimes happens...) Good news is that small amount of blood stopped last night, but my mind constantly is overthinking, and since we didn't use a condom for the majority of the time, of course I'm worrying a little because there's always those what-ifs and we almost always use a condom.. like what if my IUD is dislodged now, making it ineffective when I needed it? (although he still didn't finish inside me)
How do you know it's being expelled by the strings? Will there be an insane amount of string curled up there? Will the cramps be excruciating? Will I be gushing blood?

I simply just don't know what I'd expect if it was dislodged or in the process of being expelled.
I haven't gotten my IUD checked at all since it was inserted in March so hopefully can schedule an appointment soon to make sure everything is okay..


( 13 comments — Leave a comment )
Dec. 22nd, 2013 09:50 am (UTC)
I can only speak from my own experience of expelling a copper IUD, and it was a couple of years ago, but...

- there wasn't any unusual amount of blood. I was mid period anyway, so expected blood, but my period carried on as normal without any surprises so if there was any "extra" bleeding it was a tiny amount
- I did get cramps when it partially expelled but they were very specifically across my cervix and not anywhere else. I took some ibuprofen and went to bed and they eased quickly and were gone in the morning
- I knew 100% for sure the IUD was expelling because I felt the plastic stem of the IUD, the knot in the strings, etc. sticking out of my cervix into my vagina - I think once you've felt that, you know for definite (although I vaguely recall there was one case of someone on here who did feel the stem and then later had the IUD position checked by ultrasound and it had somehow repositioned itself normally again, but if that happened I've only seen it once and I don't think such an example is recorded in the medical literature)
- the strings were definitely longer as well but not actually sticking out of my vagina at that point

In general I think rough sex leading to a bit of blood and cramping is more likely to be slightly bruised, irritated cervix rather than expulsion. Cervixes of people with IUDs can be a bit more sensitive than normal.
Dec. 22nd, 2013 04:03 pm (UTC)
True, I think once you feel the plastic stem you'd know off the back, (which would also scare the crap out of me!) The strings kinda got me thinking and I never really knew how long they were SUPPOSED to be..
Dec. 22nd, 2013 02:15 pm (UTC)
I had excruciating cramps. I've had two natural births and they were about as bad as the beginning of labor. I could also feel the IUD sticking out, that was the major indicator for me, and the strings were much longer.
Dec. 22nd, 2013 03:59 pm (UTC)
The bottom of the IUD like the tip of the plastic end? Ouch. I could imagine that being pretty painful.
Dec. 22nd, 2013 03:35 pm (UTC)
I just had my 6-week checkup and was told by my doctor that I'd know if it was expelling. She said I'd get bad cramps (as the poster above me describes) and if you're not currently on your period a 'gush' of blood as it moved down. If the strings are the same length and you don't feel the end of the IUD poking out I wouldn't worry.

In regards to your concern regarding pregnancy and the IUD being inefficient, there are some good stats by Scarleteen about this. You mention that your boyfriend pulls out each time, and so you would be considered as using two methods of contraception in this case. Intrauterine Devices + Withdrawal = 99.99% effective with perfect use - 99.78% effective with typical use. So you're odds are pretty good that there's nothing at all to worry about. You can find that info here: http://www.scarleteen.com/article/reproduction/the_buddy_system_effectiveness_rates_for_backing_up_your_birth_control_with_a_s

I totally get your trust issues with your IUD though. I've been backing up with condoms since I got mine in and I think I'll continue to do so. It makes me feel tonnes safer because pregnancy really isn't an option for me.
Dec. 22nd, 2013 03:59 pm (UTC)
Your posts are always so helpful, thank you so much. I don't think I'll be able to not use condoms and let him finish everytime we have sex for a while, and he totally understands and is okay with what I decide. While I'm not on my period we usually have sex about 2 or 3 times without a condom (and doesn't finish) and my nerves are fine..it was just with the blood and few cramps which followed that made my nerves uneasy I guess!
Dec. 22nd, 2013 04:13 pm (UTC)
It's great that you have a super supportive partner. Mine really doesn't like using condoms, but I sometimes use the word 'infection' (little white lie) or 'stabby strings' and he instantly doesn't mind the condom then. Even when I was on the pill I would feel much safer with using them. I don't mind condoms at all, and if they were just a tad more reliable than they seem to be in 'typical' use then I probably would never have gotten an IUD put in to be honest.

My doctor claims my copper-t IUD (the T-Safe cu 380a ql) is only 98% effective on the pearl index, but I've read in literature that it's over 99%. It was her advice to continue to use condoms alongside the IUD actually. Perhaps it's a little over-obsessed (she tends to be that way, she even suggested that I don't use tampons for the first two months), but it makes me feel safer.

But anyway, the chances of you falling pregnant when he's pulling out and you have an IUD in place is very slim. The IUD irritates the lining of the uterus and I would say that some bumping of the cervix could cause some of that lining to fall away. I've noticed I sometimes get brown and blood tinted discharge after a strong orgasm and even after exercise. Some women even get spotting during vigorous exercise without an IUD. But of course, if it settles your mind just get someone in a family planning clinic (preferably the one you got the IUD in with) to check your strings and make sure everything's okay. I felt so relieved after my 6-week checkup.
Dec. 24th, 2013 11:31 pm (UTC)
'Stabby strings' might scare me too if I was a guy haha, I'm really glad my boyfriend doesn't mind condoms at all that's for sure because I have anxiety over the smallest things as well as overthink them and he understands that..I'm sure he also just doesn't want to deal with me constantly worrying and asking if I'm okay haha. Whatever makes you feel most comfortable I guess, and condoms I guess do that for me and keep my nerves down, even if I have an IUD inside me. I'm anticipating my check-up and just want to be told that everything is running smoothly, I'll be so relieved as you were.
Dec. 23rd, 2013 04:59 am (UTC)
All three times my Paragards expelled, I didn't feel cramps or any signs.
Each time, my strings were longer and/or the plastic stem was hanging out of it. It's so thin, I couldn't feel it until I went to feel the strings and it was either dangling out or poking the cervix and I could feel it was hard.
The third and final time, it was out far enough that I could just pull the whole thing out. I felt absolutely no pain, maybe a slight cramp, but that was it.
Dec. 23rd, 2013 09:51 am (UTC)
I had my IUD placed 2 weeks ago and I'm a bit concerned that I can't feel any strings. My doctor told me not to worry about checking for them and that they'd be fine- but I wouldn't mind having the reassurance! I have tried but I can't seem to go high enough?
Dec. 24th, 2013 12:56 am (UTC)
You will find you'll get more responses if you make a post to this community. (LJ FAQ should help you with that if you don't know how.) You might also appreciate the strings tag, where you can see many people talk about feeling--or not--the strings. This FAQ post breaks down how to find your strings and assess their length, and I highly recommend you check it out.

If you can't find your cervix in any position, at any point in your cycle and when you're totally not aroused--and some people just can't reach that high--then maybe you can ask a partner to feel them. Some docs don't put a lot of emphasis on checking the strings, especially if it causes a lot of anxiety or is physically difficult. So it's not super duper important that you can assess the length and presence of the strings on a regular basis. A bunch of people on this comm have described their expelling IUD's strings as right at the vaginal opening. If you can't reach your strings, maybe that could be a reassurance all its own: can't reach them, therefore it's not currently expelling. You could always ask any partner to check the strings before sex, just to make sure the IUD is present.
Dec. 30th, 2013 04:41 pm (UTC)
I didn't have any unusual cramping, but I could feel the tip of the IUD sticking out of my cervix. Mine expelled within 2 weeks of insertion, so I was still spotting a bit from that, but I didn't have any "extra" bleeding/spotting from normal.

I wouldn't worry about rough sex dislodging an IUD; it would be incredibly problematic if normal sex could render an IUD "ineffective" :)

Sep. 9th, 2016 10:16 pm (UTC)
IK this is an old post but I wanted to say that my IUD is partially expelled and I had no idea until I got an ultrasound. I felt fine and no spotting and can't feel the tip of the IUD sticking out. I barely even got an ultrasound the only reason was that the strings we're just a little to long and the doctor wanted to be safe. I suspect mine started to expel within the first week or two of getting it although they didn't find out until over a month after getting it :s

Edited at 2016-09-09 10:18 pm (UTC)
( 13 comments — Leave a comment )