If you have an untreated 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, excessive bleeding after placement, or if Mirena comes out, tell your healthcare professional (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.
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
Mirena may go into the wall of the uterus (become 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.
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 (lower end) 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
You may experience pain, bleeding or dizziness during and after placement. If your symptoms do not pass within 30 minutes after placement, Mirena may not have been placed correctly. Your healthcare provider will examine you to see if Mirena needs to be removed or replaced.
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