Active substance: Levonorgestrel
Duration of action: 5 years
Pharmaceutical form: Intrauterine therapy system
Country of origin: Finland
An intrauterine contraceptive system Mirena is a T-shaped device, which gradually releases the hormone levonorgestrel inside the uterine to prevent unwanted pregnancy. Barium sulfate is also a part of the composition of the remedy so it becomes visible for X-ray.
Mirena (levonorgestrel-releasing) IUD for birth control has a local effect, releasing Levonorgestrel right into the cavity of the womb what allows diminishing to the minimum the daily dosage.
Application of the Mirena IUD may lead to certain morphological changes in the endometrium and a feeble local body reaction to the presence of alien object in the uterus are observed. An increase in the viscosity of the cervical secretion creates an obstacle to the penetration of sperm into the uterine cavity. Due to a decrease in sperm motility and changes in the endometrium, the likelihood of egg fertilization decreases. In some females, ovulation is suppressed.
The usage of Mirena pregnancy prevention products does not have an impact on the woman’s reproductive function. Approximately 80% of patients eager to have children get pregnant during the next 12 months after the removal of the intrauterine device.
Indications of Mirena
- pregnancy prevention;
- idiopathic menorrhagia;
- prevention of endometrial hyperplasia during hormone replacement therapy (HRT) with estrogens.
Instructions for the Use of the Mirena IUD
The insertion of a levonorgestrel-releasing intrauterine device can be performed in adult females who have chosen this contraceptive method and reached the age of 18. Before the applycation, the healthcare provider should inform the patient about the effectiveness, risks, possible side effects.
Only a professional and experienced obstetrics and gynecology specialist can perform the procedure in sterile conditions.
The duration of Mirena effectiveness is 5 years. After this time, the device must be replaced or removed. During these 5 years, the female patient should undergo a medical checkup in the OB-GYN specialist at least one time in a year or more if there are any indications. Mirena IUD can be extracted at any time per the patient’s request.
- Allergic reactions;
- Mood swings, depression;
- Painful feelings in the back;
- Violation of the menstrual cycle and bleeding intensity.
- inflammatory disease of the pelvic;
- infections of the external and internal genital organs;
- septic abortion within the last 12 weeks;
- dysplasia of the cervix;
- acute liver disease or liver tumors;
- age over 65;
- hypersensitivity to levonorgestrel or any of the excipients of the drug.
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