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Contraception Handbook This hormone causes changes in your cervical mucus and uterine lining, making it more durable for sperm to reach the uterus and harder for a fertilized egg to connect to the uterus. The Mirena intrauterine device is placed in the uterus where it slowly releases the hormone to prevent being pregnant for up to 5 years. Mirena is supposed to be used in a girl who has had at least one baby and is in a secure sexual relationship with someone who has no different sexual partners. The examine is performed to evaluate if Mirena is efficient and protected as a contraception technique beyond 5 years of use. If there's a delay in the onset of expected menses past 1 week, think about the potential for being pregnant.Patients must be instructed mirena that menstrual irregularity could occur and to notify their prescriber of any persistent changes in bleeding patterns; these might require medical evaluation.With levonorgestrel intrauterine device contraceptives, there could be alterations in menstrual bleeding patterns, together with amenorrhea.Some ladies could experience spotting a couple of days after taking a levonorgestrel emergency contraceptive.Menstrual irregularity is widespread amongst girls utilizing progestin-only postcoital and emergency contraception. Treat contraception b12. mirena Health mirena Centres A mirena If this happens, the gadget could now not forestall being pregnant, or it could move outdoors the uterus and trigger scarring, infection, or harm to different organs. If the device embeds in or perforates the uterine wall, your physician might must surgically take away the gadget. If you assume the device just isn't correctly in place, use a non-hormone methodology mirena of contraception to forestall pregnancy till your doctor is able to exchange the Mirena device.