Mirena IUD (Levonorgestrel Intrauterine Device)

Mirena IUD (Levonorgestrel Intrauterine Device) is used for prevention of pregnancy for up to 8 years.
Mirena is also indicated for the treatment of heavy menstrual bleeding for up to 5 years in women who choose to use intrauterine contraception as their method of contraception.

1. Mirena IUD (Levonorgestrel Intrauterine Device)
© All Contraceptives

2. Mirena IUD (Levonorgestrel Intrauterine Device)
© All Contraceptives
Mirena IUD (Levonorgestrel Intrauterine Device) is used for
prevention of pregnancy for up to 8 years. This device
must be replaced after the end of the eighth year.
Mirena is also indicated for the treatment of heavy
menstrual bleeding for up to 5 years in women who
choose to use intrauterine contraception as their method
of contraception. You must replace after the end of the
fifth year if continued treatment of heavy menstrual
bleeding is needed.

3. Mirena IUD (Levonorgestrel Intrauterine Device)
© All Contraceptives
The active pharmaceutical ingredients contained in Mirena
Intrauterine Device is Levonorgestrel.
Mirena Intrauterine Device consists of one sterile intrauterine system
consisting of a T-shaped polyethylene frame with a steroid reservoir
containing 52 mg Levonorgestrel packaged within a sterile inserter.
Active Ingredient

4. Mirena IUD (Levonorgestrel Intrauterine Device)
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Chemical Structure - Levonorgestrel

5. Mirena IUD (Levonorgestrel Intrauterine Device)
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6. Mirena IUD (Levonorgestrel Intrauterine Device)
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Mirena Intrauterine Device
Mirena IUD (Levonorgestrel Intrauterine Device) is
manufactured by Bayer, Finland and market by Bayer
Zydus Pharma Pvt. Ltd., India
(Website: https://www.bayerzyduspharma.com/en/ )

URL: https://www.allcontraceptives.com/mirena-iud.html

7. Mirena IUD (Levonorgestrel Intrauterine Device)
© All Contraceptives
Uses of Mirena Intrauterine Device
Mirena IUD gives long-term birth control for up to 8 years. You may
use this IUD whether you have children or not. Mirena is also used for
up to 5 years to treat heavy menstrual bleeding in women who choose
to use an intrauterine form of birth control.
The Mirena IUD releases Levonorgestrel in the uterus, but only small
amounts of the hormone reach the bloodstream.
URL: https://www.allcontraceptives.com/mirena-iud.html

8. Mirena IUD (Levonorgestrel Intrauterine Device)
© All Contraceptives

Recommended Dosage
The dosage of Mirena IUD (Levonorgestrel Intrauterine Device) is
given below:
MIRENA is to be inserted by a trained healthcare provider using strict
aseptic technique. Following insertion into the uterine cavity, MIRENA is
effective for conception control up to 8 years. If after 8 years, continued
use of MIRENA is desired, a new MIRENA system should be inserted
immediately after the old one is removed.
Release rate of Levonorgestrel (LNG) is 21 mcg/day after 24 days; this
rate is reduced to about 11 mcg/day after 5 years and 7 mcg/day after 8
years.
URL: https://www.allcontraceptives.com/mirena-iud.html

9. Mirena IUD (Levonorgestrel Intrauterine Device)
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Contraindications
Mirena Intrauterine Device is contraindicated in patients with a
hypersensitivity to Levonorgestrel or any other component of this
medication. The other contraindications are:
Pregnancy or suspicion of pregnancy. Cannot be used for post-coital
contraception (emergency contraception).
Congenital or acquired uterine anomaly if it distorts the uterine cavity.
Acute pelvic inflammatory disease (PID) or a history of PID unless there
has been a subsequent intrauterine pregnancy
Postpartum endometritis or infected abortion in the past 3 months
Known or suspected uterine or cervical malignancy
URL: https://www.allcontraceptives.com/mirena-iud.html

10. Mirena IUD (Levonorgestrel Intrauterine Device)
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Contraindications
The other contraindications are:
Known or suspected breast cancer or other progestin-sensitive cancer
Uterine bleeding of unknown etiology
Untreated acute cervicitis or vaginitis or other lower genital tract
infections
Acute liver disease or liver tumor (benign or malignant)
Increased susceptibility to pelvic infection
A previous intrauterine device (IUD) that has not been removed
URL: https://www.allcontraceptives.com/mirena-iud.html

11. Mirena IUD (Levonorgestrel Intrauterine Device)
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Storage Instructions
Mirena IUD (Levonorgestrel Intrauterine Device)
have to be stored at controlled room temperature
i.e. from 20°C to 25°C (68°F to 77°F) with excursions
permitted between 15° to 30°C (59° to 86°F).
Keep this as well as all other medicines away
from children and pets.
URL: https://www.allcontraceptives.com/mirena-iud.html

12. Mirena IUD (Levonorgestrel Intrauterine Device)
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Warnings
Remove Mirena if pregnancy occurs with Mirena in place. If
pregnancy occurs, there is increased risk of ectopic pregnancy
including loss of fertility, pregnancy loss, septic abortion
(including septicemia, shock and death), and premature labor
and delivery.
Group A streptococcal infection has been reported following
insertion of Levonorgestrel Intrauterine System. Strict aseptic
technique is essential during insertion.
Before using Mirena, consider the risks of Pelvic inflammatory
disease (PID).
URL: https://www.allcontraceptives.com/mirena-iud.html

13. Mirena IUD (Levonorgestrel Intrauterine Device)
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Warnings
Uterine perforation may occur and may reduce contraceptive
effectiveness or require surgery. Risk is increased if inserted in
lactating women and may be increased if inserted in women
with fixed retroverted uteri or postpartum.
Partial or complete expulsion may occur, which can be
unnoticed, leading to loss of contraceptive efficacy.
Evaluate persistent enlarged ovarian follicles or ovarian cysts.
Bleeding patterns become altered, may remain irregular and
amenorrhea may ensue.
URL: https://www.allcontraceptives.com/mirena-iud.html

14. Mirena IUD (Levonorgestrel Intrauterine Device)
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Side Effects
The most common side effects with an incidence rate of 10% or
greater are alterations of menstrual bleeding patterns,
abdominal/pelvic pain, amenorrhea, headache/migraine,
genital discharge, and vulvovaginitis.
URL: https://www.allcontraceptives.com/mirena-iud.html

15. Mirena IUD (Levonorgestrel Intrauterine Device)
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Overdose
An overdose is not likely. The only way to tell, however, is through
side effects.
URL: https://www.allcontraceptives.com/mirena-iud.html

16. Mirena IUD (Levonorgestrel Intrauterine Device)
© All Contraceptives
Mirena IUD During Pregnancy
Mirena IUD (Levonorgestrel Intrauterine Device) has been
classified by the US FDA as Pregnancy Category X.
The use of Mirena during an existing or suspected pregnancy is
contraindicated.
If the woman becomes pregnant when using Mirena, the
system should be removed as soon as possible, since any
intrauterine contraceptive left in situ may increase the risk of
abortion and preterm labour. Removal of Mirena or probing of
the uterus may also result in spontaneous abortion. Ectopic
pregnancy should be excluded.
URL: https://www.allcontraceptives.com/mirena-iud.html

17. Mirena IUD (Levonorgestrel Intrauterine Device)
© All Contraceptives
Mirena IUD During Pregnancy
Mirena IUD (Levonorgestrel Intrauterine Device) has been
classified by the US FDA as Pregnancy Category X.
If the woman wishes to continue the pregnancy and the system
cannot be withdrawn, she should be informed about the risks
and the possible consequences of premature birth to the infant.
The course of such a pregnancy should be closely monitored.
The woman should be instructed to report all symptoms that
suggest complications of the pregnancy, like cramping
abdominal pain with fever.
URL: https://www.allcontraceptives.com/mirena-iud.html

18. Mirena IUD (Levonorgestrel Intrauterine Device)
© All Contraceptives
Mirena IUD (Levonorgestrel Intrauterine
Device) is manufactured by Bayer, Finland
and marketed by Bayer Zydus Pharma Pvt.
Limited, India.
URL: https://www.allcontraceptives.com/mirena-iud.html