Mirena (hormonal IUD)

Mirena (hormonal IUD) Treatment, Risks & Procedure

Mirena refers to a hormonal intrauterine device that is capable of inducing birth control in women for a long term. 

It entails a T shaped plastic frame and is inserted inside the uterus. Once implanted, this releases the progestin, a hormone that does the following: 

  • Thickening the walls of the cervix.

  • The inner lining of thickened as well.

What are the benefits of Mirena?

Following are the benefits of Mirena:

  • It eliminated interruption during sexual intercourse.

  • This does not require a partner’s participation.

  • Once inserted, it is viable for about 5 years.

  • Once you opt for its removal, the fertility will return to normal.

  • As the only hormone is progestin, you are free from the side effects of ingested estrogen.

  • It decreases severe menstrual pain.

  • It decreases the risk of pelvic infection.

  • It decreases the risk of endometrial cancer.

Who are recommended to get this procedure done?

The following are the women for whom this procedure is recommended:

  • The women who are suffering from heavy menstrual bleeding,

  • The ones who are the victim of extreme pain and cramping during the periods.

  • The ones who are suffering from endometriosis.

  • The ones who have an abnormal growth in the endometrial lining.

  • Anaemic women

  • The women who are suffering from fibroids.

Who is not recommended to have this procedure?

  • Women with breast cancer or who have had breast cancer.

  • Women who have cervical or uterine cancer.

  • Women who have liver disease

  • Women with uterine abnormalities that can interfere with the implant. 

  • Women with current pelvic inflammatory disease or who have had infections in the pelvic region.

  • Women with unexplained vaginal bleeding.

Preparing for the procedure

When it comes to the matter of preparing for the procedure, you have to have all the knowledge suitable for a layman. If you are going to take this decision, you need to make sure that you have enough information. 

There are three best times in which Mirena can be inserted:

  • During your periods while you are not pregnant.

  • After the termination of pregnancy (immediately after the termination)

  • After you have delivered the baby regardless of how it was being delivered.  

During and after the procedure

During the Mirena insertion:

  • The doctor will insert a speculum and clean your vagina and the cervix

  • Your cervical canal will be aligned.

  • The Mirena apparatus will be folded inside the applicator tube.

  • After the tube is inserted into the cervical canal, the apparatus will be placed and the applicator will be removed right away.

  • The strings of the Mirena will be removed so as to make sure that the apparatus is taking a minimum amount of space.

After the Mirena insertion

  • You need to check in with the doctor once a month if the apparatus’ strings are creating issues for you. 

  • After a month, the apparatus will be re-examined to see if its place hasn’t moved or not. Furthermore, these tests are also done to see if there are any infections or other side effects.

What are the risks involved with Mirena insertion?

Following are the risks involved with Mirena insertion:

  • You might feel a headache.

  • You might get acne.

  • The breast can become tender.

  • Mood changes after the insertion is also common.

  • You might feel a fair bit of pelvic pain.

  • You might experience some cramping


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Dr. Madhu Goel

Senior Gynecologist and a Senior Consultant

Dr. Madhu Goel is a well renowned senior gynaecologist and a senior consultant at Fortis La femme, New Delhi. She runs a private consultation in Goel’s surgery and Gynea centre and prior to being associated with Fortis; she was a consultant a Rockland Hospital.