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Mirena (52 MG)

Mirena is a hormonal intrauterine device (IUD) that releases levonorgestrel, a progestin hormone, to prevent pregnancy. It is primarily used for contraception but also treats heavy menstrual bleeding in women who choose to use an IUD for contraception.



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Frequently Asked Questions

How soon can I get pregnant after removing Mirena?
Open FAQClose FAQ

Fertility can return quickly after removal, often within the first menstrual cycle.

Can I use Mirena while breastfeeding?
Open FAQClose FAQ

Yes, Mirena is generally considered safe during breastfeeding, but consult your healthcare provider for personalized advice.

What should I do if I notice the string of the IUD is missing or feels shorter?
Open FAQClose FAQ

If you cannot feel the strings or notice any changes, contact your healthcare provider for an evaluation.

Are there any dietary restrictions while using Mirena?
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There are no specific dietary restrictions while using Mirena.

Is Mirena safe during pregnancy?
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Mirena should not be used during pregnancy; if you suspect you are pregnant while using it, contact your healthcare provider immediately.

Comprehensive Drug Guide

How Does Mirena (52 MG) Work?

Mirena works by releasing levonorgestrel into the uterus, which thickens cervical mucus to prevent sperm from entering the uterus, thins the uterine lining to reduce the likelihood of implantation, and may inhibit ovulation. These combined actions help prevent pregnancy effectively.



Common Dosages

  • Intrauterine Device: releasing 52 mg of levonorgestrel over a period of up to 5 years.

Typical Dosing

  • Mirena is inserted once by a healthcare provider and can remain effective for up to 5 years. After this period, it should be replaced if continued contraception is desired.


Typical Dosing

FDA Approved Indications

  • Contraception: for the prevention of pregnancy.
  • Heavy Menstrual Bleeding: for the treatment of heavy menstrual bleeding in women who use the device for contraception.


Who Shouldn't Take Mirena (52 MG)?

  • Known or suspected pregnancy.
  • Active pelvic infections or history of recurrent pelvic infections.
  • Uterine abnormalities that distort the uterine cavity.
  • Known hypersensitivity to levonorgestrel or any components of the device.


Advice From The Pharmacist

  • Ensure you have a follow-up appointment to check the placement of the IUD after insertion.
  • Monitor for any unusual symptoms such as severe abdominal pain, fever, or unusual bleeding, and report them to your healthcare provider.
  • Mirena may not provide protection against sexually transmitted infections (STIs); consider additional protection if at risk.


Side Effects of Mirena (52 MG)

Common Side Effects

  • Irregular bleeding or spotting
  • Headache
  • Breast tenderness
  • Nausea
  • Mood changes


Uncommon/Severe Side Effects

  • Severe pelvic pain
  • Signs of infection (fever, chills)
  • Ectopic pregnancy (pregnancy outside the uterus).


Risks and Warnings of Mirena (52 MG)

  • Pelvic Inflammatory Disease (PID): There is a risk of developing PID, especially within the first few weeks after insertion.
  • Expulsion: Monitor for signs that the device may have been expelled from the uterus.
  • Hormonal Side Effects: Some women may experience hormonal side effects; discuss any concerns with your healthcare provider.


Interactions with Mirena (52 MG)

Common Drug Interactions

  • Medications that Affect Liver Enzymes: Certain medications can affect the metabolism of levonorgestrel; inform your healthcare provider about all medications you are taking.


Alternatives to Mirena (52 MG)

  • Other Contraceptive Methods: Such as copper IUDs, hormonal implants, or birth control pills.
  • Non-Hormonal Options: Barrier methods like condoms or diaphragms for contraception.