Originally Posted by RubyV
the dr/mw/whoever will do a pelvic to make sure that the position is ok before removal. If it has migrated high in the uterus it may need more manipulation to remove. Also, the arms are collasped before remove by tugging at the strings at the correct angle. As flexible as I am physically, and my comfort with using a speculum on myself, I would rather have it done for me as a safety percaution than take the chance of perforation, IMO. that's the difference between do it yourself and having someone do it for you.
It just has to be pulled straight out. I suppose some people could have it way high in the uterus, or imbedded (happened to my mom, actually), so that could be a problem. But if you can feel it, and can tell it's loose, why the hell not take it out yourself? I'd definately do it, even though medical is free here in canada.