Medically Reviewed by Dr. Oluwakemi Balogun (Kemi), MD — Medhaven Health
When you first get an intrauterine device (IUD), it’s normal to wonder what you can and can’t do afterward. One of the most common questions women ask is: “Can exercise dislodge an IUD?”
The short answer is no, exercise does not dislodge an IUD when it’s properly placed by a healthcare provider. But since your body may need time to adjust after insertion, you may notice cramping, light bleeding, or increased awareness of your IUD during workouts in the first few weeks. Let’s break this down step by step.
Understanding How an IUD Stays in Place
An IUD is a small T-shaped device inserted into your uterus by a doctor or nurse practitioner. Once placed, it sits securely inside the uterus, with flexible strings that extend into the cervix.
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The uterus is a muscular organ designed to hold much more than an IUD (think pregnancy).
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The cervix stays tightly closed, holding the IUD in place.
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Unless the device is improperly positioned or expulsion occurs, exercise does not cause it to “fall out.”
So, whether you’re jogging, lifting weights, or doing yoga inversions, normal physical activity won’t push your IUD out of place.
Can Exercise Dislodge an IUD?
No, exercise itself cannot dislodge an IUD. Studies and clinical experience show that the uterus holds the device firmly, and exercise movements—no matter how intense—do not affect its position.
However, here are a few things to keep in mind:
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Expulsion risk: About 2–10% of women may experience partial or complete IUD expulsion, usually within the first 3 months of insertion. This is related to uterine contractions, not workouts.
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Mirena IUD in toilet: Sometimes, women discover their IUD has expelled during menstruation and may even notice it in the toilet. This isn’t linked to exercise but rather to the body naturally pushing it out.
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Symptoms of expulsion: Heavier-than-usual bleeding, increased cramping, or feeling the plastic part of the IUD at the cervix.
If you notice these symptoms, contact your provider immediately.
Can I Work Out After IUD Insertion?
Many patients ask, “Can I work out after IUD insertion?”
Here’s what doctors recommend:
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Day of insertion: Light activity only. Cramping and spotting are common, so rest if needed.
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24–48 hours later: Most women can resume moderate exercise, such as walking, yoga, or cycling.
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Within 1 week: Strenuous activities like running, weightlifting, or HIIT workouts are generally safe unless advised otherwise.
👉 The key is to listen to your body. If cramping or bleeding worsens during workouts, scale back until you feel better.
Can I Exercise After IUD Insertion Without Risk?
Yes. Once your uterus adjusts, you can safely resume all types of exercise. This includes:
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Running and cardio workouts
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Weightlifting and resistance training
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Pilates and yoga, even inverted poses
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Swimming and water aerobics
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Team sports like basketball, soccer, or tennis
Your IUD won’t shift because of physical activity.
Does Working Out Affect IUD Strings?
Some women worry that movement or core exercises might tug at the strings. In reality:
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Strings are flexible and soften over time.
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Exercise does not shorten or lengthen them.
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If you or your partner feel the strings during sex or notice sharpness, ask your provider to trim or adjust them.
When to Avoid Exercise After IUD Insertion
Although exercise itself is safe, there are times when it’s best to hold off:
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Severe cramping or heavy bleeding beyond the first few days.
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Fever, chills, or unusual discharge, which could indicate infection.
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Confirmed expulsion or malposition of the IUD.
If you experience these, call your doctor before resuming workouts.
Tips for a Smooth Recovery After IUD Insertion
Here are some practical steps to make your post-insertion workouts more comfortable:
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Hydrate and rest – Give your body a chance to recover the first day.
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Use pain relief if needed – Over-the-counter medications like ibuprofen can ease cramps.
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Wear supportive workout gear – A high-support sports bra and comfortable leggings help during sensitive days.
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Start with low-impact workouts – Walking, light cycling, or stretching before returning to full intensity.
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Check your strings regularly – Learn how to feel for them so you can confirm the IUD is still in place.
Expert Commentary
As a women’s health specialist, I’ve counseled many patients who worried their IUD might shift during workouts. One patient, a marathon runner, delayed her training for weeks because she feared her IUD might “fall out” during long runs. After reassurance and proper follow-up, she safely resumed running without issues.
👉 The takeaway? Exercise does not move your IUD—your uterus is designed to hold it securely. The only real risks are early expulsion or rare complications unrelated to fitness.
FAQs About Exercise and IUDs
1. Can you work out after getting an IUD?
Yes, light exercise after 24 hours is fine, and most women can resume full activity within a week.
2. Can I do core workouts or heavy lifting with an IUD?
Absolutely. Neither ab workouts nor lifting weights will affect your IUD.
3. Can sex dislodge an IUD?
No, intercourse cannot push your IUD out of place, though partners may feel the strings.
4. What should I do if my IUD comes out in the toilet?
Call your healthcare provider immediately. Use backup contraception until your device is replaced.
5. How do I know if my IUD is still in place?
Feel for the strings once a month, usually after your period. If you can’t find them, schedule a check-up.
Key Takeaway
So, can exercise dislodge an IUD?
👉 The answer is no—your IUD is designed to stay put, even during vigorous workouts. While you may want to take it easy for the first couple of days after insertion, exercise does not cause IUD expulsion.
If you ever notice symptoms like severe cramping, heavy bleeding, or your IUD in the toilet, see your healthcare provider immediately. Otherwise, you can continue your fitness routine with confidence, knowing your IUD is safe and secure.
Disclaimer: This is informational content, not a substitute for professional medical advice.
CRNP, FNP-BC, MSN is a board-certified Family Nurse Practitioner with 16+ years of experience. She provides personalized, high-quality care in family medicine, preventive health, and chronic disease management at MedHaven Health in Glen Burnie, Maryland. Read More
