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A 20-year-old member asked:

Im having a iud taken out because it moved out of place & now surgery is needed is there any other options instead of anesthesia?

5 doctor answers14 doctors weighed in
Dr. Carolyn Thompson
Obstetrics and Gynecology 28 years experience
It depends: If the iud is embedded in the uterus, it can possibly be removed with what is called hysteroscopy. Spinal or epidural can be used. If it has passed through the uterine wall, laparoscopy will be needed, and general anesthesia will be required.
Dr. Richard Grisoli
Anesthesiology 40 years experience
Also you can have iv sedation and a paracervical block.
Jan 25, 2012
Dr. David Edsall
Anesthesiology 47 years experience
In office or surgery: If in office you could have a 1 paracervical block. If in operating room options r 2caudal, 3spinal or epidural or general are the options. U recover/go quicker with a general. For all 5 complication rates r about the same rate but different kinds. If you use your voice for a living avoid general if you can. If you use your legs avoid the others but these are very very rare complications.
Dr. John Stork
Anesthesiology 43 years experience
Always options: Some anesthesia is always needed for surgery; but what kind depends on the type of surgery. Sometimes a regional anesthetic, without general anesthesia is possible - in this case perhaps a paracervical nerve block. An epidural or spinal might also be sufficient. Discuss the possibilities with your anesthesia provider.
Dr. David Rosenfeld
Pain Management 27 years experience
No: Not unless you want to be very uncomfortable.
Dr. Richard Pollard
Anesthesiology 30 years experience
Possibly: Talk to your OB doctor, it is possible that they could do this under sedation with the use of some local anesthesia. A full general anesthetic is rarely needed.

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Last updated Sep 28, 2016

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