Lower abdominal pain may occur before the IUD is dislodged, mainly due to uterine contractions caused by irritation during the IUD dislodgement process. Some people may also notice a small amount of vaginal bleeding or blood in the discharge. If this happens, it is recommended that you go to the hospital for a checkup to see if the IUD has fallen out. There are also some people who have lost their IUD but have no symptoms and only find out that the IUD has fallen off when they have their IUD checked. Therefore, it is recommended that women with IUDs should have an IUD checkup every year, mainly to find out the position of the IUD and to find out if the IUD has become embedded. If the ring is dislodged, other methods of contraception should be used to avoid pregnancy due to the absence of the ring.