Wondering if an IUD is something that would suit you? Here are the top questions our patients ask about a Mirena insertion.
What is an IUD?
The Mirena, Kyleena and Copper are all different types of intrauterine devices (IUDs).
All options are a safe, effective, long-term option for birth control. The Mirena and Kyleena IUDs act with a small amount of local hormone in combination with the shape and placement of the device to prevent pregnancy. The Kyleena is smaller in size than the Mirena. The Copper IUD does not release any hormones, but the shape and placement of the device prevents pregnancy. Once inserted, the Mirena and Kyleena typically do not have to be removed for up to five years. The copper IUD can be left in place for up to 10 years.
Mirena insertion has become more common over the last five years, and while often used for contraceptive purposes, a Mirena can be considered for a number of other health concerns.
What should I expect at my IUD insertion?
Before the insertion procedure, you will need an appointment with your doctor to determine whether the IUD is appropriate for you. You will also need to determine whether the Mirena, Kyleena or Copper IUD is best for you. At that appointment, you will also receive a script for the IUD device. You will need to obtain the device from a pharmacy and bring it to your insertion appointment.
Please remember to bring the device to your insertion appointment. At the insertion appointment, you will have a final conversation with your doctor about the procedure. Then, you will usually need to give a urine sample. The IUD insertion takes place in our procedure room. Your IUD is inserted into the cervical canal, and then placed into your uterus. Upon the removal of the applicator, the IUD will remain in place. You will have a discussion with your doctor and the nurse about how to manage post-procedure symptoms. We recommend taking it easy the day of the procedure and resuming normal activities within the next 3-7 days, depending on your body’s response.
How long does it take to insert an IUD?
You should plan to be at the clinic for 60 minutes. It takes about 20 minutes to prepare you for the procedure. The procedure itself takes approximately 20 minutes. We ask that you remain in the clinic for 20 minutes after the procedure to ensure you do not experience any adverse reactions to the IUD being placed.
Will the procedure be painful?
You might feel some cramping during and after the procedure, but this usually goes away after a couple of minutes. In a few cases, however, this can last for a day or two. Typically, the removal is much easier and slightly less uncomfortable than the insertion.
What can I expect at my IUD removal?
Typically, the removal is quicker than the insertion. To remove the device, your doctor will use forceps to grasp the IUD’s strings and gently pull to extract the implant. If this does cause any cramping, it should be very light.
What are the side effects of the Kyleena/Mirena IUD?
Side effects are often different between patients and vary between devices as well. Some people experience no side effects after an IUD insertion. Others may experience some short-term and/or long-term side effects.
Short-term side effects of the IUD may include cramping and/or spotting.
Long-term side effects of the Mirena/Kyleena may include:
- pelvic pain,
- irregular bleeding,
- breast tenderness and
- mood changes.
Some women experience a complete absence of a menstrual cycle with the Mirena IUD. The Copper IUD does not contain hormones so side effects related to hormones such as breast tenderness, headaches and mood changes are not likely to occur.
How much does it cost to have a Mirena inserted?
The costs of a Mirena insertion include the purchase of the device and the appointments with your doctor.
You will need to book an initial consultation with your doctor and then an appointment for your procedure.
The initial consult incurs a gap fee of $58.
For your insertion procedure, the gap fee is $275.
Any follow up consultations, the gap fee is $58.
Your IUD device requires a prescription and subsequent purchase from the pharmacy. A standard prescription is approximately $40. If you hold a concession card, the cost will be $5.60.
If you have any further questions about a Mirena or Kyleena insertion, please message us via the Contact page.
Or, book an appointment with Dr Franziska Levin