Pregnancy Chances After Removing IUD: What You Need to Know - Obstetrics and Gynecology

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The probability of conception after the removal of an intrauterine device (IUD)?


I have been using the Mirena IUD regularly for six months.
I would like to know if there is still contraceptive effectiveness if ejaculation occurs within 2 to 3 days before my period after removing the IUD.

A, 20~29 year old female. Ask Date: 2023/04/09

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, that period is considered safe.
Wishing you good health.

Reply Date: 2023/04/09

More Info


When it comes to the use of an intrauterine device (IUD) for contraception, understanding how it works and what to expect after its removal is crucial for anyone considering pregnancy. The IUD is a highly effective form of birth control, and its removal can lead to a quick return to fertility.
Firstly, it’s important to note that once an IUD is removed, the contraceptive effects cease immediately. This means that if you have unprotected intercourse after the IUD is taken out, there is a possibility of becoming pregnant. The timing of your menstrual cycle can also play a significant role in this. If you are within the days leading up to your expected period, the likelihood of conception may be lower, but it is not impossible. Sperm can survive in the female reproductive tract for up to five days, so if you have intercourse just before ovulation, there is still a chance of pregnancy.

Regarding your specific question about the effectiveness of the IUD in the days leading up to your period, it is essential to understand that the IUD does not provide any contraceptive protection once it is removed. If you are planning to avoid pregnancy, it is advisable to use an alternative method of contraception immediately after the IUD is taken out. This could include barrier methods like condoms or hormonal methods like birth control pills.

If you are considering trying to conceive after IUD removal, many women find that their fertility returns quickly. Studies have shown that women can conceive within the first cycle after removal, and many do so successfully. However, individual factors such as age, overall health, and any underlying reproductive issues can influence this.

In terms of timing, if you are trying to conceive, it is beneficial to track your ovulation cycle. This can be done through various methods, including monitoring basal body temperature, observing changes in cervical mucus, or using ovulation predictor kits. Engaging in regular intercourse during your fertile window (the days leading up to and including ovulation) will increase your chances of conception.

Additionally, if you have concerns about your reproductive health or fertility, it may be helpful to consult with a healthcare provider. They can provide personalized advice based on your medical history and current health status. They may also recommend prenatal vitamins, such as folic acid, which is crucial for fetal development and can help reduce the risk of neural tube defects.

In summary, after removing an IUD, there is no contraceptive protection, and pregnancy can occur if you have unprotected intercourse. If you are looking to conceive, your chances are generally good, and tracking your ovulation can help optimize your efforts. If you have any concerns or specific questions about your situation, seeking guidance from a healthcare professional is always a wise choice.

Similar Q&A

When Can You Get Pregnant After Removing an IUD?

Dear Doctor: I had my contraceptive device removed on February 25, 2005. When can I get pregnant? 1. Some doctors say to let nature take its course, and if my uterus recovers well, I can get pregnant right away without needing contraception. 2. However, other doctors advise waiti...


Dr. Lü Lizheng reply Obstetrics and Gynecology
In principle, it is best to let nature take its course. If the uterus recovers well, one can conceive immediately, so there is no need for contraception. However, some individuals may experience infections or inflammation after the insertion of an intrauterine device (IUD). It is...

[Read More] When Can You Get Pregnant After Removing an IUD?


Can You Get Pregnant After Removing a Birth Control Ring?

Hello, doctor. I have been using an intrauterine device (IUD) for almost a year, and my menstrual cycle has been regular. I would like to ask, if I remove the IUD after three weeks and have intercourse the next day with ejaculation inside, is there a possibility of pregnancy? Doe...


Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the effectiveness of an IUD can reach up to 99% when used correctly, including during the week of removal. Thank you! Wishing you peace and health. Dr. Chang

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Understanding IUDs: Removal, Recovery, and Pregnancy Concerns

1. After the insertion of an intrauterine device (IUD), it is generally recommended to leave it in place for up to five years. If you wish to conceive during this time, the IUD can be removed. This removal typically does not have any adverse effects on your body, and fertility us...


Dr. Zhuang Zhijian reply Obstetrics and Gynecology
1. It can be removed at any time without causing any harm to the body. 2. No special rest or hospitalization is required. 3. The intrauterine device (IUD) has a contraceptive effectiveness of over 90%, but it is not 100%. During fertile periods, it is advisable to use additional ...

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Can Yellow Discharge After IUD Removal Indicate Pregnancy Risk?

If I removed my contraceptive device two months ago and still have yellow discharge, am I at a higher risk of becoming pregnant?


Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, removing it increases the chance of pregnancy, so please be cautious. Wishing you good health.

[Read More] Can Yellow Discharge After IUD Removal Indicate Pregnancy Risk?


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