Levonorgestrel

Mirena

Mirena is a brand-name medication intrauterine device or system (IUS) that medical professionals prescribe to prevent pregnancy. This device also helps in managing heavy menstrual bleeding. The device contains the active drug levonorgestrel, and this device is placed inside the uterine by a medical expert. It is a small T-shaped device that releases a small amount of hormone. It is effective for up to 8 years to prevent pregnancy and 5 years to manage heavy menstrual bleeding. Women are advised not to share their IUDs with other women as it can cause severe infections. You may order Mirena IUD online from Canada easily with a prescription from your doctor.

Product Overview

Mirena IUS (Intrauterine System) is a long-acting, reversible contraceptive device that provides up to five years of protection. It contains 52 mg of levonorgestrel, a hormone that thickens cervical mucus, preventing sperm from attaching to the egg, thins the uterine lining & may also inhibit ovulation. Mirena is FDA-approved and requires a prescription. It is designed for women seeking effective, low-maintenance birth control.

Mirena is available as a small, T-shaped plastic device that is inserted into the uterus by a healthcare professional. Once in place, it releases levonorgestrel at a controlled rate. It is suitable for women who have had at least one child and is also used to treat heavy menstrual bleeding. 

Common side effects of Mirena are changes in menstrual bleeding patterns, headaches, and breast tenderness. Before using Mirena IUS, discuss your medical history with your healthcare provider to ensure it is the right option for you. If a dose is missed or an overdose is suspected (such as if the device moves or is expelled), contact your healthcare provider immediately. Moreover, when you buy Mirena online from Canada, store it in a cool, dry place at room temperature. Keep out of reach of children and dispose of it properly after use.

What Is Mirena Used For?

It is used for the following purposes: 

• Contraception: Mirena IUS or IUD is a highly effective long-term contraceptive option. 
• Menstrual Bleeding: It is also helpful in managing heavy menstrual bleeding.
• Uterine Protection: It minimizes the risk of endometrial hyperplasia (thick uterus lining) during estrogen replacement therapy.
• Emergency Contraception: Mirena can be used as an emergency contraceptive option within five days of unprotected sex.

Are There Different Doses of Mirena IUD?

• Mirean is a T-shaped plastic intrauterine device (IUD) containing 52 mg of levonorgestrel.

What Is the Typical Dosage of Mirena?

The dosage recommendations for Mirena for contraception depend on several factors, including the type and severity of your medical condition and the form of medication you take. Generally, medical professionals prescribe a starting dose and gradually adjust the drug doses as needed. It is important to note that the dosage recommendations below are only for the average dose. So, if you have been prescribed a different dose, do not change it without consulting your medical practitioner.  

Dosage for Preventing Pregnancy

• This device contains 52 mg of levonorgestrel that is released gradually. 
• After the device is inserted, the hormone starts releasing at a rate of 21 mcg per day (after 24 days). 
• Once the device has completed five years, the rate decreases to 11 mcg per day. 
• After eight years, it reduces to about 7 mcg per day. 
• Mirena IUD is effective for up to eight years.

Dosage for Heavy Menstrual Bleeding

• At the initial stages, the release rate of levonorgestrel is 20 to 21 mcg per day.
• After five years, it decreases by 50%.
• If your treatment continues after five years, replace the device after the end of the fifth year. 

Dosage for Starting Levonorgestrel IUD in Women Not Using Hormonal or Intrauterine Contraception

• Insert the IUD as and when your doctor advises if you are not pregnant.
• Check for ovulation and the possibility of pregnancy before starting the treatment.
• If inserted within 7 days of the menstrual cycle or right after a first-trimester abortion, no backup contraception is needed.
• If you have not inserted the device within the first 7 days of the menstrual cycle, use a barrier method such as condoms, or do not indulge in any vaginal intercourse for 7 days to prevent pregnancy.

Dosage for Switching to IUD from Oral, Transdermal, or Vaginal Hormonal Contraceptive

• You can insert the device anytime unless your doctor advises otherwise.
• If the device is inserted during the active use of the previous method, continue it for 7 days after IUD insertion.
• If you are using continuous hormonal contraception, discontinue that method 7 days after IUD insertion.

Dosage for Switching to Levonorgestrel IUD from Injectable Progestin Contraceptive

• Insert the device at any time.
• If it is more than three months since your last injection, use a barrier method such as condoms for seven days after IUD insertion.

Dosage for Switching to an IUD from a Contraceptive Implant or Another IUD

• Insert the new IUD on the same day the implant is removed.
• You can do this at any time during your menstrual cycle.

Dosage for Inserting IUD After Abortion or Miscarriage

• First Trimester: Insert the device immediately after your first-trimester abortion or miscarriage.
• Second Trimester: Wait for six weeks or until the uterus returns to its normal size. 
• If you have not had your period yet, check for ovulation before inserting the IUD.
• If you are not pregnant, insert the device anytime.

Dosage for Inserting IUD After Childbirth

• Wait for at least six weeks after your delivery or until your uterus returns to its normal size. If the uterus does not return to its normal size, wait until it does before inserting the IUD.
• If you have not had your period yet, check for ovulation before inserting the IUD.
• If you are not pregnant, insert the device anytime.

[Note: Remember, these recommendations may vary from person to person. Discuss it with your doctor, and they’ll customize your dosage accordingly.]

How Do You Use a Mirena Device?

Before using Mirena for contraception, it’s important to carefully read the instructions in the patient information leaflet and the medication guide. These guidelines will help you use Mirena properly. Here are some key steps to follow when using this medication:

• Read the medication guide or PIL (patient information leaflet) carefully before you start using this medication. If you have any concerns, ask a medical practitioner.
• This device is inserted through the vagina & placed into the uterus by a medical expert.
• You may feel a little discomfort, pain, or dizziness during the insertion and may also notice minor vaginal bleeding. Consult a medical practitioner if these symptoms persist for more than 30 minutes.
• You can keep the IUD inserted in your uterus for up to 8 years. However, schedule a follow-up visit 4 to 6 weeks after the device is inserted. This step ensures that the device is in the proper position. 
• Ask a medical professional if you require a backup form of birth control for the first 7 days after the IUD insertion to prevent pregnancy until the device starts to work.
• The device may move out of its place or come out by itself. So, after each menstrual period, ensure the device is properly positioned. 
• If you want to continue this method of birth control, remove or replace the used device after 8 years to prevent pregnancy or after five years to manage heavy menstrual bleeding.

[Note: Your doctor will decide the right amount for you based on your condition, following guidelines and studies on the drug. They’ll adjust it as needed over time.]

How Exactly Does Mirena Work?

Mirena is a type of intrauterine device that provides long-term birth control. It is a tiny, plastic T-shaped device placed in the uterus by a healthcare provider. Mirena releases a hormone called levonorgestrel, which thickens cervical mucus, preventing sperm from attaching to the egg & thins the uterine lining, making it less suitable for a fertilized egg to implant. Additionally, it may restrict ovulation in some women. Mirena IUS is effective for up to five years to eight years, depending on your choice, and is a popular choice for women seeking reliable, reversible contraception without daily attention.

What Are the Important Safety Information for Using Mirena?

What Are the Side Effects of Mirena?

Common Side Effects of Mirena: It is a highly effective intrauterine device (IUD) used for contraception, but like any medication or device, it can cause side effects. Most of these side effects are temporary and should go away on their own, but if they persist or become bothersome, it’s important to talk to your healthcare provider. Here’s an easy-to-understand explanation of some common side effects that may occur with Mirena:

• Headache: Some people experience headaches, which can be mild or more severe. If these headaches are persistent, it’s a good idea to speak with your doctor.
• Acne: Mirena can sometimes cause changes in your skin, leading to acne. This may occur as your body adjusts to the device.
• Breast Soreness: It’s common to feel tenderness or soreness in your breasts, especially in the early stages of using Mirena.
• Irregular Bleeding: Spotting or irregular bleeding is a typical side effect, especially in the first few months of use. It may be lighter or heavier than your normal period.
• Mood Changes: Some users notice changes in their mood, such as feeling more emotional, irritable, or depressed.
• Cramps: Cramping can occur as your body gets used to the IUD. These cramps usually go away after a short time.
• Dizziness or Lightheadedness: Some people feel dizzy or lightheaded, particularly when standing up quickly. If this happens frequently, let your doctor know.
• Vaginal Sores: Irritation or sores in the vaginal area can sometimes happen, though it’s not common.
• Watery Vaginal Discharge: You may notice a change in the amount of vaginal discharge, which could become more watery. This is usually not a cause for concern.
• Foul-Smelling Discharge: If the discharge has an unusual or foul odor, it could be a sign of infection, so it’s important to consult your healthcare provider.
• Weakness: Some people may feel unusually weak or fatigued, especially when adjusting to the IUD.
• Pale Skin: Pale or slightly ashen skin may appear, but it usually resolves on its own.
• Easy Bruising: Some users experience easier bruising than usual, especially on their legs or arms.
• Fever: A mild fever can occur as the body adjusts to the IUD, but if it lasts more than a few days, it’s best to check with your doctor.
• Vaginal Swelling: Swelling or discomfort in the vaginal area can occur, especially right after insertion.
• Vaginal Itching: Irritation or itching in the vaginal area is another potential side effect. It can often be managed with medication or topical treatments.
• Ovarian Cysts: Occasionally, Mirena may cause small cysts on the ovaries. While most are harmless and resolve on their own, larger cysts may need medical attention.
• Stomach Pain: You may feel some stomach discomfort or pain, which is usually temporary. If the pain is severe, contact your doctor.
• Vomiting: In some cases, Mirena can cause nausea or vomiting, especially if your body is adjusting to the device.
• Bloating: Feeling bloated or full in your stomach may happen, particularly in the first few months.
• Migraine: Mirena can sometimes trigger migraines, especially if you’re prone to them.
• Back Pain: Some people experience mild back pain while using Mirena, which typically improves over time.
• Oily Skin: Your skin may become more oily, leading to breakouts or a shiny appearance.
• Puffiness on the Face, Feet, Ankles, or Hands: Fluid retention can cause puffiness, particularly in the face or extremities, such as your feet or hands.

Serious Side Effects of Mirena: While most people use Mirena for contraception without serious issues, there are some rare but potentially life-threatening side effects to be aware of. These serious side effects are not common, but if you experience any unusual symptoms, it’s important to seek medical attention immediately. Here’s a breakdown of some serious side effects you should watch out for:

• Pelvic Inflammatory Disease (PID): PID is an infection of the reproductive organs that can occur if bacteria get into the uterus. This can cause symptoms like pain in the lower abdomen, fever, or unusual vaginal discharge. If left untreated, PID can lead to infertility, so it’s important to get checked if you experience these symptoms.
• Infection: Any kind of infection after Mirena insertion is possible. This could happen due to bacteria entering the uterus during the procedure or after. Signs of infection include fever, pain, or unusual vaginal discharge. If you notice any of these symptoms, see your doctor right away.
• Embedment: Sometimes, the IUD can move and become embedded in the uterine wall, which can be painful. If this happens, you may need a medical procedure to remove it. If you feel sharp or persistent pain, contact your healthcare provider for an evaluation.
• Allergic Reaction: Though rare, some people may have an allergic reaction to Mirena. Signs of an allergic reaction include:
  • Hives: Raised, itchy bumps on the skin.
  • Difficulty Breathing: Trouble breathing can be a sign of a severe allergic reaction.
  • Swelling on the Face, Throat, Lips, or Tongue: This is a serious sign of an allergy that needs immediate medical attention.
• Pain During Sexual Intercourse: If you experience pain during sex after having Mirena inserted, it could indicate that the IUD is not in the correct position or that there is an underlying issue. Let your doctor know if this happens.
• Depression: Some people may experience changes in mood, including feelings of sadness or depression, while using Mirena. If you notice symptoms like persistent sadness, loss of interest in things you normally enjoy, or changes in sleep or appetite, it’s important to talk to your healthcare provider.
• Perforation: In rare cases, Mirena can puncture (perforate) the wall of the uterus during insertion. This is a very serious side effect and can lead to severe pain or internal injury. If you experience severe pain after insertion, you should seek medical help immediately.

If any of these symptoms occur, it’s important to get medical attention as soon as possible. These side effects are uncommon, but being aware of them helps you take action quickly if anything unusual arises. 

[Note: Remember, this list may not cover all possible side effects. Always consult with your healthcare giver for medical advice about side effects.]

Who Shouldn’t Have Mirena?

Mirena for contraception can cause severe side effects in certain patients, or it may not be an ideal treatment option for specific populations due to their medical conditions. So, if you are using Mirena, you should remain cautious as it has several warnings, which are as follows:

• Ectopic Pregnancy: While Mirena is prescribed to prevent pregnancy & is highly effective for this purpose, you can still get pregnant while using a Mirena IUD in rare cases. Such pregnancy can have serious complications, and the most common is ectopic pregnancy. It is a condition in which a fertilized egg attaches to the uterus exterior, like on a fallopian tube. So, if you have had an ectopic pregnancy, pelvic infection, or tubal surgery in the past, consult a doctor. They will closely monitor you during the treatment with the Mirena IUD.
• Blood Clots, Stroke, or Heart Attack: While highly unlikely, using an IUD may result in blood clots, heart attack, or stroke. These side effects were not noticed in Mirena studies but have been observed in patients since the device came on the market. So, before using this device, tell your medical provider if you have any blood clots or a history of stroke or heart attack. These professionals can decide whether Mirena is safe for use or not.
• Pelvic or Genital Infections: Mirena IUS can increase the risk of pelvic or genital infections. Your doctor will not recommend using this device if you have the following:
  • A pelvic inflammatory disease or had one in the past.
  • Had a genital infection post-pregnancy in the last three months.
  • An untreated pelvic infection like cervicitis, vaginitis, or vaginosis until it clears up.
  • A weak immune system, misused IV drugs, or having unprotected sex with more than one partner.

If you have or had a history of pelvic/genital infection before starting treatment with Mirena, talk to a healthcare practitioner. They will determine the best birth control method for you.

• Uterine Bleeding: If you have uterine bleeding, using a Mirena IUD may worsen the condition. So, consult with a medical professional and discuss what other forms of birth control option might be better for you.
• Unusual Uterus Shape: If you have fibroids or any condition that makes your uterus an unusual shape, avoid using this device. Such a condition may affect how effectively the IUD works and likely increases the risk of side effects. 
• Uterus or Cervix Cancer: Mirena is not recommended for use in people who have uterus or cervix cancer. Ask your doctor about alternative birth control option that suits your medical needs.
• Breast Cancer or Other Progestogen-Sensitive Cancer: If you have breast cancer or have a history of such conditions, avoid using the Mirena IUD. This device contains levonorgestrel, a synthetic form of progestogen that can increase the risk of breast cancer and other related complications. Talk to a medical professional about this and discuss the alternate birth control options that suit your medical conditions.

What Is the FDA Indication for Mirena?

Boxed warnings, also called black-boxed warnings, are among the most stringent guidelines issued by the FDA. These warnings alert doctors and patients about the harmful effects of a particular drug, which can be life-threatening if overlooked. Mirena does not have any boxed warnings, meaning it is safe to use. However, its safety is based on the precautions you take. Therefore, if you are taking this drug, follow the instructions provided by your medical practitioner. If you have any concerns or notice any unwanted symptoms, it’s best to consult with an expert.

What Are the Precautions for Mirena Insertion?

When considering treatment or when you buy Mirena online, patients should discuss every risk and benefit with their medical practitioner. Here are some of the precautions that you can take before using Mirena for birth control:

• Before using this device, tell your healthcare provider if you are allergic to levonorgestrel, any other progestins (desogestrel and norethindrone), or have other allergies. The product may contain certain inactive components that can cause severe allergic reactions.
• Before using this device, tell your doctor about your or your family’s medical history, especially of: 
  • Depression
  • Diabetes
  • Bleeding disorders
  • High blood pressure
  • Headaches or migraines
  • Heart problems
  • Liver diseases
  • Ectopic pregnancy
  • Stroke
  • Vaginal bleeding
  • Uterus problems
  • HIV
  • Leukemia
  • IV drug abuse
• If you are undergoing surgery or any medical procedure, inform your surgeon or medical professional about the birth control option you use. Moreover, if you are going for an MRI test, tell the expert about the device. They will make the necessary adjustments for your MRI test.
• If you have multiple sexual partners, Mirena IUD may not be an appropriate birth control option for you. Moreover, if you or your partner get a sexually transmitted disease like chlamydia, gonorrhea, or HIV, reach out to a medical professional right away. Ask them whether you should continue using this device or not.
• Do not use this device during your pregnancy. If you become pregnant or think you can be pregnant, tell your doctor immediately.
• Levonorgestrel passes into breast milk, so consult a medical expert to determine whether the device is safe during breastfeeding.
• If you have any liver problem or liver cancer, your doctor will not prescribe you this medication device as contraceptives that contain hormones may lead to liver issues and exacerbate the condition. 

What Are the Contraindications for Mirena?

Mirena for contraception is contraindicated in patients with the following conditions:

• Pregnancy
• Fibroids
• Active or a history of PID (pelvic inflammatory disease)
• Infected abortion in the last three months
• Uterine or cervical neoplasia
• Breast cancer or other cancer sensitive to progestin
• Uterine bleeding with unknown cause
• Untreated pelvic or genital infections
• Old IUD that has not been removed
• Hypersensitivity to any of the ingredients present in the product

What If I Miss a Dose of Mirena?

Since Mirena IUD is a birth control device that is placed in the uterus and works continuously for 5 to 8 years, so there is not a dose to miss like with any birth control pills. However, if your device is removed or expelled, it will not provide the expected contraceptive protection. In such cases, you can reach out to a medical professional. They will guide you with details on what to do in such situations. 

[Note: If you have missed a dose of your medication and are unsure about when to take the next one, immediately consult your doctor or pharmacist.]

What Happens If You Have the Mirena in Too Long?

Mirena is an intrauterine device (IUD) or intrauterine system (IUS) that is placed in the uterus. This device releases a small amount of hormone called levonorgestrel. Since it is not something that you can take orally or in doses, there is no concept of taking too many doses. However, if you have questions or concerns about the hormone levels or its side effects, you can discuss them with your healthcare provider. They can provide you with detailed insights and address your specific worries. 

[Note: If you consumed more than the recommended dose, get medical help right away or call the Poison Help line at 1-800-222-1222.]

How Do You Store Mirena?

To store your medication properly especially when you buy Mirena online, you should follow the mentioned instructions below:

• Store the product at room temperature.
• Keep it protected from light and moisture.
• Do not store in moist or damp places like the bathroom or near the sink.
• Keep it away from the reach and sight of children and pets.
• Do not flush the product down the toilet.
• Discard the medication product when not in use or completed its usage duration.
• Do not use a medication if its expiration date has passed. The expiration date is the last day of the month mentioned on the back of the prescription label or carton.
• You should dispose of the medications in such a way that children and animals cannot consume them, as it may cause accidental overdose and death if someone else consumes them.
• Ask a medical professional how to dispose of the product properly without damaging the environment.
• The best way to eliminate unwanted medications is to give them in the medicine take-back program.

[Note: Discuss with your healthcare professional about the proper disposal of any unused medicine and any questions you may have regarding its storage.]

Do Any Medications Make Mirena Less Effective?

Certain medications can affect the effectiveness of Mirena (a hormonal intrauterine device or IUD). While Mirena works by releasing a small amount of hormone (levonorgestrel) to prevent pregnancy, some drugs may interfere with how it works. Here’s an explanation of how these medications might interact:

• Apalutamide: This medication, used for prostate cancer, can reduce the effectiveness of Mirena by affecting hormone levels in the body, potentially reducing its contraceptive effectiveness.
• Carbamazepine: Used for treating epilepsy and other conditions, carbamazepine can make Mirena less effective because it affects how the body metabolizes hormones, lowering the hormone levels Mirena provides.
• Cenobamate: Like carbamazepine, cenobamate is used for seizures and may reduce the effectiveness of Mirena due to similar interactions that impact hormone metabolism.
• Cobicistat: This drug is used with HIV medications to boost their effects. However, it may also affect the metabolism of hormones, potentially lowering the efficacy of Mirena.
• Dabrafenib: This cancer medication can impact hormonal processes in the body, potentially making Mirena less effective at preventing pregnancy.
• Elagolix: Used to treat endometriosis, this drug may lower the effectiveness of Mirena because it affects estrogen and hormone balance, which may interfere with Mirena’s function.
• Encorafenib: This medication, used for certain cancers, may reduce Mirena’s effectiveness due to its impact on hormone metabolism in the body.
• Fondaparinux, Heparin, Dalteparin, Enoxaparin: These are blood thinners. While they do not directly affect Mirena’s effectiveness, they may increase the risk of complications, such as bleeding, if used with Mirena, which could affect its placement or cause other issues.
• Ivosidenib: Used for cancer treatment, it may interfere with hormone-based treatments like Mirena, possibly reducing its effectiveness.
• Lorlatinib: A cancer drug that may reduce Mirena’s effectiveness by interfering with the body’s hormone metabolism.
• Mavacamten: Used to treat heart disease, it could interact with Mirena by altering hormonal balance in the body, affecting the IUD’s effectiveness.
• Mifepristone: This drug, used for medical abortion, can make Mirena less effective, as it directly affects pregnancy-related hormones and could lead to the expulsion of the IUD.
• Nelfinavir, Ritonavir: These HIV medications can lower the effectiveness of Mirena by affecting how hormones are broken down and processed by the body.
• Omaveloxolone: Used for certain health conditions, it may reduce the effectiveness of Mirena due to its effects on hormone metabolism.
• Perampanel: A seizure medication that could interact with Mirena by affecting hormone levels and its effectiveness in preventing pregnancy.
• Bosentan: Used for treating pulmonary arterial hypertension, bosentan may reduce Mirena’s effectiveness by altering hormone metabolism.

What Are the Other Mirena Interactions?

When using Mirena (a hormonal intrauterine device), it’s important to consider not only how medications might interact with it, but also how certain foods, beverages, and lifestyle choices can affect its effectiveness and your overall treatment. Below are some interactions that you should be aware of:

1. Alcohol:

• Effect on Mirena: Drinking alcohol doesn’t directly affect the effectiveness of Mirena itself. However, excessive alcohol consumption can interfere with your judgment or ability to properly manage the placement of the IUD, such as during a routine checkup or if you experience side effects.
• Recommendation: Drink in moderation and ensure you follow proper medical guidelines for any health-related concerns.

2. Tobacco (Smoking):

• Effect on Mirena: Smoking doesn’t reduce the effectiveness of Mirena, but it may increase the risk of side effects like blood clots. Women who smoke, especially those over 35, may be at greater risk for serious cardiovascular issues, which can complicate the use of hormonal contraception like Mirena.
• Recommendation: If you smoke, especially if you’re over 35, consult with your healthcare provider about other contraceptive options and manage your smoking habits for your overall health.

3. Grapefruit and Grapefruit Juice:

• Effect on Mirena: There is no significant interaction between Mirena and grapefruit, as it does not affect the hormone levels from the IUD.
• Recommendation: It is safe to consume grapefruit while using Mirena, but be cautious if you are taking other medications that may interact with grapefruit.

4. Herbal Remedies (such as St. John’s Wort):

• Effect on Mirena: Some herbal remedies, like St. John’s Wort, can affect the way your body metabolizes hormones, potentially reducing the effectiveness of Mirena. This is particularly important if you are taking other medications along with Mirena.
• Recommendation: Before using any herbal supplements, inform your doctor to avoid interactions that may lower Mirena’s effectiveness.

5. Caffeine:

• Effect on Mirena: Caffeine does not have a direct impact on Mirena’s effectiveness, but it may cause side effects like irritability or sleep disturbances in some people, which could affect how you feel about using Mirena.
• Recommendation: Caffeine can be consumed in moderation, but if you experience any discomfort, consider adjusting your intake.

6. Dietary Changes:

• Effect on Mirena: Major changes in your diet, particularly a diet high in fat or low in certain nutrients, can potentially influence hormone levels and overall health, indirectly affecting the comfort or side effects of using Mirena.
• Recommendation: A balanced diet can help manage the side effects of Mirena, and any drastic dietary changes should be discussed with your healthcare provider.

7. Exercise:

• Effect on Mirena: Regular physical activity is encouraged and does not affect the effectiveness of Mirena. In fact, a healthy lifestyle with regular exercise can help prevent some side effects, such as weight gain or mood changes.
• Recommendation: Maintain regular exercise habits for overall health. However, if you experience any discomfort during physical activity, discuss it with your doctor.

8. Vaginal Infections or Discharges:

• Effect on Mirena: While Mirena for contraception itself does not increase the risk of vaginal infections, certain infections can lead to complications or affect the device’s placement. Infections may also cause symptoms that overlap with Mirena side effects.
• Recommendation: If you have any concerns about vaginal infections, report them to your doctor promptly.

9. Tampons, Menstrual Cups, or Other Internal Products:

• Effect on Mirena: Using tampons or menstrual cups does not affect Mirena’s effectiveness, but it’s important to ensure that these items are used carefully to avoid displacing the IUD.
• Recommendation: Be cautious when inserting tampons or menstrual cups and ensure they don’t disturb the IUD string.

[Note: This isn’t a complete list, and there could be other drugs that interact with Mirena. Make sure to tell your doctor about any prescription, over-the-counter medicines, and herbal products you’re taking.]

What Are the Alternatives to Mirena?

People usually take an alternative to Mirena for contraception for many reasons. In some cases, the prescribed medication may not be an ideal option for them due to their medical conditions. On the other hand, they may not achieve the results they are aiming for. Therefore, you should talk to a medical professional before you start a particular treatment or if you want to change your medication. They may help you decide which medication is best suited for you. Some of the alternatives to Mirena are as follows:

• Nexplanon
• Skyla
• Kyleena
• Paragard
• NuvaRing
• Junel
• Nylia
• Altavera
• Daysee

[Note: Your doctor will choose what’s best for you. Don’t use any of these alternative medications without consulting your healthcare provider. Taking them by yourself may cause serious side effects.]

Mirena Coupons & Cost

Mirena, a highly effective intrauterine device (IUD) for birth control, can be costly in the U.S. However, you can drastically lower the price by choosing to buy Mirena online from Canada through Polar Bear Meds. Our prices are significantly lower than U.S. retail prices, making it easier for you to access affordable birth control solutions. New customers can use the MIRENA10 coupon code to save 10% on their first order. In addition, by joining our referral program, you can save up to $200 on future purchases.

Frequently Asked Questions

What is the difference between Mirena and Kyleena?

Both Mirena and Kyleena are highly effective intrauterine devices (IUDs) for birth control, with Mirena being 99.9% effective and Kyleena 99.7% effective. Mirena can be used until age 55 if inserted when you’re 45 or older, whereas Kyleena needs to be replaced every 5 years, regardless of age. Kyleena is slightly smaller than Mirena and has a lower dose of the hormone progestogen.

Does Mirena cause acne?

Yes, acne can be a side effect of IUDs containing progesterone, like Mirena for contraception and Skyla. The hormone in these IUDs, progestogen, can increase oil production in your skin, which may lead to acne.

How painful is Mirena insertion?

The insertion process typically takes between 90 seconds and 3 minutes. During insertion, you may experience mild to moderate cramping, and some people may feel more intense discomfort. The level of pain varies from person to person.

Does Mirena affect mood?

Some people using Mirena for contraception may experience mood changes, including feelings of depression or low mood. Studies suggest that about 6.4% of people using Mirena experience these symptoms within 5 years of use. If you notice mood changes, it’s a good idea to discuss it with your doctor.

Will I feel better after Mirena removal?

Most people feel normal once their IUD is removed. You may experience light bleeding or mild cramping during or after removal, but any side effects you had while using the IUD should gradually go away. If you have any concerns after removal, it’s best to talk with your healthcare provider.

Does Mirena stop periods?

Mirena can significantly reduce or even stop menstrual periods in some women. The device releases levonorgestrel, a hormone that thins the uterine lining, leading to lighter periods or complete cessation of menstruation over time. While some women experience reduced bleeding within a few months, others may continue to have light periods. 

Does Mirena’s IUD cause weight gain?

Weight gain is a possible side effect for some women using the Mirena for contraception, but it’s not common. The hormone levonorgestrel, released by Mirena, can affect appetite and fluid retention in a small number of users. However, studies have shown that significant weight gain is not directly associated with Mirena use. If you are concerned about weight changes, it’s best to discuss this with your healthcare provider to explore other factors that might contribute.

Can Mirena cause hair loss?

Although it is not common, hair loss can occur as a side effect of Mirena. The hormonal changes caused by the levonorgestrel released by the device can sometimes lead to hair thinning or shedding in sensitive individuals. If you notice unusual hair loss after getting Mirena, consult your healthcare provider. They can help determine whether the IUD is the cause and discuss potential treatment options or alternative contraceptives if necessary.

Can Mirena help with my PCOS?

Mirena can help manage some symptoms of Polycystic Ovary Syndrome (PCOS), particularly heavy menstrual bleeding. The levonorgestrel released by Mirena thins the uterine lining, reducing menstrual flow and associated pain. However, Mirena does not treat the underlying hormonal imbalances of PCOS, such as irregular ovulation or insulin resistance.

Does Mirena increase breast size?

Mirena is not typically associated with a significant breast size increase. However, some women may experience breast tenderness or slight swelling due to the hormonal effects of levonorgestrel, especially during the first few months after insertion. These symptoms usually subside as the body adjusts to the IUD. If you notice any unwanted changes in breast size or persistent discomfort, it’s advisable to consult with your medical provider for further evaluation and guidance.

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