Are Nexplanon And Mirena The Same
Nexplanon and Mirena are available non-pill birth control options. Although they are both considered long-acting reversible contraceptives that contain a form of progestin, they are not the same. Nexplanon contains etonogestrel and is implanted in the upper arm. Mirena contains levonorgestrel and is inserted into the uterus.
Can You Get A Mirena Coil At 50
Mirena is a type of intrauterine system thats placed inside the womb . Its mostly known as a long-term method of birth control, but it has a few other uses too including during the perimenopause and the menopause, which usually occurs between the ages of 45 and 55.
Firstly, it can help manage heavy periods, which are often a symptom of the menopause. It can also be used as part of hormone replacement therapy .
Clinical Trials On Contraception
The safety and effectiveness of Mirena was studied in two clinical trials in Finland and Sweden. In these trials, 1,169 women 18 to 35 years of age at enrollment used Mirena for up to 5 years, for a total of 45,000 women-months of exposure. Of these, 5.6% were nulliparous women. Subjects had previously been pregnant, had no history of ectopic pregnancy, had no history of pelvic inflammatory disease over the preceding 12 months, were predominantly White, and over 70% of the subjects had previously used IUDs . The reported 12-month pregnancy rates were less than or equal to 0.2 per 100 women and the cumulative 5-year pregnancy rate was approximately 0.7 per 100 women .
The contraceptive efficacy of Mirena during extended use beyond 5 years was studied in the Mirena Extension Trial , a multi-center, open-label, uncontrolled study conducted in the United States. The trial enrolled women 18 to 35 years of age who had been using Mirena for not less than 4.5 years and not more than 5 years at enrollment. The population consisted of 362 women using Mirena. Of these 47.2% were nulliparous. The women were predominantly White 14.1% of the women were Black/African American, and 2.5% were Asian 11.3 % were Hispanic. The weight range was 38.5163.5 kg and mean BMI was 27.9 kg/m2 .
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Can It Cause Acne
It probably can.
A 2008 review looked at the safety and side effects of the Mirena IUD. It found that you were more likely to have acne after getting an IUD containing Mirenas main ingredient levonorgestrel. Kailasam C. et al. . Review of the safety, efficacy and patient acceptability of the levonorgestrel-releasing intrauterine system.
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Women At Risk Of Sexually Transmitted Infection
A history of sexually transmitted infection does not preclude IUD insertion 64). In a study of patients in an urban university clinic, IUDs were used safely in women with a history of STI, and the incidence of STI in these women decreased following IUD insertion 65). However, clinicians should screen patients following Centers for Disease Control and Prevention guidelines for all women 66). For women with a known STI, it is recommended that IUD insertion be delayed for at least three months after resolution of the infection. Women should also be rescreened for STI three to six months after treatment 67).
If a woman does not have a known STI or active signs or symptoms of a genital tract STI, it is safe to screen for STI on the same day as IUD placement, although the rate of pelvic inflammatory disease will be slightly increased if it turns out that an STI was present at the time of IUD insertion 68). The prescribing information for the hormonal IUDs states that it is usually appropriate to remove an IUD if an STI is diagnosed however, the USMEC guidelines state that in a patient who tests positive for an STI but has no symptoms, antibiotics may be prescribed and, if clinically appropriate, the IUD may be left in place 69), 70).
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Treat The Cause Not The Symptoms
Unfortunately, its an all too common story for women from a supposedly simple treatment option. In fact, hormonal IUDs have become a first-line treatment option when it should be the last.
Just like antidepressants are a first-line prescription when other lifestyle options should be first investigated.
If the real cause of the excessive bleeding or painful periods was treated in the first place, with natural options of diet, lifestyle and safe herbal combinations, this sometimes tragedy would be avoided.
Happy Healthy YOU has a program that addresses these imbalances and allows the body to heal itself so that painful periods and heavy bleeding are no longer an occurrence.
Risks With Intrauterine Pregnancy
If pregnancy occurs while using Mirena, remove Mirena because leaving it in place may increase the risk of spontaneous abortion and preterm labor. Removal of Mirena or probing of the uterus may also result in spontaneous abortion. In the event of an intrauterine pregnancy with Mirena, consider the following:
In patients becoming pregnant with an IUS in place, septic abortion – with septicemia, septic shock, and death – may occur.
Continuation of pregnancy
If a woman becomes pregnant with Mirena in place and if Mirena cannot be removed or the woman chooses not to have it removed, warn her that failure to remove Mirena increases the risk of miscarriage, sepsis, premature labor and premature delivery. Advise her of isolated reports of virilization of the female fetus following local exposure to LNG during pregnancy with an LNG IUS in place . Follow her pregnancy closely and advise her to report immediately any symptom that suggests complications of the pregnancy.
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Can Iuds Be Used As Emergency Contraception
Yes! The Paragard, Mirena, and Liletta IUDs work super well as emergency contraception. If you get one of these IUDs put in within 120 hours after unprotected sex, its more than 99% effective. Its actually the most effective way to prevent pregnancy after sex.
Another great thing about using an IUD as emergency contraception: you can keep it and have really effective birth control that you can use for up to 7 to12 years . The other kind of emergency contraception is the morning-after pill. You can take it up to 5 days after unprotected sex to reduce the risk of pregnancy.
Benefits Of Using Mirena
Mirena is more than 99% effective at preventing pregnancy and can last for up to five years. It is also beneficial in the following cases-
- Your need to interrupt sex to wear contraception is eliminated.
- You do not require your partners participation in using this method of contraception.
- You can be stress-free as it remains in its place for up to 5 years.
- You can get it removed at any point in time by a medical practitioner.
- You can use it even while breast-feeding your baby . It is recommended to wait for 6 to 8 weeks after delivery as earlier placement might injure the uterus during placement.
- You can be free from the side effects of birth control pills, especially those containing estrogen.
How Long Does The Mirena Crash Last
It is difficult to pinpoint how long the Mirena crash will last once the symptoms begin to show. Since it is brought about by a hormonal imbalance, it is reasonable to suggest that the symptoms will dissipate once a hormonal equilibrium is restored. In essence, it will depend on how long a womans body will take to restore hormonal balance. The Mirena Crash can last anywhere from a few days to several months.
Theyre Safe For Teens And Women Who Havent Had Children
In the 1970s, IUDs had a very bad reputation. A device called the Dalkon Shield became infamous when it was found to have serious design flaws that made it unsuitable for adolescents and increased a womans risk of infection and infertility.
The IUDs of today are a world away from the Dalkon Shield. Considerable evidence suggests that Paragard, Mirena, Kyleena, Skyla, and Liletta are safe for most women, including teenagers, women who plan to become pregnant in the future, and women with multiple partners . The American College of Obstetricians and Gynecologists recommends IUDs as a safe, appropriate, and highly effective method of birth control for the majority of women.
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What Is The Mirena Crash
There are reports of women experiencing short-term side effects after the removal of Mirena. While there is no concrete evidence on the cause of it, the Mirena crash may be associated with a temporary hormone imbalance after removal. Symptoms of Mirena crash may include headache, nausea, mood swings, insomnia, fatigue, and acne. These effects are usually temporary.
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But There Are Potential Cons Too
- The insertion procedure can be mildly to moderately painful. I recommend that people take ibuprofen beforehand, says Dr. Brant. It doesnt actually help with the pain during the insertion, but it does help with the cramping afterward.
- With either type, during the first few months, you may experience irregular bleeding and/or cramping. You can continue to take 600 to 800 mg of ibuprofen every six to eight hours for this as well, Dr. Brant says. (NOTE: If the pain persists or gets worse and ibuprofen isnt cutting it, and/or youre soaking through a pad or more an hour, youll need to see your doctor right away.
- Irregular bleeding and/or cramping that hasnt gone away after three months may result in your doctor putting you on ibuprofen for one to three months to alleviate pain and decrease bleeding or temporarily prescribing birth control pills to help regulate your cycle.
- If you do get pregnant with an IUD , your risk of ectopic pregnancy is higher.
- Youll need to see your doctor for another procedure to get the IUD taken out.
- An IUD isnt recommended if you have an abnormally shaped uterus since placing it is more difficult and increases the risk of perforation.
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During Pregnancy And Breastfeeding
Mirena is a pregnancy category X drug. This means that you should not use it during pregnancy. If you have Mirena and think youve become pregnant, call your doctor right away.
Using Mirena during pregnancy can cause an ectopic pregnancy. This is when the pregnancy occurs outside of the uterus, typically in a fallopian tube. Symptoms of an ectopic pregnancy can include unusual vaginal bleeding or pain in your abdomen. Ectopic pregnancy is a medical emergency that typically requires surgery.
In most cases, you can use Mirena while breastfeeding if its been more than six weeks since you had your baby. Do not use Mirena before that time. There is a small chance that Mirena could reduce the amount of milk your body makes. If you notice any changes in your milk production while you use Mirena, call your doctor.
What Is An Intra Uterine Device
An IUD is a small object that goes inside your uterus.
There are two types of IUDs:
- Copper IUD – contains copper, a type of metal
- Hormonal IUD contains the hormone progestogen
The IUD is put in your uterus by an experienced nurse or doctor. This is simple and safe. The procedure itself takes about five to 10 minutes, but your appointment will take about 40 minutes. During this time the nurse or doctor will explain how the insertion is done and will give you instructions about what to expect once your IUD is in place.
You cant feel it or tell it is there except by checking for the threads. If you are having penis in vagina sex, your partner should not be able to feel it. You can still use tampons.
The removal threads come out of your cervix and curl up inside the top of your vagina they dont hang outside.
Is It Okay To Suppress Periods
Hormonal IUDs suppress bleeding, which inevitably raises the question: Is it okay to not have a period?
Theres no medical reason to bleed monthly, and certainly, no reason to bleed monthly on the pill because pill-bleeds are not periods.
There is, however, a reason to ovulate monthly because ovulation is how women make hormones. Normally, ovulation leads to a bleed, except in the case of a hormonal IUD, which permits ovulation but can suppress bleeding.
Tip: With the pill, you bleed but dont cycle. With the hormonal IUD, you can cycle but not bleed.
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Mirena For Heavy Bleeding Perimenopause: Using Iuds
Our own ob/gyn Director of Health, Dr. Rebecca Dunsmoor-Su, is an advocate of the hormonal IUD Mirena® for women in midlife, so we asked her to explain the benefits and any risks.
Note: Dr. Rebecca particularly likes and recommends the Mirena® because it has been on the market the longest, so we asked her specifically about that brand of IUD. This information may also pertain to similar devices however, be aware that the information below is based on the Mirena.
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Which Iud Do You Have & For How Long
After a discussion with my doctor, I opted for the Mirena IUD. I had it placed in March of 2017 and removed in August 2019 which means I had it for a total of two and a half years. The lifespan of the Mirena is five years, so I had it removed early.
At the time, I was personally advised away from the non hormonal IUD, Paraguard, because my time of the month was already debilitating and this IUD can make them heavier and more frequent. Reflecting now, Id take that over being pumped with synthetic hormones on the reg.
I was also advised to opt for the Mirena over the smaller sister IUD, Skyla , because its more convenient to take out Mirena earlier than it is to to take out Skyla due to expiration and insert a new one.
Blood Cancers Including Leukaemia
If you have a blood cancer such as leukaemia and have a Mirena coil, any bleeding caused by the coil would be much heavier. This is because you may not have enough platelets to help your blood clot normally.
The manufacturers of the Mirena coil say it may be used with caution if your leukaemia is in remission.
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What If I Am Using The Hormonal Iud And I Want To Become Pregnant
The hormonal IUD can be removed at any time by a trained doctor or a nurse. Your fertility will quickly return to what is normal for you.
Family Planning Victoria acknowledges the Aboriginal and Torres Strait Islander people as the Traditional Owners of the land on which our offices stand and in the regions in which we provide our services. We pay our respects to Elders past, present and future.
Family Planning Victoria is committed to providing respectful, inclusive services and work environments where all individuals feel accepted, safe, affirmed and celebrated. With our commitment to embracing diversity and eliminating all forms of discrimination in the provision of reproductive and sexual health services, we welcome all people irrespective of cultural or linguistic background, sexual orientation, gender identity, intersex status, religion or spiritual beliefs, socio economic status, age or abilities.
Using The Mirena As Part Of Your Hrt
HRT consists of two hormones oestrogen and progestogen. Oestrogen manages most menopause symptoms, and progestogen protects the lining of the womb. Thats because if you still have a womb and you take oestrogen by itself, it can thicken the lining of your womb, increasing your risk of womb cancer. Progestogen prevents the lining of your womb from thickening.
Once a Mirena has been fitted, it lasts for 5 years . If you have a Mirena fitted, you only need to take oestrogen, which can come in a patch, gel, spray, or tablet.
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How Is It Fitted
Having a Mirena fitted takes around 5-10 minutes, though your appointment will usually be longer than that.
You can sometimes experience intense, short-lasting period-like pains during fitting, and you may get some period-like cramps over the next few days.
A doctor or nurse will first examine you internally and then use a speculum to see the cervix .
The Mirena comes folded in a slim introducer, which is passed through the neck of the womb and released into the cavity. Two thin threads are left hanging into the vagina. A medical professional uses the threads to remove the coil. You may be able to check the threads are present particularly initially, but with time the threads curl over the neck of the womb and so you may not be able to feel them. Your partner should not be able to feel the threads during sex. If they are felt during sex, please see a doctor or nurse to check the fitting and trim the threads if needed.
How To Tell If It’s Still In Place
An IUS has 2 thin threads that hang down a little way from your womb into the top of your vagina.
The GP or nurse that fits your IUS will teach you how to feel for these threads and check that the IUS is still in place.
Check your IUS is in place a few times in the first month and then after each period, at regular intervals.
It’s very unlikely that your IUS will come out, but if you cannot feel the threads or think it’s moved, you may not be protected against pregnancy.
See a GP or nurse straight away and use additional contraception, such as condoms, until your IUS has been checked.
If you’ve had sex recently, you may need emergency contraception.
Your partner should not be able to feel your IUS during sex. If they can, see a GP or nurse for a check-up.
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