Who should not use Mirena?
Do not use Mirena if you: • Are or might be pregnant; Mirena cannot be used as an
emergency contraceptive • Have had a serious pelvic infection called pelvic inflammatory disease (PID) unless you have had a normal pregnancy after the infection went away • Have an untreated pelvic infection now • Have had a serious pelvic infection in the past
3 months after a pregnancy • Can get infections easily. For example, if you have: o Multiple sexual partners or your partner has multiple
sexual partners o Problems with your immune system o Intravenous drug abuse • Have or suspect you might have cancer of the
uterus or cervix • Have bleeding from the vagina that has not been
explained • Have liver disease or liver tumor • Have breast cancer or any other cancer that is sensitive to progestin (a female hormone), now or in the past • Have an intrauterine device in your uterus already • Have a condition of the uterus that changes the shape
of the uterine cavity, such as large fibroid tumors • Are allergic to levonorgestrel, silicone, polyethylene,
silica, barium sulfate or iron oxide
What does my healthcare provider need to know? Before having Mirena placed, tell your healthcare provider if you: • Have had a heart attack • Have had a stroke • Were born with heart disease or have problems with
your heart valves • Have problems with blood clotting or take medicine
to reduce clotting • Have high blood pressure • Recently had a baby or if you are breastfeeding • Have severe migraine headaches
How is Mirena placed? Mirena is placed by your healthcare provider during an in-office visit. First, your healthcare provider will examine your pelvis to find the exact position of your uterus. Your healthcare provider will then clean your vagina and cervix with an antiseptic solution, and slide a slim plastic tube containing Mirena into your uterus. Your healthcare provider will then remove the plastic tube, and leave Mirena in your uterus. Your healthcare provider will cut the threads to the right length. Placement takes only a few minutes. You may experience pain, bleeding or dizziness during and after placement. If your symptoms do not pass within 30 minutes after placement, Mirena may not have been placed correctly. Your healthcare provider will examine you to see if Mirena needs to be removed or replaced.
Should I check that Mirena is in place? Yes, you should check that Mirena is in proper position