The IUD removal procedure can be a little painful. If the IUD has been in place for 14 years, there is a possibility that the IUD and the uterine cavity may be adhered to or the IUD may be embedded in the uterus during the IUD removal process, so the pain of the IUD removal may be stronger. If it is a T-ring, the probability of the IUD becoming embedded is relatively small and can be removed directly. If you have a metal ring or another ring that is not easy to remove, the pain will be worse during the procedure. Women who are afraid of pain can consider painless removal of the ring, but most women can tolerate the pain. If there is no vaginitis or acute inflammation of the cervix, the IUD can be removed, but if there is an infection, it is recommended that anti-infection treatment be given first.