IUDs are little T-shaped instruments that reside snugly inside the uterus and may require anesthesia for this procedure. The procedure may can take between five minutes to an hour to complete. Recent research also indicates that an ultrasound-guided removal is an effective way to take out an IUD that won't come out with forceps. The IUD has got to go, whether patient ready to start trying for a baby or just reached time limit. The official recommendations are to remove a common hormonal option, five years after insertion. The doctor grasps visible strings using an instrument called ring forceps and gently pulls the IUD out. The ease of removal comes down to a few major things, using an instrument to push past your cervix, the IUD's wings don't have to open up in your uterus, plus the IUD's arms just fold in on themselves when it's being removed, so it's as small as possible.