When to Call the Doctor

At least monthly, women should check to be sure that they feel the string coming out of the cervix to make sure the IUD remains properly in place. To check for the string, sit or squat and with clean hands, insert the index or middle finger into the vagina until the vagina is felt. Do not pull the string. This may cause it to come out of place. If a woman does not feel the string, if the string feels too short or long, or if she feels the IUD itself, she should call the doctor.

Women who miss their periods or who notice unusual vaginal fluid or odor should call the doctor. Women who have severe abdominal pain or cramps, pain or bleeding with sex, unexplained fever and chills, or unexplained bleeding after the adjustment phase should call their clinician immediately.

Women using IUDs should have a checkup following the first menstrual period after an IUD is placed and should have regular examinations every year.