Intrauterine Device (IUD) Self Removal

Patients Pull the Strings: A Pilot Study of IUD Self-Removal Simulation

Status

Terminated

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05191238

Enrollment

Registered

2022-01-13

Start date

2022-02-22

Completion date

2022-12-12

Last updated

2023-12-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

IUD Removal

Keywords

Self removal of IUD, Educational video, Simulation, Patient education, Intrauterine device, Contraception

Brief summary

This pilot research study will teach patients how to self-remove intrauterine contraceptive device (IUD) through an educational video and simulation and evaluate patient perspectives and experiences related to IUD self-removal with two surveys. Patients will be recruited for this study at the time of presentation to the office for IUD removal. After consenting to the procedure, participants will complete a pre-intervention survey, watch a video explaining how to self-remove the IUD, and use two models to simulate IUD removal. After completion of using the models to practice IUD removal, participants will complete a second short survey. The participant will then be given the option of attempting self-removal and be given time to attempt the removal. If the participant elects to have the provider remove their IUD, the provider will do so. At the end of the encounter, participants will fill out a final survey. Research staff will measure the length of the strings of all IUDs prior to routine disposal of the device.

Interventions

OTHERIUD self-removal education

Two part educational intervention (watching IUD self-removal video and practicing IUD removal on two simulation models)

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

OTHER

Masking

NONE

Eligibility

Sex/Gender

FEMALE

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* English or Spanish speaking * Present to Boston Medical Center Yawkey for removal of IUD and have been consented for removal * Are eligible for removal of IUD in the office setting

Exclusion criteria

* Current incarceration

Design outcomes

Primary

Measure	Time frame	Description
Change in proportion of participants who are willing to attempt IUD self-removal	baseline, 15-30 minutes	Participants will be asked before and after reviewing the educational video and practicing self-removal through simulation, if they are willing to attempt IUD self-removal. The change in the proportion willing to attempt IUD self-removal will be calculated.
Proportion of participants who attempt IUD self-removal	15-30 minutes	Attempt Yes/No

Secondary

Measure	Time frame	Description
Success of IUD self removal	1 day	Success Yes/No

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026