Mirena (generic name: levonorgestrel) is an long-acting reversible contraceptive (LARC) intrauterine system (IUS) contraceptive device that is inserted into the uterus in a similar way to a coil. Once inserted, it steadily releases levonorgestrel directly into the uterus. Levonorgestrel is a synthetic form of the female sex hormone progesterone. It reduces the chance of pregnancy by increasing the natural mucus thickness at the cervix. This makes it more difficult for sperm to cross into the uterus, making fertilization less likely. Mirena IUD works for up to eight years and is claimed to be 99% effective at preventing pregnancy. It is also FDA-approved to help with heavy periods (known as heavy menstrual bleeding or HMB) for up to five years in women who are using an IUD for birth control.
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Side Effects: This text is for informational purposes only. Please consult your doctor or pharmacist before using any medication. Serious side effects can be possible. These include: Increased risks of ectopic pregnancy and intrauterine pregnancy if you become pregnant while using Mirena. Be sure to consult with a healthcare provider immediately if there is any indication of pregnancy. Severe pain or fever shortly after Mirena is placed, which can be a sign of infection that can become life‐threatening. Call your healthcare provider immediately. Some IUD users may get a severe pelvic infection (called pelvic inflammatory disease) with symptoms such as long-lasting or heavy bleeding, unusual vaginal discharge, low abdominal pain, chills, fever, painful sex, genital lesions, or sores. Some women using Mirena develop a painful cyst on the ovary. These cysts usually disappear on their own within two or three months. However, cysts can cause pain, and they may need surgical removal if they persist. In very rare cases, there may be a tear in the wall of the uterus (uterine rupture). This is extremely serious and must be attended to immediately. The likelihood that a uterine rupture may be directly caused by the device itself is low. Most complications such as perforation occur at or near the time of insertion and are usually identifiable and managed by the attending doctor. Other common side effects include: Abdominal or pelvic pain Inflammation or infection of the outer part of your vagina (vulvovaginitis) Headache or migraine Vaginal discharge Possible long-term Mirena side effects: Irregular periods Pelvic pain or cramping Breast tenderness Occasional spotting between periods Mood changes Ovarian cysts These are potential side effects. Consult a healthcare provider if you experience these or other unexpected effects. This is a partial list of possible side effects of Mirena. If these side effects persist or worsen, visit a healthcare provider for guidance.
Indication: The Mirena intrauterine device is a highly effective method of birth control. It offers several advantages over oral contraceptives, such as not requiring a woman to remember to take a pill every day and reducing the risk of pregnancy if a dose is missed. It is a reversible form of contraception that allows normal pregnancy to occur once it is removed.
