Hysteroscopic removal of the IUD is somewhat painful, and if you are afraid of pain you can have a painless procedure.
Hysteroscopic IUD removal requires insertion of the hysteroscope into the uterus, as well as preparation of the uterus for dilatation, and when the position of the IUD in the uterine cavity is observed, the IUD needs to be removed with an IUD removal hook, and all of these operations will cause a certain amount of pain to the patient.
Women who are afraid of pain can ask for painless surgery, in which the patient is made unconscious through intravenous anesthesia before the operation.
However, this type of anesthesia requires fasting before the operation and is relatively expensive. Patients with severe heart disease, high blood pressure or other contraindications to anesthesia cannot have anesthesia and need to be evaluated by an anesthesiologist before they can have painless surgery.