You'll be taught how to check that your IUS is in place. In rare cases, an IUS can make a hole in the womb when it's put in. This may be painful, although there may not be any symptoms. If the IUS fails and you become pregnant, there's also an increased risk of ectopic pregnancy.
Find a sexual health clinic. If you need contraception, call your GP surgery or a sexual health clinic as soon as possible. Only go in person if asked to. Most IUSs can be left in and will continue to work for up to 6 years. If your low-dose IUS is due to be replaced and you do not want to get pregnant, use condoms or the progestogen-only pill for now. If you're under 16 and want contraception, the doctor, nurse or pharmacist will not tell your parents or carer as long as they believe you fully understand the information you're given and the decisions you're making.
Doctors and nurses work under strict guidelines when dealing with people under They'll encourage you to consider telling your parents, but they will not make you. The only time a professional might want to tell someone else is if they believe you're at risk of harm, such as abuse.
The risk would need to be serious, and they would usually discuss this with you first. Page last reviewed: 1 April Next review due: 1 April Where to get contraception. What is emergency contraception? Where can I get emergency contraception? Emergency contraception. Things to consider Age, health, lifestyle, side effects How effective is contraception at preventing pregnancy? Combined pill Progestogen-only pill Natural family planning fertility awareness.
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How do I change to a different pill? Will a pregnancy test work if I'm on the pill? Otherwise known as an intrauterine system IUS , the Mirena is small, plastic, and T-shaped, and it works by slowly releasing the hormone levonorgestrel a natural progesterone into the womb. It prevents pregnancy because it increases the thickness of mucus produced by the cervix, therefore making it harder for sperm to enter the womb and fertilise an egg.
On top of that, the Mirena coil itself causes a harmless local inflammatory reaction within the womb because the body sees it as an object that does not belong there.
This reaction makes the womb an unfavourable environment for pregnancy to occur. In addition, levonorgestrel thins the womb lining and stops the formation of dilated blood vessels needed for implantation of an egg.
Therefore, should an egg end up fertilised, it is less likely to be able to implant into the womb. As the womb lining becomes thin with the Mirena, and the formation of dilated blood vessels reduced, it means that when the lining is shed during periods these are lighter, or even absent, hence why the Mirena is used to treat heavy periods too.
When you place your trust in a form of long term contraception, you may still occasionally have little worrying niggles that it might have stopped working.
But will you see any signs if your Mirena coil has stopped working? How can you tell? Once inserted, it lasts for five years, although there are some very rare instances when it may not be effective for that full length of time. Causes of Mirena coil failure include the coil being misplaced, expulsion when womb contractions force the device out , and pregnancy that was missed at the time of insertion of the Mirena.
During the first months of having the Mirena inserted, irregular periods frequent, heavy periods alternating with infrequent, light periods are common, and does not necessarily mean the coil is not working. Women aged 5 and those who have heavy or painful periods 6 are at greater risk of this happening, although the exact reason for this is not clear.
Due to any of the above reasons, the Mirena coil may fail to work effectively, meaning that you would be at risk of pregnancy. If pregnancy does occur, there is a slightly increased risk that the fertilised egg will implant somewhere other than the womb lining, known as an ectopic pregnancy. This is because the progesterone in the Mirena slows down the passage of the egg through the Fallopian tube, making it more likely to stop and implant there instead of the womb.
When the Mirena coil is in place it generally results in lighter periods or no periods at all, as explained above. This could indicate Mirena failure, because the levonorgestrel is not having the desired effect. However, during the first months of having the Mirena inserted, irregular periods frequent, heavy periods alternating with infrequent, light periods are common, and does not necessarily mean the coil is not working — it is simply because the body is adjusting to the effect of the Mirena.
One suggestion is that the imbalance in the body between progesterone and oestrogen caused when the Mirena is inserted causes the womb lining to be fragile, and therefore more likely to bleed and cause irregular bleeding. If there is a sudden change in the bleeding pattern, particularly heavy periods, it is worth getting this investigated as it may be due to other causes such as infection or expulsion of the Mirena.
The exact mechanism of premenstrual syndrome PMS is not fully understood. It has a range of symptoms which are different in different people, which can vary from month to month. These symptoms may include mood swings, bloating, changes in appetite, and changes in sex drive.
Some women report feeling their symptoms of PMS are lessened after they have the Mirena inserted, and their mood is more stable, but others may find they have worse mood swings, or feel more anxious. However, resurgence of PMS in people who found their symptoms improved with the coil in place could be an indication that the Mirena is no longer working effectively, and it is worth seeing your doctor just in case.
One of the most commonly reported symptoms of women who have the Mirena coil is pelvic cramping. This is common for a few weeks after the coil is inserted and is due to the womb being irritated and inflammatory cells stimulating the nerves in the womb.
In most instances this will get better with time. Often the device migrated from its original positions, causing a lot of discomfort and some instances of extreme pain.
Once the device migrated, it wreaked havoc on internal organs by perforating some of them. If this happened, the device had to be removed through surgery. In other instances, the device was expelled from the uterus into the vagina. It was then useless in protecting the host against pregnancy. Cases of ectopic pregnancy have also been reported. The IUD also caused benign ovarian cysts in some women. A host of other symptoms are also exhibited in some women.
These include;. Aside from these symptoms, the Mirena IUD has been reported to cause birth injuries in children or fetuses. Afraid of these symptoms manifesting, many women rushed to have the IUD removed before the 5-year prescription period abated.
Most were shocked to learn that removing the IUD also had its adverse side effects. This admonishment was spurred by nearly , different injury reports that had been received by the FDA. All the complaints brought by the regulator were related to the use of the Mirena IUD. The Mirena Crash is the set of symptoms prevalent in women who opted to remove the Mirena IUD before the lapse of 5 years. One survivor has termed the Mirena Crash as amplification and diversification of symptoms resulting from a hormonal crash.
When implanted, the IUD secretes a hormone much like progesterone known as levonorgestrel. When the IUD is removed suddenly, the body lags in the natural production of progesterone. This delay in the production of the hormone causes a hormonal imbalance in the body. The imbalance interferes with normal body functions are ignites a set of symptoms usually held at bay in the presence of progesterone. 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. The Mirena Crash can last anywhere from a few days to several months. It is not uncommon to have varied symptoms after the removal of an intrauterine device.
Symptoms are especially prevalent after the removal of hormonal IUDs. Among the most noted in women after the removal of the IUD are;. Several of the symptoms consequent of the Mirena IUD removal are not life-threatening, but others have permanent effects on body functions. They range from biological, neurological and psychological side effects.
Perhaps the most concerning the symptoms above is depression. A survey conducted among the women who exhibited the symptoms revealed that those who experienced depression were more likely to attempt suicide or delve into substance abuse.
It would have been wise if the maker of the device had pre-warned the users of the devices of the symptoms before selling it to them. In the midst of the dilemma, the manufacturer, Bayer, has refused to acknowledge the existence of the so-called Mirena Crash. It adamantly insists that its product is safe and any adverse health issues reported by the women have nothing to do with the Mirena.
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