Replacement

If a woman requires IUC replacement because it is due to be changed, a same-day replacement is preferred.

If the device is malpositioned, but not perforated through the uterine wall, a same-day replacement is preferred.

If a perforation has occurred, and the device can be removed in the office, a new device should be placed after 4-6 weeks to allow the uterus to heal. Backup should be used.

SOGC Clinical Practice Guideline, Canadian Contraception Consensus (part 3): Chapter 7 – Intrauterine Contraception