The Mirena intrauterine device (IUD) releases levonorgestrel, a synthetic form of progesterone, into the uterus. Information technology tin can stay in place for upwardly to v years.

Some people utilise the Mirena IUD for long-term nascence control or as a treatment for heavy menstrual haemorrhage.

Later 5 years, the Mirena IUD stops working. At this bespeak, a doc will remove or supervene upon information technology. Some people may feel symptoms after a dr. has removed the device.

In this article, we will talk over what to expect during the removal of a Mirena IUD, why a md might demand to remove it, and how to cope with the symptoms that might develop after removal.

a woman holding her stomach because she has cramps as one of the symptoms after Mirena removal Share on Pinterest
A person may feel some cramping if a doctor uses a hysteroscope to remove the IUD.

Removing a Mirena IUD is a quick process that typically takes place at a doctor's office.

Co-ordinate to American Family Doctor, a physician volition gently pull the threads attached to the device using ring forceps to remove the Mirena IUD. If a doctor cannot find the threads, they may utilize ultrasound to assistance.

Sometimes, doctors experience some resistance when trying to remove the IUD.

This sometimes happens because the Mirena has become embedded in the uterus. If this occurs, the doctor may use a device called a hysteroscope to see within the uterus, locate the IUD, and and then remove it.

If a doctor needs to use a hysteroscope to remove an IUD, they will provide pain medication or anesthetic to make the procedure more comfortable.

After a doctor removes the Mirena IUD, a person may experience some balmy pain or bleeding. This may continue for a few days.

If a doctor used a hysteroscope to remove the IUD, the person may also experience some cramping and have a bloody discharge for a few days after the process.

People living with epilepsy may experience a seizure during removal.

Anyone who develops a fever, chills, or heavy bleeding post-obit IUD removal should consult a doctor immediately.

Some people report that they experience a 'Mirena crash' after removal of the device. Doctors accept not defined the Mirena crash in medical literature, so its description comes from personal accounts.

Ane theory almost why the Mirena crash happens is that removing the IUD causes a drop in progesterone or a hormonal imbalance. It may take fourth dimension for the torso to create more.

Unlike the short-term symptoms of Mirena removal, a Mirena crash involves longer-lasting psychological, neurological, and physical symptoms, that might include:

  • depression
  • anxiety
  • mood swings
  • indisposition
  • headaches
  • fatigue
  • hair loss
  • nausea
  • weight gain
  • acne
  • decreased sex drive

People report that these symptoms can last weeks or sometimes months after a doctor has removed the Mirena.

However, researchers accept non yet studied the Mirena crash, its potential symptoms, its causes, or how to care for information technology.

Bated from reaching the end of the 5 years, a person might inquire their md to remove the Mirena for several other reasons.

Unwanted side furnishings

Sometimes, IUDs crusade side effects. If these side furnishings become too disruptive, a person may enquire their doctor to remove their IUD, so that they can try a dissimilar method of nascency control.

Hither are the about common side effects of Mirena, co-ordinate to its manufacturer.

Fertility

Co-ordinate to the manufacturer, the Mirena IUD is 99.9% effective at preventing pregnancy for upward to 5 years. People who desire to try to excogitate will demand a doc to remove their IUD.

IUD expulsion

Sometimes the Mirena IUD spontaneously moves from its position in the uterus. This is called expulsion. Partial or complete IUD expulsion may crusade bleeding or pain, merely some people do not experience any symptoms.

According to clinical trials, the rate of expulsion is 4.5% over 5 years.

Pregnancy

There is a very depression risk of becoming pregnant while using the Mirena IUD. However, if a person does become meaning while using it, a medico must remove the device immediately. This is because someone who becomes significant while using Mirena is at a higher risk for:

  • ectopic pregnancy
  • loss of fertility
  • pregnancy loss
  • septic abortion
  • premature labor and delivery

Perforation

According to the prescribing data, an IUD tin can puncture the uterus or cervix, although this is rare. If a person or doc notices a perforation, the medico must locate the IUD and remove it. In some cases, removing an IUD that has caused a perforation requires surgery.

Pelvic inflammatory disease

Doctors do not recommend IUDs, such as the Mirena, for people with a history of pelvic inflammatory disease (PID). PID is a astringent complication of untreated sexually transmitted diseases.

Doctors will remove the Mirena IUD if a adult female has recurrent PID, endometritis, or a pelvic infection that does non answer to handling.

People using an IUD must study the following symptoms to their doctor:

  • lower abdominal pain
  • pelvic pain
  • odorous discharge
  • unexplained haemorrhage
  • a fever
  • genital lesions or sores

Pelvic actinomycosis

Pelvic actinomycosis is an infection caused by the bacteria Actinomyces. According to an commodity in the Canadian Journal of Infectious Diseases and Medical Microbiology , Actinomyces has a low potential to crusade an infection under normal conditions. However, it may lead to an infection during the insertion of an IUD.

People with pelvic actinomycosis may have symptoms such as:

  • weight loss
  • nonspecific abdominal pain or pelvic hurting
  • bleeding in between periods
  • heavy menstrual flow
  • a fever

Other reasons

Doctors may also propose removing an IUD if someone has any of the following conditions, according to the prescribing information:

  • a blood clotting disorder
  • migraine with aura
  • astringent headaches
  • a significant increase in claret pressure
  • severe cardiovascular diseases, such every bit stroke or heart attack
  • gynecological cancer
  • jaundice

Nigh people who get symptoms after Mirena removal find that they are mild and improve on their own.

Over-the-counter (OTC) hurting medications such every bit ibuprofen (Advil) and acetaminophen (Tylenol) may help with any pain. A person may find it helpful to carry extra personal hygiene products with them to manage haemorrhage.

People who feel cramping may too do good from trying some complementary treatments, such every bit yoga, gentle physical activity, heat pads, or a warm bath.

Others apply herbal remedies to aid with hormonal symptoms. Some herbal remedies that may help with hormonal symptoms include:

  • blackness cohosh
  • evening primrose oil
  • vitex (chasteberry)

However, some herbal medicines tin can collaborate with medications. People who want to try herbal remedies or have persistent, unexplained symptoms should speak with a doctor or pharmacist.

IUDs may put people at risk for PID, which tin contribute to infertility. Nonetheless, most of the time, hormonal IUDs, such as Mirena, do not adversely bear on fertility.

In 1 study, people who had their IUD removed showed no departure in fertility to people who had used other methods of birth control over 12 months.

While some people feel uncomfortable symptoms after Mirena removal, they are normally temporary. However, if the symptoms do non better over time, or they get worse, a person should see their doctor.

Seek assistance immediately if any of the following symptoms appear:

  • a fever
  • chills
  • heavy haemorrhage
  • severe hurting

Doctors advise against trying to mask severe pain with medication, as it could be a sign that a person needs medical treatment.

Mirena removal can cause symptoms such as mild pain, bleeding, or cramps that may last a few days. OTC pain medication and personal hygiene products may help people cope in the brusque-term.

Some people study neurological, psychological, and physical symptoms subsequently Mirena removal. People with symptoms that last longer than a few days should speak with a doc.