The odds of an IUD expulsion are rare ... Wildemeersch D. Role of uterine forces in intrauterine device embedment, perforation, and expulsion. Int J Womens Health. 2014;6:735-744.
Generally, the patient should be assured that the inability to feel a string most commonly means that the strings have retracted and not that the IUD has perforated the uterus or been expelled.
The copper IUD is a long lasting, nonhormonal birth control placed into the uterus by a doctor, explains Kecia Gaither, MD, MPH, FACOG, double board certified in OB-GYN and maternal fetal medicine ...
When can I use an IUD? and so there's a string with the IUD that allows for bacteria to go up into your uterus and out the fallopian tubes and cause a possibility of pelvic inflammatory disease ...