Mirena isn’t for everyone
Only you and your healthcare provider can decide if Mirena is right for you. As the two of you discuss your options, there are a number of things you should share—like your general health, current or past health conditions, sexual history, and the possibility that you’d like to have more children in the future.
Consider Mirena if you already have at least
one child and
•You want birth control that lasts up to 5 years
•You want to have more children…someday
• You’re happy with the size of your family
• You’re not sure if you want more children
• You recently had a baby (6 weeks ago or more) and you’re looking for an option that fits your birth control needs. Mirena should not be placed earlier than 6 weeks after you give birth or as directed by your healthcare provider
• If you are breastfeeding and plan to continue breastfeeding after
Mirena is placed—be sure to tell your healthcare provider as there
is an increased risk of perforation
Mirena isn’t appropriate for you if you:
• Might be pregnant
• Have had a serious pelvic infection called pelvic inflammatory disease (PID) unless you have had a normal pregnancy after the infection went away
• Have an untreated pelvic infection now
• Have had a serious pelvic infection in the past 3 months after a pregnancy
• Can get infections easily. For example, if you have
• More than one sexual partner or your partner has more than one partner
• Problems with your immune system
• Intravenous drug abuse
• Have or suspect you might have cancer of the uterus or cervix
• Have bleeding from the vagina that has not been explained
• Have liver disease or a liver tumor
• Have breast cancer now or in the past or suspect you have breast cancer
• Have an intrauterine device in your uterus already
• Have a condition of the uterus that changes the shape of the uterine cavity, such as large fibroid tumors
• Are allergic to levonorgestrel, silicone or polyethylene
Breastfeeding & Mirena
In general, there have been no adverse effects found in breastfeeding performance for women using Mirena, though isolated cases of decreased milk production have been reported. There have also been no adverse effects found in the health, growth, or
development of nursed babies. However, small amounts of the hormone Mirena releases pass into the breast milk of nursing mothers and are detectable in the infant’s blood. During placement, the risk of perforation is increased in women who are breastfeeding. Mirena should not be placed until at least 6 weeks after giving birth or as directed by your healthcare provider.
If you think Mirena may be right for you, have a conversation with your healthcare provider, who can help decide which birth control option is best for you.







