If you have a pelvic 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 if Mirena comes out, tell your healthcare provider (HCP)... Continue below
If you've discussed your birth control options with your healthcare provider and decided Mirena may be right for you, it's time to schedule an appointment.
Mirena should be placed within 7 days of the start of your period.
If more than six weeks have passed since you had your baby, talk to your healthcare provider about getting Mirena.
Mirena can be placed by your healthcare provider during an office visit
Mirena can be used while breastfeeding if more than six weeks have passed since you had your baby, but be sure to discuss it with your healthcare provider
If you are breastfeeding, Mirena is not likely to affect the quality or amount of your breast milk or the health of your nursing baby. However, isolated cases of decreased milk production have been reported among women using progestin-only birth control pills
The risk of Mirena becoming attached to (embedded) or going through the wall of the uterus is increased if Mirena is inserted while you are breastfeeding.
Mirena may become attached (embedded) or go through the wall of the uterus. This is called perforation. The risk of perforation is increased if Mirena is inserted while you are breastfeeding.
When you are ready for another child, you can have Mirena removed by your healthcare provider at any time and try to get pregnant right away
Placement of Mirena is nonsurgical. Mirena is placed in your uterus by your healthcare provider during a routine office visit and typically takes only a few minutes.
Everyone is different, and some women may experience discomfort or spotting during or after placement. Cramps, dizziness, and/or some bleeding may occur and are common side effects. Ask your healthcare provider about over-the-counter pain medications to help minimize cramps.
Let your healthcare provider know if your side effects are severe or last more than 30 minutes as Mirena may not have been properly placed.
At placement, your healthcare provider will:
Apply an antiseptic solution to your vagina and cervix
Pass a slim tube of flexible plastic (the inserter) containing Mirena into your vagina and then into your uterus
Check to make sure Mirena is positioned correctly
Withdraw the plastic inserter, leaving Mirena in your uterus
Ensure that the two threads attached to the stem of Mirena properly extend through your cervix, which help ensure that Mirena is properly placed. This will also help with the removal of Mirena by your healthcare provider when that time comes
Trim the threads to the appropriate length
Have your healthcare provider explain how to do a self-check of the threads of your Mirena once a month
Schedule a follow-up appointment with your healthcare provider within 4 to 6 weeks. He or she will want to check to see if your Mirena is properly in place
Consider scheduling your annual check-up at the same time so that you don't forget. Your healthcare provider should check your Mirena once a year as part of a routine physical