Is there a higher risk of getting pregnant with twins once the mirena (levonorgestrel) is removed?

No: Mirena (levonorgestrel) does not affect twinning.

No: The twin pregnancy rate is not increased in this situation.

Mirena (levonorgestrel): No there is no increased risk of having twins once an iud is removed. Pregnancy rates are effected by age. As a woman gets older she has a harder time getting pregnant and also very importantly, a harder time not miscarrying (keeping) the pregnancy. Both of these factors are due to the age of the egg.