IUD removal questions for doctor

[ironbaby]

My IUD comes out tomorrow (squee!) and I have a few questions I want to ask the doctor, but I wondered if the GKU brain trust knew of any others I should be asking. I am already taking the PNVs she recommended at my last annual.

I will be asking what her office's ultrasound schedule is (just for fun), and how far along they would want me to be before coming in for the first time.

What else?

[SheilaTheTank]

Apr 8, 2015 13:23:39 GMT -5 ironbaby said:

My IUD comes out tomorrow (squee!) and I have a few questions I want to ask the doctor, but I wondered if the GKU brain trust knew of any others I should be asking. I am already taking the PNVs she recommended at my last annual.

I will be asking what her office's ultrasound schedule is (just for fun), and how far along they would want me to be before coming in for the first time.

What else?

If you are on any medications I would discuss those with her and if you should still be taking them while TTC. This includes any herbal medicines or supplements. 

[youdontsay]

When I had my IUD taken out, the gyn who did it (he was covering for my regular gyn) told me to keep doing what I was doing (I was taking a PNV at the time) and good luck.

Fwiw I'm not on any RX meds though and everything else checked out fine health-wise.

[ghostmonkey]

Save the pregnancy questions for when you get there. You call when the test is positive and they will schedule accordingly.

[lemoncupcake]

Not related to an IUD, but in my annual last month we chatted about a few pre-TTC things like vitamins, CF carrier testing, MMR titer testing and a general list of things that would warrant a call (like 60 days without a period, etc.).

[ugotstarbucked]

In retrospect I wish I had asked what to expect upon removal. When I had my IUD out, I started bleeding 2-3 days later (not a period, but withdrawal bleeding). I had the equivalent of a medium to heavy period for 10 days, which was not something I'd ever experienced before and I ended up calling my practice about it. Knowing what to expect ahead of time would have been really helpful.

[Deleted]

Do you have the Mirena or the copper IUD, ironbaby? I was on BCP most of my life and then I got the Mirena. There was definitely an adjustment period (hormonally speaking) for me after having it removed. I feel like the Mirena "blunted" my monthly hormone response. For example, I started having joint pain, increased CM, breast tenderness, nausea etc. at different times in my cycle. Clearly I thought I was totes preggers when I had breast tenderness, nausea, and no IUD.

[ironbaby]

Apr 8, 2015 19:26:41 GMT -5 @303sunshine said:

Do you have the Mirena or the copper IUD, ironbaby? I was on BCP most of my life and then I got the Mirena. There was definitely an adjustment period (hormonally speaking) for me after having it removed. I feel like the Mirena "blunted" my monthly hormone response. For example, I started having joint pain, increased CM, breast tenderness, nausea etc. at different times in my cycle. Clearly I thought I was totes preggers when I had breast tenderness, nausea, and no IUD.

I have Mirena. I have a feeling it will be a big adjustment, because I have had no period for over 7 years, and most my other symptoms are reduced if not absent.

[getzystark]

Apr 8, 2015 22:12:18 GMT -5 ironbaby said:

Apr 8, 2015 19:26:41 GMT -5 @303sunshine said:

Do you have the Mirena or the copper IUD, ironbaby? I was on BCP most of my life and then I got the Mirena. There was definitely an adjustment period (hormonally speaking) for me after having it removed. I feel like the Mirena "blunted" my monthly hormone response. For example, I started having joint pain, increased CM, breast tenderness, nausea etc. at different times in my cycle. Clearly I thought I was totes preggers when I had breast tenderness, nausea, and no IUD.

I have Mirena. I have a feeling it will be a big adjustment, because I have had no period for over 7 years, and most my other symptoms are reduced if not absent.

I was on an emotional roller coaster for about 2 weeks after IUD removal. After that I was back to my "normal."

[fozziebear]

Ask about recommended time to TTA after it comes out. I was told 2 months/cycles and others here were told other amounts of time. My system is definitely resetting itself and I think actively TTC this cycle would have been a bad idea.

I agree with ghostmonkey, asking about stuff that happens once you're pregnant isn't necessary. I know why you want to ask, but it's not necessary.

[MissMusic]

I agree about the scheduling when you get an HPT+.

Other than that, you can ask general questions regarding if you need to TTA, how long until your cycle regulates, etc. You can kind google all of that but sometimes its good to hear it form the doc. The OBs I have seen have told me that TTC right after removal is fine.

FWIW, I had Mirena surgically removed the first few days in Jan, and things are still weird with my. Not sure if its removal related, but things haven't smoothed out yet. It might take a while but that doesn't mean you can't TTC with a wonky cycle!

[fozziebear]

How did the removal go?

[ironbaby]

Apr 10, 2015 6:43:59 GMT -5 fozziebear said:

How did the removal go?

It went pretty well. The strings were hiding and had curled up into my cervix, so she had to dilate me a little and bring in some extra equipment. She worried that she'd have to bring me back another day (she was in a satellite office that day) to see an ultrasound tech, but as long as I was comfortable she was persistent. It was a little odd feeling, but not painful until the split second it actually came out.

My doc was very forthcoming with answers, giving me lots of information without my having to ask; I really like her. I can start trying immediately: no need to wait til AF or a complete cycle. We are waiting til May anyway, but it's nice to know.

Thank you all for your help!

[fozziebear]

I'm glad it came out and you got all your questions answered!