Yes, the IUD can come out on its own. It's not common, but it's one of the causes of IUD failure. That's why one of the few things that the couple using an IUD has to do is check the strings at least once a month. If you can't find them, or if they seem significantly longer than they were before, you should use a back up method of Birth Control until you can get an exam by your health care provider.
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