Investigators previously developed a guide to help people with IUD self-removal. In this randomized study, the goal is to see if this guide makes it easier for IUD-users to remove their own IUDs.

The main question the study aims to answer is:

-Does use of the previously developed IUD self-removal guide increase rates of self removal?

Participants will:

• Complete a pre-study survey
• Be randomized to self-removal with use of the guide or no additional resource
• Self-select participation at home or in clinic
• Attempt IUD self-removal either at home or in clinic
• Complete a post-study survey.

Investigators will compare rates of successful self-removal between those randomized to the guide to those randomized to no additional resource to see if increases success.

Inclusion Criteria:

• Ages 14 and older
• IUD in place and desiring removal
• Interest in attempting self-removal
• English speaking
• Working cell-phone with camera.

Exclusion Criteria:

• Not meeting above inclusion criteria, no other specific exclusion criteria