text: are tampons safe to use with an iud? i am concerned that i am going to pull it out. has anyone had trouble before? in my personal experience i did not have any problems with that.the iud is far enough inside that you can't pull it out.but your boyfriend/husband may feel it you just have to change positions.when you do have it removed by the doctor it hurts like a really bad cramp its not unbearable just some what painful.i have had two and they did fine.you may also bleed a little more on your monthly but that's better than having an unwanted child.i hope this helps .