So, let's say someone gets an IUD. Now they have a few years before it has to get replaced. What if, during that time, something happened, and now they can no longer get to someone to take it out (anything from the apocalypse [nuclear, zombie, otherwise] to moving somewhere too far away, to not being able to afford a visit, etc.) What happens? Will they have any major issues? Will they just have permanent BC? Will any pregnancy result in complications?
So letâs say that everything is cool, itâs 2022 and weâre having a great time in the future so you decide to go get a copper IUD because you want to have tons of penis-in-vagina sex and not get pregnant. Â A month later youâre loving your life, sexing all over the place and just about to walk to work when you see ZOMBIES EVERYWHERE!!!!!
So, the years pass. Â Things are scraping by and youâre hunkered down in your fort with a few other annoying but reassuringly human comrades, and you get a crush on the sexy newcomer. Â Should you rely on your copper IUD even though itâs way passed the 12 years the IUD is approved for? Â You certainly donât want to raise a baby in this new world.
The consensus, among my midwifery friends, is yeah, probably. Â While thereâs no research to tell us exactly how long the copper IUD would work for, we can assume that itâll keep working. Â There are permanent IUDs that work exclusively by being a presence inside of the uterus and causing an immune reaction that affects semen to stop it from getting to the egg and prevents implantation. Â Theyâre not used in the US now since the Paragard and the Mirena are both more effective, but that is a thing that happened. Â So if you want to avoid pregnancy and the last condoms were definitely used up years ago, you could either practice withdrawal or probably trust your IUD. Probably. Â While the Mirena IUD (the hormonal IUD) will probably stop working on the hormonal side of things after 7 years, just having something in your uterus should do it to a certain degree. Â If you accidentally get pregnant with the IUD in place there are increased risks of miscarriage and preterm birth. Â
But what if you DO want to get pregnant? Thereâs no doctor on your side of the river since old Dr. Bob got eaten last yearâŚwhat do you do?  You can take out an IUD on your own pretty easily â itâs not so difficult.  If you have tweezers or any kind of tongs/pliers, sterilize them in fire and then cool them in boiled water.  Once cool & clean, have a friend wash their hands and insert two fingers into your vagina.  Find the IUD strings & try pulling on them with just fingers.  If thatâs enough, they should have you cough and pull the IUD out at the sane time.  Voila!  If the strings are too slippery they can use the newly sterilized tweezers/tongs to insert along next to their fingers and grasp the strings.  Cough, pull, done.  If you have any difficulty with this and you REALLY want that baby, it might be time for you to take a convoy across the river to find a new doctor/midwife/nurse (especially since youâre going to be pregnant and in labor sometime soon too). Â
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