There is some pain when the IOM ring is removed, but it is usually tolerable. In the case of an incarcerated ring, the removal time will be longer and the pain will increase. If painless removal is used, it is usually painless. Removal of the IUD requires a uterine operation, in which the uterine cavity is explored and then the ring is removed with an applicator. Generally the removal of the IUD takes a relatively short time, and the pain of the removal is not very intense and is tolerable. However, if the ring becomes embedded, it may take longer to remove the ring and the pain of removing the ring will be significantly worse. In this case, you should not force the removal of the ring, but stop the operation in time for further proper examination. Removal of the ring can be assisted by other means, such as hysteroscopy. In this case, anesthesia is required, and the removal of the ring is painless. After the removal of the IUD, you should pay attention to the vaginal bleeding and abdominal pain, and if there is any abnormality, consult a doctor in time.