Fibroid refers to uterine smooth muscle tumors. Patients with uterine smooth fibroids are usually not affected by the removal of the IUD. Uterine fibroids are relatively common among gynecological conditions, and it is possible to remove the IUD with fibroids. The exact way of removing the IUD varies depending on the location and size of the fibroid. Fibroids growing between the muscle walls, small in size, and not pressing into the uterine cavity will generally not affect the removal of the IUD. If the fibroid grows in the uterine cavity or between the muscle walls, is large and protrudes into the uterine cavity, in this case there is some difficulty in removing the IUD, it is safer to remove the IUD under ultrasound guidance or hysteroscopy. There will be a small amount of vaginal bleeding after the removal of the IUD, which usually disappears on its own within a short period of time. Patients with uterine smooth fibroids can have the IUD removed 3 to 7 days after their menstrual period, and it is recommended to have regular checkups after the removal of the IUD to observe the changes in the size of the fibroids.