Possible Complications, caused by the Mirena IUD
Most women do not experience any kind of complication while using Mirena as the method of contraception. However, any problem occurred, you are to visit your doctor immediately, in order to avoid further complications.
• Perforation. Mirena, as well as ParaGard can be pushed through the uterus wall in the process of insertion. As a rule, your doctor will see it right away, but if he has not noticed the perforation, the IUD can move further into other parts of the pelvic area, and it may cause damage to the internal organs. In this case, Mirena gets removed by a surgical way.
• Infection. There is the risk, though it is extremely small, of pelvic inflammatory disease during the first twenty days after Mirena was inserted. Bacteria, which may get into the uterus during the inserting process, can possibly cause the pelvic infection. Actually, pelvic inflammatory disease is a kind of sexually transmitted infections, so, you have a higher risk to obtain it, if your partner has sex with other partners. Most infections develop during first three weeks after the insertion of Mirena. Any infection, which occurred after this time, most like to happen because of the exposure to the sexually transmitted diseases during sexual contact.
• Expulsion. Mirena can slip out of the uterus partially or even completely. Younger women have a higher risk of it to happen, or Mirena may also get slipped out during the first several months after insertion (though it may also occur later). A woman may get pregnant, in case if it gets off from its place, so, it is better to use some additional birth – control method, like condom, etc. after you feel Mirena slipped off, you are to call your doctor immediately, as it is to be removed. You should better check your pads and tampons during your menstrual period to be sure that Mirena has not slipped out of the uterus.
Who May Use the Mirena IUD
According to Bayer HealthCare Pharmaceuticals, the company, which manufactures the Mirena, this kind of IUD is good to be used by women, who:
• Have at least one child of their own,
• Have stable mutually monogamous relationship,
• Do not suffer from any kind of pelvic inflammatory diseases,
• Did not have ectopic pregnancy.
Who Should Not Use the Mirena IUD
The following categories of women should not use this kind of IUDs. These women are those, who:
• Have ever suffered from any kind of pelvic inflammatory diseases;
• Are suffering form any current pelvic infection;
• May possibly be pregnant;
• Have any kind of sexually transmitted diseases;
• Have breast cancer;
• Have suffered from a pelvic inflammatory infection during the last three months, which was the result of either a baby delivering, or an abortion;
• Have cancer of the cervix of the uterus;
• Are using some other kind of IUD;
• Have uterus of an abnormal size or shape;
• Have a liver tumor or any other kind of liver diseases;
• Have a bleeding from the uterus;
• Have more than one sexual partner;
• Whose partner has more than one sexual partner;
• Have had, or have a risk of having an ectopic pregnancy;
• Are or may be allergic to silicone, polyethylene or levonorgestrel;
• Have an uterus’ shape changing condition, like tumor or large fibroid, etc.
• Have some problems with the immune system, leukemia, AIDS;
• Abuse intravenous drugs.
Increased Risk Factors, Which Are Associated With the Mirena IUD
There exist some certain kinds of health conditions, which may increase the chance of serious complications developing, if any kind of IUD is used. These conditions are the following:
• Blood clots in veins or lungs;
• Had pelvic inflammatory infection during the previous year;
• Diabetes or anemia;
• Have blood, that does not clot;
• Have had more than two sexually transmitted diseases during the previous two years;
• Have ovarian cancer;
• Take corticosteroid containing medications daily;
• Have had a tubal infection, although it does not apply for those women, who had a pregnancy since the infection had been cured successfully;
• Have infections of the cervix or vagina;
• Have an uterus, which is situated too much forward or backward in the pelvis;
• Have a strong desire to get pregnant without problems in the nearest future.
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