t really cause any discomfort during removal after
expiry time,Mirena up to 5 years.Most of the complications and discomfort is caused due to sepsis and displacement or expulsion of IUD which prompts for removal.Removal of an IUD requires sterile environment, an experienced Gynecologist who is aware of the anxiety and discomfort during the removal procedure.Reassuring of the patient and patient understanding and co operation are prerequisites for a successful removal of any IUD.