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

Some people use the Mirena IUD for long-term birth command or every bit a treatment for heavy menstrual bleeding.

After 5 years, the Mirena IUD stops working. At this point, a doctor will remove or supersede it. Some people may experience symptoms after a doctor has removed the device.

In this article, we will discuss 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 physician uses a hysteroscope to remove the IUD.

Removing a Mirena IUD is a quick procedure that typically takes identify at a doc's office.

According to American Family Physician, a doctor will 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 help.

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

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

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

After a doc removes the Mirena IUD, a person may experience some mild pain or haemorrhage. This may continue for a few days.

If a dr. used a hysteroscope to remove the IUD, the person may too feel some cramping and have a encarmine discharge for a few days subsequently the procedure.

People living with epilepsy may experience a seizure during removal.

Anyone who develops a fever, chills, or heavy bleeding following IUD removal should consult a physician immediately.

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

One theory about why the Mirena crash happens is that removing the IUD causes a drop in progesterone or a hormonal imbalance. Information technology may have time for the body 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
  • insomnia
  • headaches
  • fatigue
  • hair loss
  • nausea
  • weight proceeds
  • acne
  • decreased sexual practice drive

People study that these symptoms tin last weeks or sometimes months subsequently a doctor has removed the Mirena.

Even so, researchers have not yet studied the Mirena crash, its potential symptoms, its causes, or how to treat it.

Aside from reaching the end of the 5 years, a person might ask their physician to remove the Mirena for several other reasons.

Unwanted side effects

Sometimes, IUDs crusade side effects. If these side effects become too disruptive, a person may ask their doctor to remove their IUD, and then that they can try a different method of birth control.

Here are the nearly common side effects of Mirena, according to its manufacturer.

Fertility

Co-ordinate to the manufacturer, the Mirena IUD is 99.9% effective at preventing pregnancy for up to v years. People who want to effort to conceive will need a doctor to remove their IUD.

IUD expulsion

Sometimes the Mirena IUD spontaneously moves from its position in the uterus. This is called expulsion. Partial or consummate IUD expulsion may cause bleeding or pain, but some people do non feel any symptoms.

According to clinical trials, the charge per unit of expulsion is iv.5% over 5 years.

Pregnancy

There is a very low risk of becoming pregnant while using the Mirena IUD. Notwithstanding, if a person does become pregnant while using it, a doctor 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 information, an IUD can puncture the uterus or cervix, although this is rare. If a person or doctor notices a perforation, the doctor 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 non recommend IUDs, such as the Mirena, for people with a history of pelvic inflammatory illness (PID). PID is a astringent complexity of untreated sexually transmitted diseases.

Doctors will remove the Mirena IUD if a woman has recurrent PID, endometritis, or a pelvic infection that does not respond to treatment.

People using an IUD must report the following symptoms to their dr.:

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

Pelvic actinomycosis

Pelvic actinomycosis is an infection caused by the leaner Actinomyces. According to an commodity in the Canadian Periodical of Infectious Diseases and Medical Microbiology , Actinomyces has a low potential to cause an infection nether normal conditions. However, information technology may lead to an infection during the insertion of an IUD.

People with pelvic actinomycosis may accept symptoms such equally:

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

Other reasons

Doctors may too suggest removing an IUD if someone has any of the following atmospheric condition, according to the prescribing information:

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

About people who become symptoms after Mirena removal detect that they are mild and improve on their ain.

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

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

Others utilize herbal remedies to assist with hormonal symptoms. Some herbal remedies that may assistance with hormonal symptoms include:

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

Notwithstanding, some herbal medicines can interact with medications. People who desire to endeavour herbal remedies or take persistent, unexplained symptoms should speak with a doc or chemist.

IUDs may put people at adventure for PID, which can contribute to infertility. However, near of the time, hormonal IUDs, such as Mirena, do non adversely bear on fertility.

In one written report, people who had their IUD removed showed no divergence in fertility to people who had used other methods of nascence control over 12 months.

While some people experience uncomfortable symptoms after Mirena removal, they are commonly temporary. However, if the symptoms do non improve over fourth dimension, or they get worse, a person should see their dr..

Seek help immediately if any of the following symptoms appear:

  • a fever
  • chills
  • heavy haemorrhage
  • severe pain

Doctors suggest against trying to mask severe hurting with medication, as it could be a sign that a person needs medical handling.

Mirena removal can cause symptoms such every bit 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 report neurological, psychological, and concrete symptoms after Mirena removal. People with symptoms that last longer than a few days should speak with a medico.