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Everything you need to know about mirena

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Mirena is an intrauterine system that releases the hormone progesterone, indicated to prevent pregnancy, for the treatment of abundant and exaggerated blood loss during the menstrual period or in case of endometriosis, which is when the overgrowth and abnormal growth of tissue occurs. lines the uterus.

This "T" shaped device must be inserted into the uterus, where it will gradually release the levonorgestrel hormone to the body. Read the instructions for this method of contraception in Levonorgestrel - Mirena.

As Mirena is a device to place in the womb it is normal to have doubts about its use, so here are some common doubts:

1. How to put Mirena?

Mirena is a device that must be placed and removed by the gynecologist in the office, being inserted after a gynecological examination. In some cases this procedure can cause mild pain and discomfort at the time of clamping the cervix.

In addition, Mirena must be inserted 7 days after the first day of menstruation. It is possible that the device causes some pain or discomfort during the first weeks of use, and the doctor should be consulted in case of severe or persistent pain.

2. How do you know if Mirena is well placed?

Only the gynecologist can tell if Mirena is inserted correctly. During the specular examination performed in the office, the IUD wire present in the vagina is perceived. The woman herself is not always able to feel the IUD thread in the vagina, but that does not mean that the IUD is in a bad position.

In some cases, by making a deeper touch in the vagina, the woman can feel the IUD wire and this means that she is well positioned.

3. How long can it be used for?

Mirena can be used for 5 consecutive years, and at the end of this period the device must be removed by the doctor, there is always the possibility of placing a new device.

After placing the device, it is recommended to check that it is correctly inserted after 4 to 12 weeks.

4. Can you change your period?

Mirena can change the menstrual period as it is a contraceptive method that affects the woman's cycle. During its use, small amounts of blood ( spotting ) can be observed, depending on the body of each woman. In some cases, bleeding may be absent and menstruation will stop.

When Mirena is removed from the uterus, as the hormone's effect no longer exists, menstruation should return to normal.

5. Does Mirena impair sexual intercourse?

While using the device, it is not expected to interfere with sexual intercourse. If this happens, because there is pain or because it is possible to feel the presence of the device, it is recommended to stop sexual contact and see a gynecologist to verify that the device is correctly positioned.

However, in a few cases, the Mirena IUD can also cause page dryness, which can hinder penetration during intercourse, and the use of water-based lubricants is recommended to try to solve the problem.

In addition, after the insertion of Mirena, sexual relations are contraindicated in the first 24 hours, so that the body can adapt to the new contraceptive method.

6. Is it possible to use tampon or menstrual cup?

When using Mirena, it is best to use tampons, but tampons or menstrual cups can also be used, as long as they are removed carefully so as not to pull the wires from the device.

7. Can he go out alone?

Rarely. It may happen that Mirena is expelled from the body during the menstrual period. In these cases, it can be difficult to realize that this has happened, and you should therefore pay attention to the menstrual flow, which if it increases may be a sign that you are no longer under the effect of the hormone.

8. Is it possible to become pregnant after removing the device?

Mirena is a device that does not interfere with fertility and therefore after withdrawal there is a chance of becoming pregnant.

Therefore, after removing Mirena, it is recommended that you use other contraceptive methods to prevent pregnancy.

9. Does Mirena get fat?

As with other birth control pills, Mirena can lead to increased fluid retention, as it is a contraceptive method that works on the basis of progesterone.

10. Do I need to use other contraceptive methods, such as condoms?

Mirena works as a hormonal contraceptive method and only prevents pregnancy, not protecting the body against sexually transmitted diseases. Therefore, when using Mirena it is recommended to use barrier contraceptive methods, such as condoms, which protect against diseases such as AIDS or gonorrhea.

In addition, it is important to remember that it is possible to become pregnant with a hormonal IUD like Mirena, but this is a rare event that happens when the device is out of position and can cause an ectopic pregnancy. Learn more at Is it possible to get pregnant with an IUD ?.

Everything you need to know about mirena