Insertion of mirena
What is mirena?
Mirena is a hormonal intrauterine device used for contraception, to control bleeding or to protect the womb from endometrial cancer.
Mirena can be inserted in an outpatient settings or in combination with a hysteroscopy and curettage.
As a contraception device it starts working immediately. If it is used to treat menorrhagia the best results are observed after 6 months. Initially Mirena causes irregular bleeding and spotting. You may experience abdominal pain at the insertion of Mirena.
What are the risks?
There are complications associated with the insertion of mirena:
- Infection of uterus or fallopian tubes requiring antibiotics and sometimes removal of an IUD
- Perforation of the wall of the uterus and possible injury to the bladder or bowel, sometimes requiring further surgery to correct problems
- Expulsion of Mirena by uterus
- Ovarian cysts
- Pregnancy 1:600 women. Of those 1/3rd will be an ectopic pregnancy requiring further surgery
- Mirena may not provide symptom relief in your case
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