A member asked:

Severe lower abdominal pain, had mirena (levonorgestrel) for 5 years and 6 months now?

2 doctors weighed in across 2 answers
Dr. Alvin Lin answered

Mirena (levonorgestrel): Mirena (levonorgestrel) is only effective 5yrs (http://www.mirena-us.com/frequently-asked-questions/) so if you're 6mo out, then your belly pain may be due to pregnancy. I don't know about UK but here in States, home pregnancy tests are available w/o prescription (and highly accurate once menses late). Mirena (levonorgestrel) migration is another concern. So go see your GP regardless of HPT result. Or maybe as simple as UTI.

Answered 9/5/2015

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Dr. Charles Turck answered

Specializes in Pharmacology

See your OBGYN: It’d be a good idea to make an appointment to see your doctor. While there is debate, some experts recommend removing Mirena (levonorgestrel) after 5 years. Having it longer doesn’t necessarily raise the risk of side effects, but abdominal pain might be a sign of other side effects - possibly related to your IUD or not. You’ll need the help of a healthcare professional to best make the diagnosis.

Answered 9/15/2015

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