Dr Jasdev Singh
Removal of Retained or Difficult IUCDs
A coil with missing threads, or one that has moved or become stuck, can usually be found and removed safely with hysteroscopy.
Hysteroscopic Surgery
Safely removing a coil that is stuck or hard to find
An intrauterine contraceptive device, or IUCD, is also called a coil. Sometimes the threads cannot be seen, the coil has moved within the womb, or it is embedded in the wall. In these cases, a routine removal is not possible.
A lost or stuck coil can be worrying, but it is a problem that can usually be solved.
Dr Jasdev locates the coil with imaging first, so removal is planned safely.
Careful assessment before surgery
Scans, symptoms and past operations are reviewed, so surgery is only suggested when it is likely to help.
Fertility kept in mind
If you hope to conceive in future, surgery is planned to protect your womb, tubes and ovaries as far as possible.
Clear recovery guidance
You will know what recovery involves, when to return to normal activities and when your review is due.
What this procedure gives you
- Clear imaging to find the coil first
- Removal under direct view with a hysteroscope
- Advice on contraception or pregnancy plans afterwards
How your care is planned
Each stage is explained so you know why surgery is being considered, what it involves and how recovery will go. You can take time to decide.
Locate the coil with an ultrasound or X ray
Remove it by hysteroscopy, under sedation if needed
Discuss contraception or pregnancy plans
How removal works
An ultrasound shows whether the coil is inside the womb. If it cannot be seen, an X ray may check whether it has moved outside. Coils inside the womb are removed by hysteroscopy with small grasping instruments. Rarely, a coil outside the womb needs laparoscopy. The coil is checked once removed, to make sure it is complete.
Who may benefit
Women whose coil threads cannot be seen, whose coil has moved or is embedded, or who had an unsuccessful removal elsewhere. It also helps women who want to conceive but whose coil cannot be removed.
What to expect
Most removals are done as a day procedure. Mild cramps and spotting are common afterwards. If you want to avoid pregnancy, contraception is discussed before and after the procedure. A new coil can often be fitted in the same procedure if you wish.
How Dr Jasdev works with you
He combines surgical and fertility experience, and he explains each option plainly, including when surgery may not be needed. Plans follow current evidence and your hopes for the future. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia, and some travel from neighbouring countries.
What to bring to your appointment
These records help Dr Jasdev plan surgery safely and answer your questions fully. If you cannot find everything, bring what you have.
- Details of when and where the coil was fitted
- Any scan or X ray reports
- Your contraception or pregnancy plans
What women often ask
Surgery brings natural worries about safety, recovery and fertility. These common questions can help you prepare.
Where has my coil gone?
Can I get pregnant with it still in place?
Will removal hurt?
Can a new coil be fitted at the same time?
Your questions about difficult coil removal
What is a retained or difficult IUCD?
It is a coil that cannot be removed in the usual way, often because the threads are missing or the coil has moved.
Who needs this procedure?
Women whose coil cannot be removed at a routine visit, or whose coil is out of position.
What tests are needed first?
An ultrasound to locate the coil, and sometimes an X ray. A pregnancy test is done if relevant.
Is it painful or risky?
Hysteroscopic removal causes cramping and is done with pain relief or sedation. Risks are low. If the coil has moved outside the womb, the risks of surgery are discussed separately.
Why see Dr Jasdev for coil removal?
He locates the coil carefully first and removes it with care for the womb.
How do I book?
Call or WhatsApp the clinic, and bring details of your coil fitting.
This page is general information and does not replace a consultation. Whether surgery suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Have your coil removed safely
Book a consultation to plan removal.