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these items here are for an IUD removal as you can see we have the speculum the lubricant the GYN swabs and the ring forceps we start first with the speculum and the ma well go ahead and put some lubricant on there for the provider with this speculum here there is a cordless light attached at the bottom which turns on when placed inside the speculum these swabs here are used to clear away any mucus around the cervix so that the strings can become visible to the provider the medical assistant will hand the swab to the provider with the end towards them the ma will hand the ring forcep to the divider and now the patient is IUD free