It is painful to remove the ring, but this pain is tolerable for most people. It is usually recommended to remove the ring within three to seven days after menstruation, because the endometrium is not very thick at this time, which can reduce bleeding and the difficulty of the operation, and generally as long as the ring is not embedded, the operation will take less time and the patient will not feel very painful. In addition, if the ring is embedded in the uterus, or some menopause for several years to remove the ring, the uterus has been atrophied, or some in the late menstruation but request to remove the ring, when the endometrium is thicker, these cases under the ring, the patient will feel more pain and bleeding, and even the ring can not be removed normally, of course, the operator’s skill is also the key to remove the ring. If the ring has been embedded in the myometrium or migrated to the pelvis, conventional IUD removal cannot be effective and requires hysteroscopy or combined hysteroscopic and laparoscopic IUD removal; if menopause is over one year, the uterine body and cervical atrophy are obvious and the risk of conventional operation is high, so inpatient ultrasound-guided IUD removal is required. The IUD can be removed under ultrasound guidance. In short, under normal circumstances, IUD removal will not make the patient feel very painful, only slight abdominal pain, which is generally tolerable, do not worry, except for some special cases of appeal.