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Mirena

Generic name: levonorgestrel intrauterine system [LEE-voe-nor-JES-trel-IN-tra-UE-ter-ine-SIS-tem]
Drug classes: contraceptives, progestins

What is Mirena?

Mirena is an intrauterine device. Mirena Intrauterine Device (IUD) is made up of levonorgestrel, an estrogenic female hormone, which can create changes in the pelvic area and in your uterus. Mirena is a T-shaped, plastic intrauterine device that can be placed inside the uterus. It releases the hormone.

Mirena IUD can be used to keep you from becoming pregnant for as long as 8 years. It is possible to use the IUD regardless of whether you are a parent or not. Mirena can be utilized for up to 5 years to manage the heavy bleeding during menstrual cycles for women who decide to take an intrauterine type for birth control.

Levonorgestrel is a progestin hormone and is not a component of estrogen. It is released by the Mirena IUD, which releases levonorgestrel in the uterus. However, very small quantities of the hormone get into the bloodstream.

Mirena is not recommended for birth control in emergencies.

Warnings

Don't use Mirena while pregnant. Tell your doctor promptly if you find yourself pregnant.

Do not take Mirena when you experience abnormal vaginal flow, pelvic infection, complications with your uterus, your cervix, or suffer from breast or uterine cancer, liver disease, cancer of the liver, or a poor immune system.

Before you take this drug

A Mirena IUD can increase your chance of getting a severe pelvic infection that could cause harm to your life and your potential to bear children in the future. Consult your physician regarding this possibility.

Avoid using Mirena while pregnant. If left in position during pregnancy, the IUD may cause serious infections and miscarriage, as well as premature birth or the death of the mother. The hormone contained in the Mirena IUD could also have undesirable effects on the female infant.

Inform your physician immediately when you find yourself pregnant. If the pregnancy continues, be on the lookout for symptoms like fever, chills, or cramps. You may also notice vaginal bleeding or discharge.

There is no need to take Mirena in the event that you have an allergic reaction to levonorgestrel, silicone silica, silver iron oxide, or polyethylene. Also, we are suffering from

  • Vaginal bleeding was abnormal and was not examined by a physician.
  • Untreated pelvic infection (vaginal or cervical);
  • Endometriosis is a severe pelvic infection that has occurred following a pregnancy or an abortion within the last three months.
  • Pelvic inflammatory diseases (PID) (unless you experienced a normal pregnancy after treatment and were cured).
  • Uterine fibroid tumors are a condition that affects the form of the uterus.
  • Current or past cancers of either the cervix, breast, or uterus
  • The liver is a part of the body, and it can be a tumor or disease (benign and malignant);
  • A condition that can weaken the immune system, like AIDS, leukemia, and IV drug abuse;
  • If you already have an IUD (IUD) installed,
  • If you've experienced an unplanned or failed pregnancy during the last six weeks,.
  • If you have given birth to an infant in the last six weeks,.

To ensure that Mirena isn't harmful for you, consult your doctor. If you are suffering from

  • Hypertension Heart problems, high blood pressure, or a heart attack or stroke
  • Problems with bleeding;
  • Migraine headaches
  • An infection of the vaginal tract, pelvic infections, or a sexually transmitted illness.

It is possible to make use of Mirena while nursing. Levonorgestrel will not impact the quality or quantity of your breastmilk or the overall health of the baby you are nursing. There are isolated instances where decreased milk production has been observed. The chance of developing uterine complications resulting from IUD The insertion of iuds is more likely when you breastfeed.

How to take Mirena?

Mirena IUD Mirena IUD is placed through the vagina before being inserted in the uterus of the physician.

It is possible to feel discomfort or fainting upon insertion of the IUD. Additionally, you might experience minor vaginal bleeding. Consult your doctor if symptoms persist for longer than 30 minutes.

Mirena's IUD is a good choice. Mirena IUD should not interfere in sexual relations by having a tampon, menstrual cup, or other vaginal medicines.

Doctors should examine the IUD within a couple of weeks to confirm that the device is in good condition. Also, you will require regular pelvic exams as well as a pap smear.

It is possible that you experience irregular menstrual cycles lasting between three and six months. Your flow might be light or more intense, and your menstrual cycle may cease after a period of time. Consult your doctor if you have not had a period in the last 6 weeks or if you believe there is a possibility that you are pregnant.

It is possible that the Mirena IUD may come out on its own. Following each menstrual cycle, ensure that you feel the strings that are removed at the beginning of your cervix.

Contact your physician immediately in the event that you do not feel strings or that you suspect that your IUD has fallen lower or has been removed from your uterus. This is particularly true when you experience bleeding or pain. Utilize a non hormonal method of birth control (condom diaphragms, diaphragms, a cervical cap, or a contraceptive sponge) to stop pregnancy before your doctor has the ability to substitute the IUD.

If you're required to undergo the MRI (magnetic image), be sure to inform your healthcare providers prior to your appointment that you've got a Mirena IUD that is in place.

You can remove your IUD at any point if you choose to quit taking birth control. The Mirena IUD is required to be taken off after the six-year period of wear. The doctor may insert another device in case you want to keep using this type to control your birth. Only your doctor can take away the IUD. Don't attempt to take off the device on your own.

If you opt to utilize another method for birth control, then you could have to begin using it for a week prior to the time your IUD goes off.

Details on dosage

Usual Adult Dose for Contraception:

The intrauterine device (IUD) injections must be done by a certified healthcare professional fully conversant with the device; the labeling of the manufacturer must be reviewed.

Introduction 1. Mirena IUD (52 mg) into the uterus.

The timing of the insertion
If you are a woman who is not taking hormonal or intrauterine contraception, the inserting could occur at any moment when the woman isn't pregnant, and if it occurs after the first seven days of menstrual cycles, another method of contraception must be utilized for the first seven days following the insertion.
Switching from oral, vaginal, or transdermal contraceptives can occur at any moment; however, when it occurs during the hormonal phase, for seven days following an insertion, or until the completion of the treatment phase,.
Switching from injectable progestin contraceptives. Insertion can happen anytime; however, when it's inserted for more than three months following the injection, another contraceptive method is recommended for seven days following the insertion.
Switching from the contraceptive implant to an IUD: Insertion must occur at the exact time that the IUD or implant is taken off.
Inserting following an abortion or miscarriage
First trimester: Insert an IUD right away following an abortion during the first trimester or miscarriage.
Second trimester: The insertion of an IUD is best delayed by at least 4 weeks or until your female uterus is fully involute. If the involution process is not complete, insertion is held off until the involution has been completed, and you should consider whether ovulation and conception occurred prior to the IUD insertion. Inform the patient about the necessity of an additional contraceptive method for seven days after the date of insertion.
After birth, the insertion of the IUD must be delayed for at least 4 weeks following delivery and until the uterus becomes fully involute. If it is not, the IUD insertion must be delayed until complete involution, take into consideration the possibility of having ovulation or conception prior to the insertion date, and inform the patient of the need to consider an alternative contraceptive method for seven days following insertion.

Replacing: Mirena should be replaced within 8 years. A replacement IUD can be put in to allow future use.

Comments:
IUDs can be removed at any time; however, they should be removed before the expiration of the specified period; however, if continued use is wanted, substitute the IUD with a brand new IUD.

What happens if I miss the dose?

Because the Mirena IUD continuously releases a lower dose of levonorgestrel, the possibility of missing doses does not arise when using this kind of levonorgestrel.

What happens if I overdose?

Levonorgestrel, which is released by the intrauterine system, is highly unlikely.

What should be avoided?

Do not have more than one sexual partner. It is possible that the IUD could increase the risk of getting a serious pelvic infection that usually results from sexually transmitted diseases. Mirena is not able to protect against sexually transmitted infections such as HIV and AIDS. The use of a condom could assist in protecting yourself against these illnesses.

Consult your physician if your sex lover develops HIV or any sexually transmitted illness or changes in your sexual relationship.

Side effects of Mirena

Take immediate medical attention. If you are experiencing symptoms that indicate an allergy, Mirena: hives or breathing difficulties and swelling of the mouth, lips, or throat.

Seek medical attention immediately in the event of extreme pain within your lower stomach or on your side. This may be an indication of a tubal pregnancy. indication of pregnancies in the tubal.

The IUD could be inserted in the wall of the uterus or perforated (to form the appearance of a hole) inside the uterus. If this occurs, then the device could not be able to stop pregnancy or may be able to move out of the uterus and result in the uterus becoming scarred, infected, or causing injury to other organs. The doctor might have to remove the device surgically.

See your physician right away. If you suffer from:

  • Severe cramping or pelvic pain; discomfort during sexual interplay are all symptoms that should not be ignored.
  • Extreme dizziness or a lightheaded sensation;
  • Extremely migraine;
  • Continuous or persistent vaginal bleeding Vaginal sores, vaginal blood, or vaginal discharge that is clear, smells foul, or is otherwise uncommon;
  • Weak, pale skin and a tendency to bruising or chills, or any other indications of an illness;
  • Jaundice (yellowing of the eyes or skin);
  • A sudden weakness or numbness (especially on the affected side of your body) or confusion, issues with vision, or sensitivity to light.

Common Mirena negative effects can be:

  • Pelvic pain, or irregular menstrual cycle or flow patterns, as well as changes in the bleeding pattern or flow.
  • Vaginal swellings, itching, or infections;
  • Occasional bleeding, pain, or dizziness when inserting the IUD
  • Ovarian cysts (pelvic discomfort that goes away in three months);
  • Stomach pain, nausea, vomiting, and bloating;
  • Headache, migraine, depression, mood changes;
  • Back discomfort, tenderness, breast pain, or the sensation of pain
  • Weight gain, acne, oily skin, changes to hair development, and a loss of desire to sex;
  • The appearance of puffiness on your face, hands, feet, or feet.

It isn't a comprehensive listing of all side effects. Other side effects could occur. Contact your physician to seek medical advice on adverse consequences. The best way to report adverse reactions is to the FDA by calling 1-800-FDA-1088.

Interaction with other drug

Certain drugs may affect the levels in your blood of levonorgestrel and make this method of birth control less effective. Discuss with your doctor any other medications you take, such as prescription or over-the-counter drugs, vitamins, and herbs. Inform your physician about all medications you are currently taking and also the medicines you begin or stop taking.