Infertility: Can an IUD Cause Infertility?

Several months ago I had my IUD removed after seven years of use. I'm trying to conceive and want to know if long-term IUD use could have damaged my uterus and left me unable to conceive.

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Peg Plumbo CNM

Peg Plumbo has been a certified nurse-midwife (CNM) since 1976. She has assisted at over 1,000 births and currently teaches in the... Read more

The IUD does not damage the cervix or uterus, and is probably not the cause of a fertility problem itself. Complications of IUD use, such as pelvic infection, can render a woman infertile or subfertile. A woman does not have to experience symptoms of such an infection to find out, years later, that she is infertile. The reproductive tract infection, chlamydia, may lie dormant for many years, causing no symptoms while permanently scarring the tubes.

Some women may experience symptoms such as fever, tenderness above the pubic bone, tenderness in the cervical region associated with a pelvic exam, discharge from the cervix, uterine tenderness or ovarian tenderness. These symptoms may be signs of an infection that could possibly lead to tubal damage.

I would recommend that you start charting your fertility signs: cervical mucus, cervical position and basal body temperatures. These are nicely outlined in Toni Weschler's book, Taking Charge of your Fertility.

If, after six to twelve months, you have not yet conceived, you may want to consult a fertility specialist.

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