It is not possible to have an IUD for more than 20 years without removing it. This is due to the fact that after menopause the entire reproductive organs of a woman will atrophy, including the vulva, the cervix, and the uterus. In this case, the IUD will not shrink, so the IUD in the very small uterine cavity may cause the patient to have pain in the stomach and lower back pain. Moreover, removing the IUD after menopause can cause great difficulty for the surgeon because the uterus is harder at this time and the cervical opening is difficult to dilate. Therefore, if the IUD is removed after menopause, it must be taken out. If you are not yet menopausal, you can wait until you have not had your period for six months before you go to the hospital to have your IUD removed.