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Doctor insights on: Do I Need To Also Use A Condom With A Mirena Iud

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Do I need to also use a condom with a mirena (levonorgestrel) iud?

Do I need to also use a condom with a mirena (levonorgestrel) iud?

To prevent STDs: Not to improve the pregnancy prevention but always a good idea for sexual transmitted disease prevention. The Mirena (levonorgestrel) iud is one of the most effective forms of birth control even besting the results of a tubal ligation. ...Read more

Condoms (Definition)

These are mostly closed end tubes of latex and occasionally other materials to cover the penis during intercourse and prevent pregnancy and disease transmission. A wise person uses them when the history of their partner is unknown. There are some available for women's use ...Read more


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I had a mirena iud implanted on Monday Oct 23rd on the 8th day of my cycle. My barrier method of contraception (condom) broke during sexual intercourse Tuesday Oct 24th and I am very concerned. Will I need to take emergency contraception? Or will the m

I had a mirena iud implanted on Monday Oct 23rd on the 8th day of my cycle. My barrier method of contraception (condom) broke during sexual intercourse Tuesday Oct 24th and I am very concerned. Will I need to take emergency contraception? Or will the m

No: An IUD works as emergency contraception, if a woman gets an IUD after having sex. If she already had an IUD before sex, then that is very good contraception, so no back-up method is needed to prevent pregnancy. If she keeps worrying about pregnancy, she can do a home urine pregnancy test. Tests are inexpensive, very accurate, and sold in stores everywhere. Adding condoms helps prevent infections. ...Read more

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Can u get pregnant while you have the mirena (iud)?

Can u get pregnant while you have the mirena (iud)?

Yes but rare: Mirena (levonorgestrel) iud failures are possible but not very common. If you think you are pregnant check a pregnancy test. If it's positive it's very important that you see your doctor immediately. The risk of tubal pregnancy under these rare circumstances is 25%. ...Read more

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What helps on conceiving a child after a mirena IUD?

What helps on conceiving a child after a mirena IUD?

If trying to get...: If trying to get pregnant (presuming 28 day cycles), be sure to have sex twice a day starting from day 11-12, for six days. Be happy, enjoy life, and don't think about pregnancy too much. It will happen when it happens, and if half a year goes by with nothing happening, then ask the doctor about it. Start on prenatal vitamins, to help prevent certain types of birth defects when pregnancy happens. ...Read more

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What uterine dimensions are required to accommodate a Mirena IUD?

Abnormality: Unless a woman has a uterine abnormality, any woman's uterus will accommodate a Mirena IUD. Fibroids groing into the uterine cavity can sometimes preclude placement of an IUD. These can be detected on pelvic ultrasound. ...Read more

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I have had a Mirena IUD for over two years now with minimal issues. Lately however; I have an unbearable vaginal odour, could it be caused by the IUD?

Caused=no: The environment of your vagina/cervix/womb is moist & sheds protein & sugar bearing mucous. This is prime food for a variety of germs that feed off them. The odor likely reflects the overgrowth of some odor producing germs which may or may not trigger other symptoms. It is sometimes harder to clear these infections when you have a foreign body (IUD) in place. Time for a visit for proper dx & rx. ...Read more

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Hello, I was provided your name by my Concierge Service; Compass through my employer. I understand you do the Mirena IUD Insertion and work with th?

Hello, I was provided your name by my Concierge Service; Compass through my employer. I understand you do the Mirena IUD Insertion and work with th?

Wrong site: Your comments/question have come to the public Healthtap site. This is a general information site where questions go out at random for comments. It does not offer to diagnose or treat anyone for any condition. The Healthtap prime concierge site has some of those features if you are signed up for that service. You must contact your concierge physician through that site. ...Read more

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I've smoked weed daily for years. I just got a Mirena IUD in today - will the weed effect it at all?

I've smoked weed daily for years. I just got a Mirena IUD in today - will the weed effect it at all?

Mirena effective: One of the benefits of the Mirena IUD, is that is acts locally within the uterus. Because of this, meds will not decrease it's effectiveness, even weed. ...Read more

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I have a migrated mirena IUD that has been in for 5 years and 8months and hasn't been removed yet could it get infected?

I have a migrated mirena IUD that has been in for 5 years and 8months and hasn't been removed yet could it get infected?

Mirena?: If it has migrated then it has to be removed for sure, regardless of how long it's been there. If it has been in the uterus for 5 years and it was a Mirena then it would be time to remove it. ...Read more

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I have the mirena iud I have not bled in 6months but now I am bleeding with alot of stringy pieces I also am getting excruciating sharp pains normal?

I have the mirena iud I have not bled in 6months but now I am bleeding with alot of stringy pieces I also am getting excruciating sharp pains normal?

This is not normal: And should be evaluated. There are a number of potential issues and without an examination these can not be differentiated. Make an appointment with your GYN health care provider ASAP or go to an ER if the pain and bleeding continues. ...Read more

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Considering getting a Mirena IUD. How long does the insertion take? How much pain can I expect to have with the insertion and in the days that follow? I haven't had any children.

Considering getting a Mirena IUD. How long does the insertion take? How much pain can I expect to have with the insertion and in the days that follow? I haven't had any children.

Good choice: Mirena will give you consistent contraception for 5 years. Since you have not had any children, insertion may be somewhat difficult but not impossible. Your provider will be able to offer advice/suggestions on how to minimize the discomfort. Under optimum circumstances, insertion takes about 1-3 minutes or so, the discomfort, subsides quickly, in a day or so. I hope this helps. Best Wishes ...Read more

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Does the mirena (iud) protect from getting pregnant?

Yes: The Mirena (levonorgestrel) iud is a very effective form of birth control. Although nothing is 100%, the Mirena (levonorgestrel) iud has >99% efficacy. ...Read more

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Does the Mirena IUD affect your basal body temperature from your normal state?

Does the Mirena IUD affect your basal body temperature from your normal state?

No: The small amount of Progesterone in Mirena provides a local effect on cervcal mucous and the endometrial cavity. It would not affect basal body temperature. I am curious why you are monitoring your basal body temperature while using a Mirena IUD. ...Read more

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I am getting a mirena IUD next week. Should I ask for xanax (alprazolam)? And how much ibuprofin should I take beforehand? I've never had kids and I am 20.

I am getting a mirena IUD next week. Should I ask for xanax (alprazolam)? And how much ibuprofin should I take beforehand? I've never had kids and I am 20.

Not necessarily: Unless you have an established anxiety disorder, you shouldn't need xanax (alprazolam). The insertion of the iud is quick; most women will feel a quick pinch when it is implanted. Some will have irritation of their cervix which can cause cramping. I would wait until after the procedure to see whether you need ibuprofen. ...Read more

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What are the chances of my wife getting pregnant, she has had the Mirena IUD for the last 6 years and not willing to take it out. What I am looking for her to get pregnant so I am waiting when the IUD looses its effectiveness? Once she gets pregnant with

What are the chances of my wife getting pregnant, she has had the Mirena IUD for the last 6 years and not willing to take it out. What I am looking for her to get pregnant so I am waiting when the IUD looses its effectiveness? Once she gets pregnant with

Pregnancy with IUD: Sounds like you both are not on the same page. I recommend that you see a marriage counselor to resolve this because no matter what happens one of you will resent the other (more). Pregnancy can happen after 5 years but sometimes the presence of the IUD, no matter how old, can prevent pregnancy. If she were to conceive, IUD removal can cause a miscarriage. ...Read more

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Can the mirena iud make you gain weight in the tummy area please.

Not typical: Mirena is a small plastic device placed inside that uterus. It secretes a small amount of Progesterone that basically acts locally on the uterine lining. Systemic side effects such as weight gain are not usually associated with this method. Weight gain is very common for most men and women usually related to caloric intake and exercise. ...Read more

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What would cause a heavy period like flow after removal of Mirena IUD? Was under the understanding that it kept lining thin.

Age 60 & heavy flow: If indeed you are 60 years of age. Removing the Mirena IUD was sorely needed. Moreover, heavy bleeding post Mirena at any age raises the question of abnormal endometrial proliferation. It would be a good idea for your GYN MD to take an endometrial sampling (biopsy) to rule out endometrial hyperplasia which can lead to endometrial/uterine cancer. ...Read more

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Mirena IUD for 2 years, regular periods, but the last two times after it ended bleeding would start again 2-3 days later. Why could this be?

Mirena IUD for 2 years, regular periods, but the last two times after it ended bleeding would start again 2-3 days later. Why could this be?

Common: Anytime you have a hormonal therapy, you might have intermittent irregular cycles. If they become repetitive, call your doctor for medical therapy. ...Read more

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Hey there! I see you're a gynecologist, so I'd expect you might have some knowledge about the Mirena IUD. Is it ok to cum inside my SO? She has one.

Hey there! I see you're a gynecologist, so I'd expect you might have some knowledge about the Mirena IUD. Is it ok to cum inside my SO? She has one.

With her permission: Yes, you can if she is conducive to your desire as well. Thank goodness that she has taken contraceptive strides with the Mirena iUD to eliminate inadvertent conception. There are rare reported instances whereby the IUD string is left too long and tampons or other intra vaginal inserted items (you) get wrapped around the string and inadvertently "pull out" the IUD on withdrawal. Again, it's rare. ...Read more

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I have a mirena iud but I'm constantly hearing about pregnancy's still happening with them. Is that the. O1 percent reporting? Do I always need backu?

Mirena failure rate: "The failure rate of Mirena is approximately 0.2% in the first year and the cumulative failure rate is 0.7% after 5 years." Please see: https://www. Mirena-us. Com/q-and-a/ Most women don't feel the need to use backup with Mirena. Although nothing is absolutely 100% effective - Mirena is really pretty dog-gone effective. In answere to your question - You don't need to use backup. ...Read more

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I've had the mirena IUD for about a year and am spotting and having slight cramps after not having a period for about 9 months. Is this normal?

I've had the mirena IUD for about a year and am spotting and having slight cramps after not having a period for about 9 months. Is this normal?

Well: In general on any irregular menstrual bleeding or vaginal bleeding or abnormal cramping is abnormal. For a specific diagnosis and treatment see primary care physician or gynecologist in person ...Read more

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I'm spotting & cramping as a result of having the Mirena IUD. I've been spotting and cramping for almost two weeks. Any way to make this more bearable?

I'm spotting & cramping as a result of having the Mirena IUD. I've been spotting and cramping for almost two weeks. Any way to make this more bearable?

Spotting common: Spotting and cramping with the Mirena IUD and others is very very common. Almost the rule rather than exception. The surveys show that some women stop spotting & cramping in a month or so, some 2-4 months out. Others don't stop spotting until a year out. Cross your fingers. Only option is to have it removed if it becomes unbearable. ...Read more

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Have a Mirena IUD for over 2 years with no periods and light cramping. Over past 4 months, see cramping and pain. Concerned no longer working.

Have a Mirena IUD for over 2 years with no periods and light cramping. Over past 4 months, see cramping and pain. Concerned no longer working.

IUD check: Consider scheduling a visit for an IUD check. The expulsion rate for example is 1/1760. IUDs are safe, effective and generally well tolerated There are many causes of pelvic pain. Your doctor can can check the IUD and assess for all the many other causes of pain and cramping ...Read more

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Mirena IUD inserted day aftr period ended. How soon is it effective to prevent preg? Its been 11 days since insertion just wanna make sure I'm safe

Mirena IUD inserted day aftr period ended. How soon is it effective to prevent preg? Its been 11 days since insertion just wanna make sure I'm safe

Right away, if...: If Mirena (hormonal IUD) is inserted during the 7 days after a period started, it works right away. If it is inserted more than 7 days after a period started, it is recommended that a back-up contraceptive method such as a condom is used until 7 days after IUD insertion. That means if Mirena is inserted the day after a period ends, and the period is less than 7 days long, it works right away. ...Read more

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I have had the Mirena IUD for 6.5 months and I am still experiencing frequent spotting and cramping and longer periods (8-10) days. Remove or wait?

I have had the Mirena IUD for 6.5 months and I am still experiencing frequent spotting and cramping and longer periods (8-10) days. Remove or wait?

It is common to have: irregular bleeding in the first 3 months, sometimes heavy. However once the Mirena (levonorgestrel) has been assimilated periods become much lighter, often times disappearing altogether. This is a desirable side effect for most women. However, if your periods are getting heavier not lighter, it is time to revisit your GYN and ask about possibly switching you to another type of IUD or other. ...Read more

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Can my mirena iud cause vaginitis? I've had itching and burning not sexually active

Can my mirena iud cause vaginitis? I've had itching and burning not sexually active

Vaginitis: If you are not sexually active, the IUD by itself
does not usually cause non specific vaginitis.
For the discharge and itching you can douch
with water baths and apply mycology ointment/
cream twice a day until symptoms resolve.
If it persists, make an appt with GYN MD virtually online. ...Read more

Dr. Miguel Cano
866 Doctors shared insights

Intrauterine Device (Definition)

A small object that is inserted into your uterus ...Read more


Dr. Qamar Khan
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Mirena (Definition)

Levonorgestrel is a women's ...Read more