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Mirena Removal

Mirena can be removed by your healthcare provider at any time

There are several reasons why you may choose to remove Mirena®. Here, you'll find information about getting pregnant after using Mirena and continuing to prevent pregnancy after Mirena is removed.

Reasons to remove Mirena


I need a new one

  • Mirena can remain in the uterus for up to 8 years to prevent pregnancy.

  • If you are also using Mirena to treat heavy periods, you will need a new one after 5 years.

  • If you choose to continue using Mirena, you’ll make an appointment with your healthcare provider to remove Mirena and place a new one.

  • Your new IUD can be placed immediately after the removal of the old one.

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I want to get pregnant

  • If you are removing Mirena because you want to get pregnant, you can start trying as soon as Mirena is removed.

  • Your healthcare provider can remove Mirena at any time.

  • You may become pregnant as soon as Mirena is removed.

  • About 8 out of 10 women who want to become pregnant will become pregnant sometime in the first year after Mirena is removed.

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I no longer want to use Mirena

  • Mirena is intended for use for up to 8 years, but you can stop using Mirena at any time by asking your healthcare provider to remove it.
  • You could become pregnant as soon as Mirena is removed, so you should use another method of birth control if you do not want to become pregnant.
  • Talk to your healthcare provider about the best birth control methods for you, because your new method may need to be started 7 days before Mirena is removed to prevent pregnancy.

What to expect during the removal process

If you've made the decision with your healthcare provider to remove Mirena for any of the reasons above, they can do so during an in-office visit. Removing Mirena does not require surgery, but you may experience some pain, bleeding, dizziness, or have vasovagal reactions (feeling faint/passing out, or seizure in patients with epilepsy). Talk with your healthcare provider if you have other questions about the removal process. 


Mirena® (levonorgestrel-releasing intrauterine system) is a hormone-releasing IUD that prevents pregnancy for up to 8 years. Mirena also treats heavy periods for up to 5 years in women who choose intrauterine contraception.



  • If you have a pelvic or genital infection, get infections easily, or have certain cancers, don't use Mirena. Less than 1% of users get a serious pelvic infection called pelvic inflammatory disease (PID).
  • If you have persistent pelvic or stomach pain, or excessive bleeding after placement, tell your healthcare provider (HCP). If Mirena comes out, call your HCP and avoid intercourse or use non-hormonal back-up birth control (such as condoms or spermicide). Mirena may go into or through the wall of the uterus and cause other problems.
  • Pregnancy while using Mirena 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.


Mirena does not protect against HIV or STIs.


Only you and your HCP can decide if Mirena is right for you. Mirena is available by prescription only.


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