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Mirena IUD removal via hysteroscopy... My experience (Page 1)

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Hi ladies,

I’m actually not a regular member of this site, but I had my Mirena IUD removed via hysteroscopy yesterday and wanted to share my story for anyone else who may be facing this in the future and isn’t sure what to expect, because I had trouble finding information about this specific type of situation. I hope I can be of comfort to someone else out there in my shoes in the future.

For the week leading up to the procedure I was rather nervous. Was the IUD still in place? Could this affect my future fertility? Would the procedure hurt? I spent hours reading things online and actually had trouble finding stories similar to mine. I scared myself reading experiences of ladies whose IUD had punctured the uterus and traveled into various parts of the abdomen and required laparoscopic surgery to remove it. Although I had had an ultrasound that showed that the IUD was still in place, the strings were just not there to grab, I didn’t really know what to expect. So for anyone who may be searching the internet for information about this particular type of experience, here’s what happened to me:

Like I said, when I went in to have the IUD removed, the doctor could not see any strings. She even tried using this little “hook” tool to fish around and try to tease the strings down, but no luck. She scheduled me for an ultrasound just to make sure that it was in place. If it was, she would remove it with a hysteroscope, a little camera inside to put inside my uterus, and then use a clamp to grab it and pull it out. IF it was not in place, well then…. That could be a scarier story. Luckily, mine was still in place, so we scheduled a hysteroscopy.

The doctor prescribed Cytotec, Valium, Percocet, and Motrin (Ibuprofen). 4 hours prior to the procedure I had to put a tiny cytotec pill/tablet up “inside” me, as close to the cervix as possible. Then two hours prior, I took one valium, one Percocet, and one motrin, spaced out about 15-20 mins in between each. They just made me relaxed and a little sleepy, kind of like NyQuil makes me feel. I was able to stay at work until it was time to go. My husband picked me up and took me to the Dr office.

The speculum used to hold open the vagina is the worst part for me. It kind of hurts a little to have something metal pushing up inside you and stretching you open. Then she injected a shot into my cervix of some kind of numbing medicine. Up to that point, the valium had kept me very calm, and I hadn’t had any physical symptoms of nervousness, such as accelerated heart rate, heavy breathing, etc. But when she injected that numbing medicine, it was a bit of a pinch/stinging feeling and it made my heart start racing and my body got a little bit shaky. She even asked if my heart was racing yet, and told me those are normal side effects from the numbing med. The heart racing only lasted a couple of minutes, and the shakiness wasn’t too bad and subsided by the end of the procedure.

She put some kind of fluid inside my uterus to “inflate” it, then put the camera inside and I was able to see what was going on up on the screen. Once the camera was in, it only took about a minute or two to find the IUD, grab it, and pull it out. That was a feeling of relief. : ) Then she took out the metal thing that was dilating my cervix open, checked it for any damage/cuts, saw none and took everything out. It was over! : ) I got dressed and walked out feeling really good. I was really surprised that I did not feel any cramping whatsoever during the procedure. I felt happy and even a little “silly” for an hour or so after it was done, from the lingering effects of valium combined with my own relief in having it over with.

About 2-3 hours afterward I did feel a little bit of cramping, but it didn’t last very long. I have been spotting a little bit, but again, nothing dramatic. I plan to start trying to conceive in a month or two. According to my Dr., there should be no risk to my fertility from any of this. I plan to start trying to conceive in a month or two. I’ll try to remember to post an update to let you know how soon I’m able to conceive!

I realize this info won’t be relevant to a lot of women out there, but hopefully it can bring someone else the kind of comfort I was looking for before I had it done. : )
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First Helper sl399
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Users who thank sl399 for this post: Aprilf  doverspikemel  jkshimp 

replied May 27th, 2011
Thank you so much for posting about your experience. Im also scheduled for this procedure next week and haven't been able to find out anything about it. I am slightly nervous that my Dr. hasn't prescribed me any medication to take before hand though, but did mention the cervical numbing. Please keep us posted on your TTC journey!
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replied June 29th, 2011
Kelli, I hope your procedure went well!

So here's my update:

May 20: Hysteroscopy to remove Mirena IUD (after 1.5 yr)
May 30: Started a normal period (on time, cycle day 29)
June 7-8: Suspected ovulation (had lots of thick cervical mucus for two days, but I wasn't officially tracking it so not 100% sure)
June 29: Pregnancy test BFP!

That was quick! We fell pregnant basically our first month trying! I'm thrilled and very relieved that the IUD didn't affect my fertility!

Good luck to you all!
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replied November 9th, 2011
How long did you wait?
How long were you supposed to wait before resuming sex again? I had a hysteroscopy for Mirena removal because the strings disappeared and it was time to remove/replace the device. The nurse said maybe 6 weeks but the Dr. said a "few" and the paper they sent me home with said nothing about "sex" except, "...nothing should be inserted for 2 weeks." Since I didn't have any growths removed or anything, I'm guessing 2 weeks is alright as long as I'm comfortable?
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replied November 9th, 2011
I'm pretty sure my doctor's recommendation was "nothing inserted for 2 weeks" too. After at least two weeks as long as it's not painful at all I think that should be fine.


Another update in case anyone is interested:
I started miscarrying Aug 1 (at 9 weeks pg). I don't think it had anything to do with the IUD though. After the miscarriage I waited one full cycle and then tried again, and got pregnant on the first try again! 7 weeks along now. Keeping my fingers crossed for this one!
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replied February 29th, 2012
Mirena IUD removal because of breast cancer
Thank you so much for sharing your story. I am having this procedure in a few days for Mirena IUD removal. Your posts definitely eased my concerns. I have to have this removed because I have breast cancern and am undergoing chemotherapy. As a side note, there is appears to be some evidence linking progesterone (contained in Mirena) to breast cancer. I am so relieved to be having this removed. I should have listened to my instincs and never had the IUD inserted.
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replied February 29th, 2012
Mirena IUD removal because of breast cancer
Thank you so much for sharing your story. I am having this procedure in a few days for Mirena IUD removal. Your posts definitely eased my concerns. I have to have this removed because I have breast cancer and am undergoing chemotherapy. As a side note, there is some evidence linking progesterone (contained in Mirena) to breast cancer. I am so relieved to be having this removed. I should have listened to my instincs and never had the IUD inserted.
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replied March 27th, 2012
thanks for your story it helped me alot. ive went to two different doctors to have my iud removed but no luck, so now they suggested this hystoperoscopy perceidure. i was very nrous until i read this so thanks so much.
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replied March 27th, 2012
thanks for your story it helped me alot. ive went to two different doctors to have my iud removed but no luck, so now they suggested this hystoperoscopy perceidure. i was very nrous until i read this so thanks so much.
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replied April 30th, 2012
hysteroscopy merina coil removal
so glad i found this,, yep i was worried too Sad im booked in to have mine removed in 2weeks!! little less worried now tho, i`ll have to post an let ppl know how mine went. fingers crossed,(for kristiMangan)that is awfull news i hope u come out on top and everthings ok, fingers crossed for you xx and 4 sl399 hope all is goin good for you
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replied October 10th, 2012
Thanks for posting this and the other ladies who posted as well...there really isnt much out there on thi. My strings 'disappeared' as well and though the dr i went to say said that my iud was still in place (per ultrasound), she couldnt get to the strings to get it out. My uterus has basically swallowed it. She recommended that i should see a specialist as her office is small and doesnt have the 'special equipment' needed to remove it the way it is. I am very nervous because i am not comfortable with the thought of the whole thing being in there, and my fiance and i wanted it removed to start ttc...and i am worried this will affect my fertility or if it stays in there too long it could become imbedded, etc...please keep updating ladies and thank you!!!
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replied October 10th, 2012
Sraskds,
I hope the procedure goes well for you!
Just as an update for me, I did conceive again very quickly, and we now have another beautiful baby boy. Even though this experience scared me, and at the time I didn't think I would want an IUD again, I actually decided to get the Mirena again after this baby was born. I am not too worried, and I'm not worried about it affecting my fertility anymore, because I conceived so quickly after the first one came out. Other than the nerve-wrecking experience of getting it out, I love it as a form of birth control.
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replied October 25th, 2012
update: I had an appoitment with my long time regular obgyn last friday for the procedure, while it was painful, they were able to remove it successfully...they attempted to remove without any medications being administered but because it was very painful i ended up getting the numbing shot in the cervix which helped but it was still a lot of pinching sensations as they tried to hook to it and pull it out, definitely felt when it came out, was a combination cramping/pinching sensation but what a relief! the dr advised that i should be back to 'normal' feeling within a day or 2, and said it was ok to use tampons for bleeding if preferred over pads...i have not....dr also indicated that i should be ok to return to normal 'sexual activity' within a few days as well...however after waiting a few days and trying i immediately experienced bleeding (very red, not the brownish residual stuff) and upon calling back was advised by the nurse to hold off for about another week due to something may have been scratched or irritated during the removal process...DID ANYONE ELSE EXPERIENCE ANYTHING LIKE THAT???...i am a bit concerned because, although the dr didnt indicate embeddment, that was the first thing the nurse asked me when i told her about the red blood after intercourse...other than that i feel fine, not cramping or any pain...and the horrible side effects of the mirena like lower back pain and migraines and awful mood swings and anxiety have already subsided...
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replied April 30th, 2013
This message is to the original poster. I realize this forum is from 2011 but I am replying anyway.

I wanted to get my IUD removed and had an appointment with my doctor. He could not find the strings and now I am scheduled for an ultrasound for May 8, 2013. I hope that I do not have any complications. I want it removed and hope that I will not need an invasive procedure.
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replied May 31st, 2013
Hysteroscopy IUD Removal
TO sl399 (original Poster)
I'm new at this and i'm super scared about this procedure. Mine is schedule for June 21st and your story has been very helpful to me. My Doctor couldnt find the strings on mine either so she suggested this procedure. After reading above comments I know see that it's kind of commun for this to happen. Reading about you having a miscarriage after getting it removed it's scary news for me. I had one 5 years ago and I really do not wish to experience this again. So now I'm scared. Having this IUD remove so I can be able to conceive it's a big step for me. I didnt want to even think about having kids after I had the miscarriage. Please tell me any more updates on your life after your procedure. I think you were able to have a baby, didnt you?
Thanks
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replied June 1st, 2013
Hi Nessa,

Try not to worry too much. It will be over before you know it. Smile I honestly don't think that my miscarriage was BECAUSE of the IUD, but I probably should have waited two or three cycles before TTC instead of getting pregnant immediately after removal, just to let my body have a chance to get back to normal first. But yes, after the miscarriage I only waited one month and then tried again and got pregnant on the first try again! I had a great pregnancy, a healthy baby boy, and we are about to celebrate his first birthday this month! And, believe it or not, I opted to get another Mirena after he was born. Even though I was scared when all this was going on, I think I gained a better understanding of it afterward and realized it wasn't anything too serious. Since I love it as a form of birth control, I decided to use it again. I hope I won't need to have another hysteroscopy to get it out, but if I do, at least it's not so unfamiliar and scary this time around. I have a very posterior cervix so I think the string just slips up inside because of that.
But anyway, try not to stress too much! As long as it didn't move out of place and puncture anything (very rare) you should be fine and it shouldn't have affected your fertility at all. Best of luck with the procedure and TTC! Smile
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replied June 7th, 2013
Hello sl399
Thanks so much for your promp reply, I will try my best not to worry about it. I emailed my doctor asking if there was another way to have it removed. She replied that she could try again to remove it at her office but it will be the same procedure she did when she couldnt find the strings. I dont even know if it's worth the shot. Debating whether or not I should have her try again or if I should just wait for the Hysteroscopy procedure.
I'm so glad to hear that your baby boy is doing wonderfully. Happy Birthday to him Smile
Hope my story has a happy ending like yours did. Smile
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replied June 7th, 2013
Hi, thanks for sharing, good to see some positive experiences rather than scare stories! I have mine removed in a month. Have had mirena for 2 years and had the strings cut as my husband could feel them during sex, now i need to have the hysteroscopy to remove it. However, my procedure is under general anaethetic, has anyone else had this?
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replied June 24th, 2013
I am also having my IUD removed under general anaesthetic on Wednesday and am really nervous. I've had it for 2.5 years and went for a smear and to check the strings, which weren't there. After ultrasound and small forceps, I need a hysteroscopy to remove the IUD and it will be done under general anaesthetic. I would also appreciate anyone else's experience of this! Thanks.
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replied June 24th, 2013
Hello HKANNE,
I just had it done this past Friday. I was scared as you are right now. Now I see why sl399 (orinal poster) said to not worry about it. It's a very quick and easy procudure. It's totally normal to feel scared because you dont know what to expect. I had the same problem as you. I wanted it removed and my Doctor couldnt find the strings. She did and ultrasound and the IUD was in place. So she schedule me this procedure. Mine was quick and honestly I hardly remember it. I was under General Anaesthetic as well. I didnt feel any pain during the procedure. I did however get cramps after it but that was pretty much all I got. I was back to normal activies hours after the procedure.
So on that note, i'm sure everything will be fine with yours. As long as your IUD it's in place and nothing is wrong with it (which i'm sure yours it's totally fine), this procedure will be quick and easy for you.
Let me know how it goes. Take care Smile
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replied June 24th, 2013
Thank you NessaB11! This is so reassuring! The operation is tomorrow so I will post again for any future people wanting to know about it. I'm nervous!
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replied June 25th, 2013
Hi HKanne,
just relax and you will see that it will be over before you know it. Smile
it's normal to feel nervous and Scared
There is always a first time for everything in life. Thank God our first time on this, it's a very quick and easy procedure Smile
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replied June 28th, 2013
Hi! Well it's over now, the IUD is finally out! I had the hysteroscopy under general anaesthetic and was worried and scared. It was over in half an hour, and while going into theatre in a hospital is scary, it was all very routine and I felt nothing. Afterwards I experienced cramping, but not too bad and I had a splitting headache from the general anaesthetic, but that's all.
Anyone reading this is the future - please be reassured! And good luck to you all!
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replied June 28th, 2013
Hello hkanne, I'm glad to hear that everything went well. The idea of it for first timers it's very Scarry but it really is a simple procedure. good luck to you. take care.
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replied July 28th, 2013
Thanks for the update. I went to the FPC and the consultant couldn't remove so I have to ring to book scan etc tomorrow. I am also scared. This is end of life for my second one (first one no problems) and I am a borderline decision because of my age as to whether I have another. But I agree with s1399 above - it's been great. Thanks for sharing your experiences ... sometimes I really love the internet Smile
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