Whether or not a woman needs to have her IUD removed after 8 years has to do with the type of IUD and whether or not there are indications for its removal. Different types of IUDs have different life spans. The IUD has a certain life span and once it expires, it needs to be removed to avoid contraceptive failure. For example, the Mannuelle IUD has a service life of only 5 years, while the metal IUD has a service life of 10 to 15 years. The indications for IUD removal are also different. Women with menstrual disorders, pregnancies despite wearing the IUD, and perimenopausal menopause for six months may be considered for IUD removal. The IUD can also be removed when a woman has no need for contraception or wishes to change to another form of contraception. Removal of the IUD may also be considered if an ultrasound examination suggests that the IUD is embedded or has moved downward, or if it induces severe lumbosacral pain. When it is necessary to consider removal of the IUD, it is recommended that the woman needs to actively consult a specialist for advice.