You should feel for the string now and then, especially after menstruation, to make sure the IUD is in place. If it is not, you should use another form of birth control and call your clinician for advice. You should have a checkup within three months after insertion. You should always have annual checkups. Ask your clinician to remove your IUD if you want to become pregnant.
Most women adjust to their IUDs with few or no problems.
Bleeding may occur between periods. There is a small chance that the IUD may fall out. You may not know it, and pregnancy could result. Pregnancy with an IUD in place is rare, but if symptoms of pregnancy occur, you should have a pelvic exam immediately. If you are pregnant, the IUD should be removed as soon as possible.