IUD Removal and Return to Fertility

Evidence for Immediate Return to Fertility

• The American Academy of Pediatrics guidelines state that studies support a rapid return to fertility after IUD removal, whether copper or levonorgestrel-releasing devices, for both nulliparous adolescents and parous women of all ages 1, 2, 3, 5, 6
• No waiting period is required before attempting conception after IUD removal, as fertility returns immediately 1, 2, 3, 5, 6
• Past associations between IUD use and infertility in nulliparous women were attributable to sexually transmitted infections (STIs), not the IUD itself, according to the American Academy of Pediatrics 1, 2, 3, 5, 6
• Counsel patients that fertility returns immediately upon IUD removal with no "recovery period" needed, as recommended by the American Academy of Pediatrics 1, 2, 3, 5, 6