The Mirena (Levonorgestrel) IUD is used to prevent pregnancy. It has been shown to be as effective as oral contraceptives. It works by releasing small amounts of levonorgestrel (a sex hormone) into the uterus.

There are numerous conditions with which Mirena should not be used so it is essential that a physician be consulted. Prior to insertion, your physician should perform an examination, which may include a Pap smear, breast examination, pregnancy test, tests for infection, among others.

The Mirena IUD is a small white T-shaped frame made from soft, flexible plastic. A pelvic exam will be required to determine the position and size of your uterus. Following this, the Mirena IUD will be inserted. It is common to feel cramp-like menstrual pain after insertion but this usually disappears within a few days. The IUD should be checked 6 weeks after it is fitted, at 12 months and then once a year until it is removed. It can stay in place for 5 years before it is removed.

You should consult your physician immediately if you cannot feel the removal threads anymore, you can feel the lower end of the system, you think you are pregnant, you have persistent abdominal pain, fever or unusual discharge from the vagina, there is discomfort during intercourse (for you or your partner) or if there are sudden changes in your menstrual periods.

Side effects of Mirena include vaginal bleeding, vaginal itching, vaginal discharge, headache, dizziness, abdominal pain, pelvic or back pain, feeling of depression or nervousness, skin rash, hives and eczema.

The Mirena IUD should only be used under the direct supervision of a physician.

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