Mirena Intrauterine Delivery System 1's

Question 1

Are there alternative treatment options to the Mirena (Marina) implant for managing a thick womb lining and polycystic ovaries, especially since I am concerned about weight-related side effects at 88 kg and am currently prescribed Crina NCR?

Accepted Answer

I understand your concerns about weight, and it is completely valid to want options that feel right for your body. Since you are currently taking Crina NCR, alternatives to the Mirena implant for managing a thick womb lining and polycystic ovaries include oral progestogens. Combined oral contraceptive pills are another option that can help regulate your lining and manage symptoms. Lifestyle support is also highly beneficial. Please discuss these oral alternatives with your doctor so you can choose a reassuring plan together that supports both your uterine health and your weight management goals.

Question 2

Is the Mirena hormonal IUD a good choice for long-term contraception, or are there better alternatives available?

Accepted Answer

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.

Question 3

I had a Mirena IUD inserted in May 2012 for uterine fibroids and Danazol-induced secondary amenorrhea. Is it necessary to remove or replace the Mirena IUD after 5 years?

Accepted Answer

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.

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Mirena Intrauterine Delivery System 1's

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Health Queries

Are there alternative treatment options to the Mirena (Marina) implant for managing a thick womb lining and polycystic ovaries, especially since I am concerned about weight-related side effects at 88 kg and am currently prescribed Crina NCR?

Is the Mirena hormonal IUD a good choice for long-term contraception, or are there better alternatives available?

I had a Mirena IUD inserted in May 2012 for uterine fibroids and Danazol-induced secondary amenorrhea. Is it necessary to remove or replace the Mirena IUD after 5 years?

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