I can help with this. Here are reliable signs that an IUD may be out of place and what to do about them. Direct answer
- If you cannot feel the IUD strings, or the strings feel longer or shorter than usual, the IUD may have moved or become partially expelled. This is one of the most common warning signs.
- New or worsening pain, cramping, or pain during sex could indicate displacement or irritation inside the uterus.
- Unusual vaginal bleeding, heavier or irregular periods, or unusual vaginal discharge can accompany IUD displacement or irritation.
- If you or your partner can feel a hard plastic part of the device at the cervix or inside the vagina, this strongly suggests the IUD is out of place or expelled.
- Fever, chills, or severe abdominal pain are possible signs of infection or a partial/complete expulsion and require urgent evaluation.
What to do if you suspect displacement
- Do not pull on the strings. Instead, wash your hands and gently check for the strings yourself if you feel comfortable, but avoid manipulating the device. If you cannot feel the strings or they feel different, contact a healthcare provider promptly.
- Schedule an appointment with your clinician or urgent care to confirm placement, usually via a pelvic exam and/or imaging (like an ultrasound). They can verify whether the IUD is still in the correct position or needs to be removed/reinserted.
- If there are signs of possible expulsion (sudden severe cramping, heavy bleeding, or fever), seek urgent medical care.
Prevention and monitoring tips
- After insertion, check for the strings periodically (for example, a few weeks after placement and then after your first few periods) to ensure they remain in the expected position. If you notice a change in string length or cannot feel the strings, contact your provider.
- Be aware that pregnancy is still possible if the IUD has moved significantly, so use backup contraception if you’re unsure about placement and avoid relying on the IUD until confirmed by a clinician.
Notes
- Different sources describe similar signs, including changes in pain, bleeding, discharge, and the ability to feel the strings. If you’re unsure, or if any of the warning signs are present, it’s safest to contact a healthcare professional promptly for assessment.
If you’d like, I can tailor this to your type of IUD (copper vs hormonal) or your timeframe since insertion, and help you find nearby urgent care or clinic options.
