Used as a contraceptive method, the IUD (intrauterine device) is increasingly an option for those who want to prevent pregnancy. The device is inserted by a gynecologist into the uterine cavity.
Despite being widely used, the method may raise some doubts. Recently, a case involving influencer Hayley Davies went viral on social media. This is because, she reported that, during sexual intercourse, part of the device came off and injured the partner’s penis.
In conversation with the CNN gynecologist Rogerio Felizi, who works at Hospital Alemão Oswaldo Cruz, explained, based on scientific analysis, whether IUD displacement is possible, as well as the risks and what to do in situations similar to the influencer.
Is it normal for the IUD to come out of place?
According to the expert, IUD displacement can occur, but it is not considered a common occurrence. “According to some studies, total or partial expulsion of the IUD can
happen in up to 10% of users, especially in the first months after insertion”, says Rogerio.
What could be the causes of IUD displacement?
The doctor says that the IUD expulsion rate may be higher in women who have not had children and in insertions made during the menstrual cycle, citing the study “Intrauterine device expulsion rates in nulliparous and parous women: a systematic review” (2016) , published in the “American Journal of Obstetrics and Gynecology”. Other factors may contribute to device displacement. They are:
- Insertion Technique: If the IUD is not inserted correctly, there is a greater risk of displacement.
- Type of IUD: Copper IUDs may have a different displacement rate compared to hormonal IUDs.
- Individual Characteristics: Factors such as age, parity and uterine anatomy can influence the position of the IUD.
Is contraception affected by the displacement of the IUD?
Displacement of the IUD can pose several risks, both in terms of contraceptive effectiveness and possible health complications.
When an IUD becomes dislodged, its effectiveness in preventing pregnancy may be compromised. The doctor explains that expulsion or partial displacement can lead to a significantly higher rate of contraceptive failure, with the possibility of unwanted pregnancy.
What health risks can IUD displacement pose?
- Risk of ectopic pregnancy: This type of pregnancy occurs when the fetus develops outside the uterus. It dies, is not reabsorbed by the mother’s body and calcifies. Women with
Incorrectly positioned IUDs have a higher risk of ectopic pregnancies, which can be dangerous and require medical intervention. - Infections: The presence of a dislocated IUD can facilitate the rise of bacteria from the cervix into the uterine cavity. Dislocation may also be associated with an increased risk of pelvic infections, such as Pelvic Inflammatory Disease (PID).
- Uterine Perforation: Although rare, IUDs can perforate the uterus during insertion or move out of the uterine cavity, which can cause pain, bleeding, and additional complications.
- Physical Symptoms: Displacement of the IUD can cause symptoms such as abdominal pain, irregular or abnormal bleeding, and discomfort. If these symptoms appear, it is
advisable to consult a healthcare professional.
Can the displacement of the IUD cause any type of injury to women or men if it occurs during sexual intercourse?
Displacement of the IUD can potentially cause injuries and complications in both women and men, even if it is designed for female use only, especially if it occurs during sexual intercourse.
“It is crucial that women who use an IUD have regular check-ups to monitor its position and avoid complications. If there are signs of dislocation, such as severe pain or bleeding, it is
It is essential to seek out a healthcare professional”, advises the specialist.
Injuries to women
Pain and Bleeding: displacement may result in abdominal or pelvic pain. When the IUD becomes dislodged or partially expelled, a woman may experience significant discomfort.
Risk of Uterine Perforation: A dislodged IUD can lead to perforation of the uterus, especially if it is not removed in time. Perforation can cause severe pain, bleeding and, in serious cases, complications such as infections.
Injuries in Man
Discomfort for the Partner: In some cases, if the IUD becomes dislodged significantly, the male partner may experience discomfort during sexual intercourse. This may occur
due to the tip of the IUD, which may protrude into the cervix.
Contamination Risk: If the IUD is dislocated and an infection (such as PID) is present, the partner may be at risk of contamination, especially if there is unprotected sex.
What are the signs of IUD displacement?
Signs of IUD displacement may vary. “It is crucial that users are aware
them to seek medical advice when necessary”, says Rogerio. Below are the main signs and guidance on what to do if these signs occur.
- Abdominal or Pelvic Pain: a sudden or persistent increase in abdominal or pelvic pain may be a sign of dislocation.
- Irregular Bleeding: Bleeding that is not typical of the normal menstrual cycle, such as heavy or prolonged bleeding, may indicate a problem.
- Sensation of a protruding “thread”: users should feel the IUD strings coming out of the cervix. If a woman notices that the hairs are shorter or missing, it could be a sign of
that the IUD has become dislodged. - Changes in the Menstrual Cycle: Significant changes in menstrual regularity or flow may occur. This may include shorter or longer cycles or bleeding
more intense. - Infections: Symptoms such as fever, unpleasant-smelling vaginal discharge, or pain during sexual intercourse may indicate an IUD-related infection. The presence of Pelvic Inflammatory Disease (PID) may be a concern if the IUD is dislodged.
What to do when these signs occur?
As soon as any sign of displacement appears, it is essential to schedule a medical appointment. Your healthcare provider may perform a physical exam and, if necessary, an ultrasound to assess the position of the IUD. Rogerio Felizi gives other advice on how to act:
- Do Not Try to Reposition the IUD Alone: Users should not attempt to reposition the IUD themselves, as this may cause further injury or complications. Removal or replacement
must be done by a healthcare professional. - Monitor Symptoms: It is important to monitor any additional symptoms that may arise, such as increased pain or signs of infection, and report them to your doctor.
- Consider Alternative Contraceptive Methods: If the IUD cannot be repositioned or if it needs to be removed, your healthcare professional can discuss methods
alternative contraceptives with the patient.
This content was originally published in Can DIU move out of place? Expert answers questions and talks about risks on the CNN Brasil website.
Source: CNN Brasil
I am an experienced journalist and writer with a career in the news industry. My focus is on covering Top News stories for World Stock Market, where I provide comprehensive analysis and commentary on markets around the world. I have expertise in writing both long-form articles and shorter pieces that deliver timely, relevant updates to readers.
