Indications & Usage
Mirena (levonorgestrel-releasing intrauterine system) is a hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 5 years. Mirena also treats heavy periods in women who choose intrauterine contraception.
Important Safety Information About Mirena
Only you and your healthcare provider can decide if Mirena is right for you. Mirena is recommended for women who have had a child.
- Don’t use Mirena if you have a pelvic infection, get infections easily or have certain cancers. Less than 1% of users get a serious infection called pelvic inflammatory disease. If you have persistent pelvic or abdominal pain, see your healthcare provider.
- Mirena may attach to or go through the wall of the uterus and cause other problems. If Mirena comes out, use back-up birth control and call your healthcare provider.
- Although uncommon, pregnancy while using Mirena can be life threatening and may result in loss of pregnancy or fertility.
- Ovarian cysts may occur but usually disappear.
- Bleeding and spotting may increase in the first 3 to 6 months and remain irregular.
Periods over time usually become shorter, lighter or may stop.
What to Expect at Placement
After your consultation and if you decided it is right for you, your doctor can place it into your uterus during a routine appointment visit.
- Placement typically takes just a few minutes
- Cramps, dizziness, and/or some bleeding may occur and are common side effects
- Some discomfort can be expected and is common. Ask your healthcare provider about over-the-counter pain medications you can take to minimize cramps
- Let us know if your side effects are severe or last more than 30 minutes as Mirena maynot have been properly placed
What is IMPLANON?
IMPLANON is a hormone-releasing birth control implant for use by women to prevent pregnancy for up to 3 years. The implant is a flexible plastic rod about the size of a matchstick that contains a progestin hormone called etonogestrel. Your healthcare provider will insert the implant just under the skin of the inner side of your upper arm. You can use a single IMPLANON implant for up to 3 years. IMPLANON does not contain estrogen.
What if I need birth control for more than 3 years?
The IMPLANON implant must be removed after 3 years. Your healthcare provider can insert a new implant under your skin after taking out the old one if you choose to continue using IMPLANON for birth control.
What if I change my mind about birth control and want to stop using IMPLANON before 3 years?
Your healthcare provider can remove the implant at any time. You may become pregnant as early as the first week after removal of the implant. If you do not want to get pregnant after your healthcare provider removes the IMPLANON implant, you should start another birth control method right away.
How does IMPLANON work?
IMPLANON prevents pregnancy in several ways. The most important way is by stopping the release of an egg from your ovary. IMPLANON also thickens the mucus in your cervix and this change may keep sperm from reaching the egg. IMPLANON also changes the lining of your uterus.
How well does IMPLANON work?
When the IMPLANON implant is placed correctly, your chance of getting pregnant is very low (less than 1 pregnancy per 100 women who use IMPLANON for 1 year). It is not known if IMPLANON is as effective in very overweight women because studies did not include many overweight women.
Who should not use IMPLANON?
Do not use IMPLANON if you:
- Are pregnant or think you may be pregnant
- Have, or have had serious blood clots, such as blood clots in your legs (deep venous thrombosis), lungs (pulmonary embolism), eyes (total or partial blindness), heart (heart attack), or brain (stroke)
- Have liver disease or a liver tumor
- Have unexplained vaginal bleeding
- Have breast cancer or any other cancer that is sensitive to progestin (a female hormone), now or in the past
- Are allergic to anything in IMPLANON