How is the birthcontrol mirena (levonorgestrel) removed and how much does it hurt?

Office exam. Mirena (levonorgestrel) is removed by inserting a speculum into the vagina much like for a regular pap smear. Then the "string" is found and pulled until the entire device is removed. The procedure takes less than a minute and may cause mild cramping for a few minutes.
It is pulled out. The strings are grasped after seeing them on a speculum exam. The strings are then pulled and the iud pops out. It rarely causes much more than a mild short lasting cramp.

Related Questions

I had mirena (levonorgestrel) and still got my period the whole time having it in. Is there another birthcontrol that stops my period?

Options. Depending on your age and fertility plans there are lots of treatment options. Mirena (levonorgestrel) iuds usually minimize your periods. Taking birth control pills, NuvaRing or the patch continuously without taking the placebo pills or skipping a week can stop your period. The depoprovera shot often stops periods. If you are done with pregnancies ask if you are a candidate for an endometrial ablation. Read more...