I want to share my experience with my Paragard IUD and its removal. I read some experiences on here before my hysteroscopy that were so helpful with setting expectations, so I figured I’d add mine.
Long story short, it was amazing to have, and the worst to remove, because it ripped in two when they tried to take it out. I’ve since switched to Mirena.
I originally chose Paragard because I wanted something non hormonal. When I was a teen I got terrible periods - mood swings, acne, debilitating cramps, nausea. I threw up pretty much every time and it was a good day when I could keep the midol down.
As I got older - or maybe because of the Paragard - my period changed. No naseau, manageable cramps, and the mood swings improved.
After 12 years with no issues, I made an appointment to get it changed out. I was terrified because when it was first put in, I had a horrible, crampy time after the cervical block shot wore off and didn’t want to go through that again.
I told her how nervous I was and I asked for the shot before the removal. She said, “Don’t worry. I’ll use extra numbing gel.”
Boy, I should NOT have taken that for an answer.
I’ve never cried from pain before, but after getting the Paragard out, I can check that off my bucket list. Literally, it was the worst pain I’ve ever had. After over a decade hanging out inside me, that thing was so stuck that the midwife had to go get another doctor to help.
Well, they got it out - most of it. The IUD ripped in two pieces and one of the arms was still stuck inside in my uterus. Doctor said, “Oh, yeah. That can happen.”
To get it out, they told me they had to do a hysteroscopy, which they only performed once a month in-office. With the in-office procedure you’re awake the whole time, so there’s no twilight anesthesia (like what you get for a colonoscopy).
I got scheduled for an ultrasound first to locate the IUD, which was fine and not painful, just a little uncomfortable because they make you drink a lot of water so you have to pee pretty bad.
Then I had to wait. I had some intermittent cramping on the side where the IUD arm was lodged over the course of a few weeks, but nothing too terrible. I did a consult with the doctor ahead of time, told her about my nerves and pain during removal, and she prescribed me cytotec, ativan, and norco.
The day of my hysteroscopy I took a single ibuprofen and put the two cytotec pills in my lower cheeks (like a chipmunk) and let them dissolve. After about an hour they were still there, so I swallowed the remnants. I was worried about taste, but it was just chalky nothing.
The cytotec is supposed to open up your cervix, and they warned me it could make me crampy and nauseous. They were right - but it was pretty minor (maybe the ibuprofen helped?). I didn’t need a heating pad and felt pretty fine.
About 30 minutes before the procedure I took the Ativan, which is for anxiety, not pain. I was so nervous about this whole thing, and I would have been a WRECK without this to calm me down.
When I got there, they gave me a pregnancy test first, followed by a shot in my butt of super strong ibuprofen, essentially, a heating pad, and a cervical block, which is a needle they stick up you. It isn’t pleasant but I was SO glad to have that. After it kicked in, it felt less like trying to breathe through the worst cramps of your life, and more like someone is rummaging through a drawer near you that you can kind of feel pressure from.
She first tried to see if she could just get it with tools and couldn’t, so then set up for the hysteroscopy, which involves a lot of water. They dilated my cervix, which was not my favorite, even with the cervical block, and tried to get the camera in.
Camera was too big, more dilation.
Camera still too big. She went back in with her tools blind and GOT IT. Thank goodness, because I am fine if no one ever dilates my cervix ever again.
She put in the new IUD, which was just a quick pinchy feeling, what with all the stuff they had given me.
And no, it was not another Paragard. I have completely lost faith in them. I heard that this type of failure, while super rare to happen in IUDs in general, is crazy common for Paragard - to the point where people have sued for this exact design flaw. The arms get brittle after so many years and can snap off when you try to remove it, which is exactly what happened to me.
After the procedure I felt a little disoriented, like how you feel getting up after a massage or walking off an intense roller coaster. They gave me a pad for the spotting, which was pretty minor. I had someone drive me, which I highly recommend. I probably could have driven myself if I had to, since at that point I hadn’t taken the norco, but I wasn’t in the right frame of mind.
The cervical block took a couple hours to wear off. I took the norco she prescribed me once it started to hurt and took a nap with a heating pad for three hours straight. I am feeling very hopeful that my new Mirena will not rip itself into pieces in eight years when I go to have it taken out. Wish me luck!