Mirena

Mirena is a hormonal coil used for birth control, to treat heavy periods and period pain, and as hormone treatment during menopause.

Form
depotlääkevalmiste, kohtuun
Strength
20 mikrog / 24 tuntia
Active Ingredient
Levonorgestrel
Manufacturer
Bayer Oy

How to Use

Dosage

One Mirena IUD is inserted into the uterus.

Method

A healthcare professional inserts the IUD. It is usually inserted within 7 days of your period starting; if not, use a condom or avoid sex for 7 days after insertion.

Important

For contraception, Mirena is effective for up to 8 years. For heavy periods, pain, or hormone replacement therapy, it is effective for up to 5 years.

Possible Side Effects

COMMON
  • Uterine/vaginal bleeding (including light bleeding), irregular periods, no periods
  • Enlarged follicles (cysts on ovaries)
  • Depressed mood, nervousness, decreased sex drive
  • Headache
  • Dizziness
  • Abdominal pain, feeling sick (nausea)
  • Acne
  • Back pain
  • Pelvic pain, period pain, vaginal discharge, vaginal inflammation, breast tenderness, breast pain, IUD coming out
  • Weight gain
RARE
  • Migraine
  • Abdominal bloating
  • Hair loss, increased hair growth, severe itching, skin rash (eczema), liver spots
  • Pelvic inflammatory disease (infection of upper genital organs, uterine lining, or cervix)
  • Swelling (edema)
  • Uterine wall perforation
  • Rash, hives

Important Warnings

  • Do not use Mirena if you are pregnant or think you might be.
  • Do not use Mirena if you have an infection in your uterus, cervix, or lower genital area, or if you've had severe infections recently.
  • Do not use Mirena if you have breast cancer, uterine or cervical cancer, or tumors that grow due to hormones.
  • Do not use Mirena if you have severe liver disease or a liver tumor.
  • Do not use Mirena if you have unexplained, abnormal bleeding from your uterus.
Show 8 more warnings
  • Do not use Mirena if you are allergic to levonorgestrel or any other ingredients in Mirena.
  • If you experience new or worsening migraines, very severe headaches, vision problems, yellow skin (jaundice), or high blood pressure, contact your doctor right away.
  • If you have severe arterial disease (like a stroke or heart attack) or a sudden blood clot (e.g., in your lungs), contact your doctor immediately.
  • Mirena does not protect against HIV (AIDS) or other sexually transmitted infections.
  • It's rare, but Mirena can come out of your uterus (expulsion) or pierce the uterine wall (perforation). If this happens, you are not protected from pregnancy.
  • Regularly check with your finger to feel the threads at the top of your vagina. If you suspect the IUD has moved or you cannot feel the threads, use extra contraception and contact your doctor.
  • Getting pregnant with Mirena is rare, but if you do, there's a slightly higher risk of an ectopic pregnancy. Contact your doctor right away if you have a missed period but also continuous bleeding or lower belly pain, or pregnancy symptoms with dizziness.
  • Some women have experienced depression or mood changes while using Mirena. If you have these symptoms, which can be severe or include suicidal thoughts, contact your doctor.