If you have an intrauterine an equipment (IUD), you may have heard horror stories around it moving about (displacement), or worse — fallout’s out totally (expulsion).

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This may have led you come wonder whether anything you placed inside your vagina has the potential come pull out your IUD.

Naturally, human being tend come be involved about duration products — particularly tampons.

But return both tampons and also IUDs go into the human body in the same way, castle don’t end up in the exact same place and also shouldn’t influence each other.

Here’s everything you should know about safely making use of tampons if you have actually an IUD.


According to Dr. Elle Rayner, one obstetrician, gynecologist, and also the founder that The Maternity Collective, human being with an IUD have the right to “absolutely” use tampons.

“Your IUD sits inside the uterus, vice versa, a tampon is inserted into the vagina, therefore neither will interfere through each other,” Rayner explains.

But it’s ideal to protect against using tampons automatically after your IUD is inserted.

“You’re advised to use pads for 48 hrs ,” states Dr. Deborah Lee, a sexual and reproductive healthcare specialist in ~ Dr Fox digital Doctor and also Pharmacy. “You shouldn’t insert anything right into the vagina throughout this time to minimize the risk of infection.”

Most healthcare professionals agree that tampons shouldn’t be supplied until at the very least 4 weeks after ~ IUD insertion.


It’s “very rare” for world to report dislodging one IUD with a tampon, notes Lee.

And there isn’t much research right into it either.

What’s believed to be the very first study in this area uncovered no evidence in between tampon usage and greater rates of beforehand IUD expulsion.

In 2019, additional research found no association between concurrent tampon use and also IUD expulsion.

However, an ext research is required to fully explore the potential impacts of period products ~ above IUD placement.

Of course, other factors can make expulsion more likely, claims Lee, including:

having heavy, painful durations not having delivered a baby vaginallyinsertion immediately after a surgical abortion or shipment of a babythe skill of the inserter

There no much evidence — either anecdotal or clinical — to prove that tampons can reason IUDs to move around or autumn out.

But theoretically, the only means this could happen is if friend accidentally record the strings of the IUD as soon as pulling out your tampon.

Your IUD strings shouldn’t be long enough for this to it is in an issue, though.

Plus, her tampon strings hang external your body, definition you shouldn’t have to reach within to remove it.

If your tampon doesn’t have actually a string, take care to just pull in ~ the section of the tampon closest to the quality opening.


Before booking an appointment for IUD insertion, that a an excellent idea to speak v your doctor about any period-related concerns.

For example, your physician can aid you choose the best type of IUD for her body.

Hormonal versions tend to make periods lighter or stop them completely, an interpretation you might not must use certain duration products as much or in ~ all.

Doctors can likewise recommend alternate menstrual products if you have actually a tilted uterus.

Although that perfectly feasible to usage tampons v a tilted uterus, some people find them challenging to insert.

Don’t forget come let your IUD inserter know which duration products you’re most likely going to be using, too.

“They might recommend trimming the strings a bit much shorter to mitigate the possibility of displacement,” Rayner says.


In the first few weeks after IUD insertion, “there’s a slight enhanced risk of quality infections,” Rayner says.

To mitigate the risk of infection, many experts advise avoiding tampons because that the an initial month.

Depending top top the time of her periods, this may mean you’ll need to use different commodities like pads because that your very first period after getting an IUD.

Lee also notes that “it may be cautious to hold-up using tampons” till after your IUD follow-up appointment.

This is generally recommended 6 weeks ~ insertion, together “the highest possible risk the the IUD being expelled is in the very first 6 weeks ~ fitting,” Lee explains.


Checking the you have the right to still feel her IUD strings after each period will help reassure you the your IUD is tho in place.

As your cervix can adjust position throughout her menstrual cycle, it’s likewise a good idea to feel for the strings at various times of the month so you obtain to know where castle are.

Of course, if you’ve had your strings reduced short, this may be difficult.

Below, Lee describes how to inspect the strings are still in place:

Wash and dry her hands. Eliminate your underwear and sit down comfortably top top a chair, or the edge of a bed. Insert your second and 3rd fingers in your vagina and feel downward and also backward, climate upward and round the bend, and also you should discover your cervix. (It’s hard and also rubbery, and also said come feel choose the pointer of her nose.)Feel for the strings. The IUD subject feel prefer pieces that fishing line — hard and also metallic. Don’t worry about whether you have the right to feel one thread or two. As long as you feel them and they seem the usual kind of length, that’s all you have to know.

The easiest means to recognize if your IUD has fallen the end is if you an alert it. It might fall in the toilet, for example.

“The worst instance scenario is one unnoticed expulsion,” Lee says. “If you’re yes, really unlucky, the very first you know around it is a shock confident pregnancy test.”

That’s why checking the strings after ~ each duration is vital.

(If the whole IUD has dislodged, you might even be able to feel the coil protruding native the cervix.)

“If you’re worried you can not feel your strings, or you feeling may have come to be dislodged or fallen out, it’s vital you get checked to confirm directly away,” Rayner says.

“If you’re making use of an IUD for contraception and you have had actually unprotected sex-related intercourse, you may need emergency contraception,” she adds. “If it’s mistakenly placed, or no in situ, you can be at danger of unplanned pregnancy.”

You should likewise use an alternative method of contraception until a healthcare expert has checked your IUD.

Try not to panic if the over happens.

“Most often, the threads will be there,” Lee says. “They may have actually tucked themselves about the cervix and also are lied flush with the surface, therefore simply not be really easy to feel.”

According come Lee, “if the threads can’t be found, will send you for an ultrasound scan to view if the coil is in the uterine cavity.”

But, she says, “if this is the case, the IUD have the right to be left alone till time because that removal.”

In rare cases, Lee continues, “absent coil threads typical the IUD has perforated, definition the an equipment has passed v the wall of the uterus and into the pelvic cavity. You’ll need a laparoscopy — keyhole surgical treatment — to remove it.”


If she uncomfortable through the idea of utilizing tampons, there are plenty of other duration products top top the market.

Some people find term cups and discs an ext comfortable than classic tampons.

But one current study did find a potential link between menstrual cup use and IUD expulsion.

Therefore, the just “risk-free” products are ones that don’t call for insertion, such as pads and duration underwear.


Although that theoretically possible for a tampon to dislodge or pull the end an IUD, situations are extremely rare. For this reason there’s really small need to worry.

If she concerned, simply remember to check your IUD strings each month.

And if it makes you feel much more comfortable, usage other period products when your duration comes around.

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Lauren Sharkey is a U.K.-based journalist and also author specializing in women’s issues. When she isn’t trying to find a method to banish migraines, she have the right to be found uncovering the answers to her lurking health and wellness questions. She has also written a publication profiling young woman activists throughout the globe and is right now building a ar of together resisters. Record her on Twitter.


critical medically reviewed on might 11, 2021



Medically reviewed by Janet Brito, Ph.D., LCSW, CST — written by Lauren Sharkey on might 11, 2021

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