Start Talking About Mirena

Use this guide to ask your doctor if Mirena is right for you.

Get a discussion guide

Who Is Mirena Right For?

Mirena may be a good choice if you already have at least one child

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:

Are or might be pregnant; Mirena cannot be used as an emergency contraceptive

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

Multiple sexual partners or your partner has multiple sexual partners

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 or any other cancer that is sensitive to progestin (a female hormone), now or in the past

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, polyethylene, silica, barium sulphate or iron oxide

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 Talk to your healthcare provider if you are breastfeeding.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.

Next: Mirena For Heavy Periods

Mirena Indications & Usage

Mirena (levonorgestrel-releasing intrauterine system) is a hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 5 years. Mirena also treats heavy periods in women who choose intrauterine contraception.

Mirena Important Safety Information

Only you and your healthcare provider can decide if Mirena is right for you. Mirena is recommended for women who have had a child.

  • Don't use Mirena if you have a pelvic infection, get infections easily or have certain cancers. Less than 1% of users get a serious infection called pelvic inflammatory disease. If you have persistent pelvic or abdominal pain, see your healthcare provider.
  • Mirena may attach to or go through the wall of the uterus and cause other problems. If Mirena comes out, use back-up birth control and call your healthcare provider.
  • Although uncommon, pregnancy while using Mirena can be life threatening and may result in loss of pregnancy or fertility.
  • Ovarian cysts may occur but usually disappear.
  • Bleeding and spotting may increase in the first 3 to 6 months and remain irregular. Periods over time usually become shorter, lighter or may stop.
    • Mirena does not protect against HIV or STDs.

      Available by prescription only.

      For important risk and use information about Mirena, please see the Full Prescribing Information.

Skyla Indication

Skyla (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 3 years.

Skyla Important Safety Information

  • If you have a pelvic infection, get infections easily, or have certain cancers, don't use Skyla. Less than 1% of users get a serious pelvic infection called PID.
  • If you have persistent pelvic or stomach pain or if Skyla comes out, tell your doctor. If Skyla comes out, use back-up birth control. Skyla may attach to or go through the uterus and cause other problems.
  • Pregnancy while using Skyla is uncommon but can be life threatening and may result in loss of pregnancy or fertility. Ovarian cysts may occur but usually disappear.
  • Bleeding and spotting may increase in the first 3 to 6 months and remain irregular. Periods over time usually become shorter, lighter, or may stop.

Skyla does not protect against HIV or STDs.

Only you and your healthcare provider can decide if Skyla is right for you. Skyla is available by prescription only.

For important risk and use information about Skyla, please see the Full Prescribing Information.



Essure Indication

Essure® is permanent birth control that works with your body to create a natural barrier against pregnancy.

Essure Important Safety Information

Essure is not right for you if you are uncertain about ending your fertility, can have only one insert placed, are or have been pregnant within the past 6 weeks, have had your tubes tied, have an active or recent pelvic infection, or have a known allergy to contrast dye.

Talk to your doctor if you are taking immunosuppressants.

WARNING: You must continue to use another form of birth control until you have your Essure Confirmation Test (3 months after the procedure) and your doctor tells you that you can rely on Essure for birth control. It can take longer than three months for Essure to be effective. Talk to your doctor about which method of birth control you should use during this period. Women using an intrauterine device need to switch to another method. If you rely on Essure for birth control before receiving confirmation from your doctor, you are at risk of getting pregnant.

WARNING: Be sure you are done having children before you undergo the Essure procedure. Essure is a permanent method of birth control.

During the procedure: In clinical trials some women experienced mild to moderate pain (9.3%). Your doctor may be unable to place one or both Essure® inserts correctly. Although uncommon, part of an Essure insert may break off or puncture the fallopian tube requiring surgery to repair the puncture. Your doctor may recommend a local anesthetic. Ask your doctor about the risks associated with this type of anesthesia.

Immediately following the procedure: In clinical trials some women experienced mild to moderate pain (12.9%) and/or cramping (29.6%), vaginal bleeding (6.8%), and pelvic or back discomfort for a few days. Some women experienced nausea and/or vomiting (10.8%) or fainting. In rare instances, an Essure insert may be expelled from the body.

During the Essure Confirmation Test: You will be exposed to very low levels of radiation, as with most x-rays. In rare instances, women may experience spotting and/or infection.

Long-term Risks: There are rare reports of chronic pelvic pain in women who have had Essure. In rare instances, an Essure insert may migrate through the fallopian tubes and may require surgery. No birth control method is 100% effective. Women who have Essure are more likely to have an ectopic pregnancy (pregnancy outside the uterus) if they get pregnant. This can be life-threatening. The Essure insert is made of materials that include a nickel-titanium alloy. Patients who are allergic to nickel may have an allergic reaction to the inserts. Symptoms include rash, itching and hives.

The safety and effectiveness of Essure has not been established in women under 21 or over 45 years old.

Essure does not protect against HIV or other sexually transmitted diseases.

Talk to your doctor about Essure and whether it is right for you.

You can also report any adverse events or product technical complaints involving the Essure system immediately by calling 877-ESSURE1 (877-377-8731).