From the Research
The first string check after IUD insertion should be done 4-6 weeks following the procedure. At this initial follow-up appointment, your healthcare provider will verify proper IUD placement and trim the strings if needed 1. After this initial check, you should self-check the strings once a month, typically after your period. To check the strings yourself, insert a clean finger into your vagina and feel for the thin threads near your cervix. Regular string checks are important because they help confirm the IUD remains properly positioned. If you cannot feel the strings, they feel longer or shorter than usual, or you experience pain, unusual bleeding, or signs of infection, contact your healthcare provider promptly as these may indicate IUD displacement or expulsion 2.
Some key points to consider:
- The strings are designed to be felt only upon checking but shouldn't cause discomfort during daily activities or intercourse.
- Ultrasound is a cost-effective, accurate, safe, and accessible imaging solution for the assessment of IUDs, especially in cases where the strings are not visible 1.
- If IUD strings are not visible during gynecologic examination, ultrasound should be tried to locate the IUD and pelvic X-ray used only when ultrasound fails to locate the IUD 3.
- Retained intrauterine devices with or without strings can often be safely removed in an office-based setting under ultrasound guidance at less cost than in the operating room, even in cases with embedded IUDs 4.
It's essential to follow up with your healthcare provider if you experience any unusual symptoms or concerns after IUD insertion. They can assess the situation and provide guidance on the best course of action.