it's becoming a trend.. at home removal.. because they charge you a stupid amount to do it (my first one when it was partially coming out.. i got slapped with an $800 bill, refusal for insurance to pay because they thought it was elective AND refusal to pay for a new one until the first one "expired" - it took some arguing with insurance for them to understand this was an emergency removal since my uterus shoved it out and it was hangin halfway out of my cervix)