Mirena Coil: What You Should Know from Insertion to Removal

Mirena Coil: What You Should Know from Insertion to Removal

The Mirena coil or IUD is no different from other forms of hormonal birth control as it has its upside and drawbacks.

Not everyone who uses Mirena coil fitting experience side effects! But there are people who have side effects from this IUD. How your body will react to this hormonal birth control is not known. However, many side effects disappear with time as your body gets used to the device.

Mirena IUD may not be suitable for everyone. If you think it’s not for you, it can be removed. But there are a couple of things to consider if you’re to go for Mirena coil.

Frequently asked questions

  • Does Mirena IUD trigger breast tenderness?

Breast tenderness is very common during your menstrual cycle. This is because your ovaries produce progesterone (a sex hormone) in large amount which causes the breast to become sore and tender. But Mirena coil releases progestin, an artificial form of progesterone, so it will make your breast tender. Be that as it may, there is not enough scientific evidence to prove how common this side effect is.

  • Does it cause weight gain?

There are speculations that weight gain is associated with Mirena IUD, but it has not been well proven. People claiming the IUD trigger weight gain do not have strong reasons to back it up. Besides, the Mirena website doesn’t list this side effect as common. Several factors can lead to weight gain and without sufficient evidence, one cannot say which factor is solely responsible.

  • Is acne related to Mirena?

There is a possibility. A past review show that people who had a Mirena coil inserted into their body had a higher chance of getting acne, including severe acne. This is because of the presence of levonorgestrel, an important ingredient used in the preparation of Mirena. But there are no recent studies to back up this claim. For cases of hormonal acne, several available home remedies can bring relief.

  • Does Mirena cause mood swing?

There isn’t any strong evidence to support the link between mood swing and Mirena. A study reveals that people who use hormonal birth control of any form, including Mirena coil, were prescribed antidepressants. Although Mirena users were found to be prescribed antidepressant more times than others, but it is possible to be depressed without being prescribed antidepressants. A recent study claims that Mirena use won’t cause depression. Based on this inconsistency, more studies have to be carried out in order to be certain that there’s a link between depression and Mirena IUD. That being said, there are several treatment options that depressed people can undergo to get relief.

What are the common side effects during and immediately after Mirena coil insertion?

Some people may experience little or more pains during insertion. It works differently for many people, depending on several factors. But until you’ve had one inserted, you can’t be so sure.

Some common side effects during insertion are cramps, feelings of dizziness, and even fainting.

Post Mirena insertion may cause bleeding, dizziness, and discomfort. Based on this, it is recommended that you come along with some pads, ibuprofen, and a thermal heat patch prior to insertion. However, side effects will not last beyond 30 minutes. If it happens, then there’s a chance that the IUD was not inserted the right way.

Report to your gynaecology expert if 30 minutes after insertion, you are still having serious pain and bleeding. Your healthcare provider will have to check the position of the IUD to ensure it is correctly placed.

After insertion, you may experience a little spotting. Don’t hesitate to seek medical help if symptoms like fever and pain continuea few days after insertion. It could be a possible sign of sepsis, a rare but serious complication.

What are the common side effects of Mirena during the first year?

Abnormal periods which may be longer or heavier, including spotting may be experienced within 3 to 6 months of Mirena fitting.

Your body will get used to the IUD in 6 months during which you may have lighter periods prior to insertion. But your period may continue to be abnormal. Sometimes people experience little or no bleeding after some months. See your doctor if the heavy bleeding continues. In the first year, about 1 in 5 persons who use Mirenaexperience no menstrual cycle.

What are the common side effects during the second year down to the fifth year?

Here, you may experience a less heavy and uncomfortable period. After the first year, some side effects such as acne and breast tenderness disappears. But other side effects like spotting or abnormal periods may still be present.

What are the common side effects during the removal?

When removing your IUD, your doctor will use forceps or a similar instrument to pull the strings of the IUD gently. This will cause the Mirena’s arms to fold upwards; then it is removed from the uterus.

During Mirena coil removal, you may bleed and have cramps. But there are no complications during removal of the IUD. In the months following the removal, your menstrual cycle will become normal again, which implies you can get pregnant. Should you not want to get pregnant, you can use another birth control method or contraception.

What are the common side effects during reinsertion?

Replacement or removal of the Mirena coil is usually after 5 years. Depending on your choice, you can opt for a new device to be reinserted. Reinserting a Mirena will produce the same side effects as the first insertion. Although the side effects some people experience the second time is believed to be minimal, there isn’t adequate evidence to support this claim.

If you’ve had an IUD removed before, you’ll likely have no issues in removing one again. Consult your doctor if you would like to reinsert a Mirenacoil after removal. It’s also recommended that you tell your healthcare provider if you had experienced any serious complications or symptoms.

Are there risks with Mirena IUD?

Absolutely! Mirena usage comes with some severe long-term risks and complications.

Although these risks rarely happen, it is highly crucial to note that they can occur. Do well to let your doctor know if you experience symptoms of the following conditions:

  • Ectopic pregnancy – People on any form of birth control can get pregnant. Mirena is a strong form of contraception, and only a fraction of its users get pregnant in a year. It is important that you tell your doctor if you are pregnant while on an IUD. Inserting an IUD during pregnancy can cause miscarriage and infertility.
  • Expulsion – To avoid cases where the uterus will push out an IUD, or where an IUD is moved and stuck in the wrong place, it is very important you check your IUD strings. These cases can happen, which is why we recommend a monthly check to be sure the IUD is in position. You can do this check yourself. Wash your hands properly and insert two fingers into your vagina up to your cervix. Reach around and feel the IUD strings without pulling on them. Should you be unable to feel the strings, or they feel longer than normal, contact your doctor.
  • Pelvic inflammatory disease (PID) – This is a common disease of the reproductive organs. PID is often contracted via sexually transmitted infection (STI), but people without an STI can also get this disease.

Symptoms of pelvic inflammatory disease are:

  • Fever
  • Fatigue
  • Abnormal bleeding
  • Abdominal pain (mostly on the abdomen)
  • Painful urination
  • Painful sexual intercourse
  • Smelly discharge from the vagina

Should you have any of these symptoms, get medical care at once. People stand a chance of slightly developing PID in the first 3 weeks after inserting an IUD.

  • Ovarian cysts – About 12% of hormonal IUD users are at risk of having at least one ovarian cyst during the active life of the IUD.

Symptoms of ovarian cyst are:

  • Painful sex
  • Painful period
  • Abdominal pain and swelling
  • Nausea and vomiting
  • Painful bowel movements

Ovarian cysts usually disappear within one or two months, but sometimes need medical care. If you are experiencing ovarian cyst symptoms, kindly consult your doctor.

  • Perforation of the womb – This is rare. But it is possible that an IUD in the wrong position can tear your uterus. Perforation is likely to occur if you have an IUD while breastfeeding. In the event of a tear, your IUD can:
    • Cause an infection
    • Become ineffective in pregnancy control
    • Damage surrounding organs
    • Cause a permanent scar in your uterus

A surgery will be needed to remove your IUD if it tears your uterus.


Your condition determines to a large extent the side effects of Mirena you will experience. Side effects differ from person to person. Should your symptoms become worrisome, talk to your doctor; the one who inserted your IUD would be best to consult. This is because they will understand your situation better.

Do reach out to us today for more information about Mirena coil insertion or you can pay a visit to our expert gynaecologist.

Janet Wikinson

Janet Wikinson is a professional blogger who is passionate about writing on various interesting topics. Majorly, She is interested in composing intriguing health-related blog posts to aware the people worldwide regarding importance health and wellbeing.

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