There are a lot of risks that go along with getting the Mirena. Think and research long and hard before doing so! That is the only advice I can give you. I got my mirena put in 5 months ago and have been bleeding ever since. It is just a side effect that can go along with getting it. I hate it and actually have an appt to get it taken out. It is horrible. Getting it put in was not painful at all. The hours that followed, sucked. Extreme period-like cramps for the next 12 hrs. I suggest reading this before getting the Mirena.
Some serious but uncommon side effects of Mirena include:
- Pelvic inflammatory disease (PID). Use of Mirena (levonorgestrel-releasing intrauterine system) and other IUDs has been associated with an increased risk of PID. The percentage of women who develop PID while using Mirena is less than 1%. The risk is highest shortly after placement—especially within the first 20 days—and if you have a vaginal infection at the time of placement. After the first 20 days, the risk of PID is reduced.
PID is an infection of the uterus and other organs of the upper reproductive system. It is caused by bacterial infections that are usually sexually transmitted, such as gonorrhea or chlamydia, that travel beyond the vagina and cervix into the uterus and other organs in the reproductive system. The risk of PID is greater if you or your partner have sex with multiple partners. If not treated quickly and appropriately, PID can lead to serious problems, including infertility, ectopic pregnancy or constant pelvic pain. Serious cases of PID may require surgery. A hysterectomy (removal of the uterus) is sometimes needed. In rare cases, infections that start as PID can even cause death.1
Possible common side effects of Mirena include:
- A rare life-threatening infection like sepsis may occur within the first few days after Mirena is placed. As of September 2006, 9 sepsis cases out of an estimated 9.9 million Mirena users had been reported. Call your healthcare provider immediately if you experience severe pain or unexplained fever after Mirena is placed.
- Embedment is when Mirena attaches to the uterine wall. If embedment occurs, Mirena may no longer prevent pregnancy and you may need surgery to have it removed.
- Perforation. Mirena may go through (perforate) the uterine wall. If your uterus is perforated, Mirena may no longer prevent pregnancy. It may move outside the uterus and can cause scarring, infection or damage to other organs. Surgery may be needed to have Mirena removed.
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- Discomfort during placement. Dizziness, bleeding or cramping may occur during placement. This is common. Let your healthcare provider know if the cramping is severe.
- Expulsion. Mirena may come out by itself and no longer prevent pregnancy. Symptoms of partial or complete expulsion may include bleeding, pain and an increase in menstrual flow. If this occurs, Mirena may be replaced within 7 days of a menstrual period after pregnancy has been ruled out. If you notice Mirena has come out, use a back-up form of birth control like condoms and call your healthcare provider.