This depends on the timing of your menstrual cycle and if you are already using contraception. Speak with your doctor, nurse or pharmacist for more information.
Your doctor or nurse will provide a script which you can take to the pharmacy, who will sell you the hormonal IUD. You will need to return to the clinic to have the IUD inserted.
If you do not have a Medicare card it will be more expensive. It will be cheaper if you have a healthcare card. These side effects nearly always settle with time. The hormonal IUD has not been shown to cause weight gain. If you cannot feel the IUD strings, you can abstain from sex or use condoms until a doctor or nurse confirms the IUD is in the right place.
If you have had unprotected sex in the 5 days before you notice the string missing, you might need emergency contraception. Once the hormonal IUD is in for more than 5 years, you can abstain from sex or use condoms until you can have it replaced. If you have unprotected sex and your IUD has been in for more than 5 years, you might need emergency contraception. It is important that you see a doctor or nurse as soon as possible and have the IUD removed.
The doctor or nurse will also need to rule out a pregnancy in your fallopian tubes ectopic pregnancy. If the IUD is removed, you can continue the pregnancy or have an abortion.
If the IUD cannot be removed and you continue the pregnancy, there is a higher risk of losing the pregnancy. Find out more about having your IUD removed. The hormonal IUD can be inserted straight after you give birth. If not inserted straight after you give birth, then you need to wait until at least four weeks later. The hormonal IUD is safe to use if you are breastfeeding.
The hormonal IUD can be removed at any time by a trained doctor or a nurse. Your fertility will quickly return to what is normal for you. Close menu Close. Search Search. On this page What are the hormonal intrauterine devices IUDs? How effective are the hormonal IUDs? How does the hormonal IUD work?
How do I use the hormonal IUD? When does it start to be effective? Where can I get the hormonal IUD? What stops the hormonal IUD from working? What is good about the hormonal IUD? Are there any side effects from using the hormonal IUD? Can the hormonal IUD cause any serious health problems? What if I am late having my hormonal IUD changed over or it has expired?
What else should I know about the hormonal IUD? You might be interested in watching Pain and IUD insertion — what to expect Where to get more information and support. You may be more likely to expel Mirena if you:. Your health care provider will evaluate your overall health and do a pelvic exam before inserting Mirena. You may be screened for STI s. If you have Mirena inserted more than seven days after the start of your period, be sure to use backup contraception for one week.
Taking a nonsteroidal anti-inflammatory medication, such as ibuprofen Advil, Motrin IB, others , one to two hours before the procedure can help reduce cramping. The Mirena intrauterine device IUD is inserted into the uterus by a health care provider using a special applicator. Short strings connected to the device extend beyond the cervix into the vagina and allow for device removal. Your health care provider will insert a speculum into your vagina and clean your vagina and cervix with an antiseptic solution.
Special instruments might be used to gently align your cervical canal and uterine cavity and to measure the depth of your uterine cavity. Next, your health care provider will fold Mirena's horizontal arms and place the device inside an applicator tube. The tube is inserted into your cervical canal, and Mirena is carefully placed in your uterus. When the applicator tube is removed, Mirena will remain in place. Your health care provider will trim Mirena's strings so that they don't protrude too far into the vagina, and may record the length of the strings.
During Mirena insertion, you may experience cramping, dizziness, fainting or a slower than normal heart rate. Once a month, check to feel that Mirena's strings are protruding from your cervix. Be careful not to pull on the strings. About a month after Mirena is inserted, your health care provider may re-examine you to make sure Mirena hasn't moved and to check for signs and symptoms of infection. It's also important to contact your health care provider immediately if you think Mirena is no longer in place.
Your provider will check the location of Mirena and, if it's displaced, remove it if necessary. Mirena can remain in place for up to five years.
To remove Mirena, your health care provider will likely use forceps to grasp the device's strings and gently pull.
The device's arms will fold upward as it's withdrawn from the uterus. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Mirena is a hormonal intrauterine device IUD that can provide long-term birth control contraception. To prevent pregnancy, Mirena: Thickens mucus in the cervix to stop sperm from reaching or fertilizing an egg Thins the lining of the uterus and partially suppresses ovulation.
Mirena placement Open pop-up dialog box Close. Mirena placement The Mirena intrauterine device IUD is inserted into the uterus by a health care provider using a special applicator. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Hatcher RA, et al. Intrauterine contraceptives IUDs. In: Contraceptive Technology.
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