Hysteroscopic IUD removal requires anesthesia, and the IUD can be removed using local anesthesia. The main reason for using hysteroscopy to remove the IUD is that ultrasound was done before the IUD was removed and it was found that the IUD had become embedded. In order to prevent the IUD from remaining in the uterine cavity during removal, hysteroscopic removal of the IUD is used to get a better understanding of the embeddedness of the IUD, and then remove it and minimize the damage. After IUD removal, you should rest in bed for about 48 hours, and you can work only if you do not feel uncomfortable. In addition, after the removal of the IUD, it is important to keep the vulva locally clean and not to have sex for 15 days after the removal of the IUD, and also not to take a sitz bath to avoid infection.