Q: Hello Dr. I had an IUD inserted some few months ago and I check for the strings almost regularly but a few days ago, I started having lower abdominal pain and checked, I couldn’t feel the strings again. What should I do? Please, it’s urgent.
A: Hi dear, thanks for writing in. After an IUD has been inserted, you would have been taught how to check for the strings. It’s an easy process: squat on the floor or put a leg up on a chair and insert a finger into the vagina. You should be able to feel your cervix (may feel like the tip of your nose with a small hole in the middle) with two strings coming out of it. You should check for this after each menstrual period, at the very least.
Now checking and not feeling the strings may mean that the IUD has moved. Remember that the IUD prevents pregnancy by ensuring that ovulation does not occur or implantation does not occur or the sperm does not get to the uterus. If the IUD has moved, then you may not be adequately protected against pregnancy. So, be sure to use another method of contraception like condom or abstain from sexual intercourse until you can see your doctor. Emergency contraception may also be an option.
For more on IUDs, be sure to check out our previous posts on the subject:
Have a great night, y’all 😀