Yes, the Mirena IUD is an excellent, highly reliable choice for long-term contraception, providing over 99% effectiveness for up to 8 years. It also has the added benefit of reducing heavy menstrual bleeding. Whether it is the ?best? option depends on your body and preferences. If you want a hormone-free long-term option, the copper IUD (ParaGard) lasts up to 10 years. Another alternative is the Nexplanon subdermal implant, which lasts for 3 years. I recommend discussing your medical history with your gynaecologist to determine which contraceptive method aligns best with your health goals and lifestyle.

Yes, it is highly recommended to replace or remove your Mirena IUD. While Mirena is currently approved for up to 8 years for birth control, it is specifically approved for only 5 years when used to treat heavy bleeding and symptoms associated with uterine fibroids. Because your IUD was inserted in 2012 to manage fibroids and amenorrhea, the hormone levels released after 5 years may no longer be sufficient to keep your symptoms controlled. Please consult your gynaecologist to have it safely removed or replaced to ensure your medical conditions continue to be managed effectively.