Intrauterine device(IUD) removal, a gynecological procedure, is widely performed. Globally, approximately 18% of females use IUDs for contraception. In the past, many women had IUDs inserted to comply with national family planning policies. However, some women, due to fear of pain and lack of awareness, have not had their IUDs replaced for over 20 years and only seek medical attention when experiencing symptoms such as abdominal pain, back pain, vaginal bleeding, or discharge after menopause. Postmenopausal changes like cervical atrophy and IUD embedment pose challenges for safe and less traumatic removal. In 2022 and 2025, the publication of the Chinese Expert Consensus on Vaginoscopy provided standardized guidance for clinical application of vaginoscopy and Clinical recommendations from Chinese experts on no energy hysteroscopic techniques, offering an effective solution for postmenopausal IUD removal combine with no energy. Using the scope with an outer diameter of less than 5 mm reduces cervical dilation and pain, enabling removal without anesthesia. The use of 5 Fr scissors to separate embedded IUDs and a lateral removal approach decrease the risk of instrument damage, enhance removal efficiency, and reduce hospitalization. This method is recommended for broader clinical application.