Where is the mirena coil fitted

Concentration of the hormone in the blood is lower than almost any other hormonal treatment. The Mirena can also be used as part of Hormone replacement treatment HRT regieme along with oestrogen to avoid bleeding. Insertion of Mirena coil is performed in the clinic using local anaesthetic. Initially you will have an examination to determine the size and position of the uterus womb.

A speculum will be inserted which allows the doctor to see the cervix neck of the womb — like having a cervical smear. The cervix will be cleaned, and a local anaesthetic may be given.

The Mirena coil will then be inserted through the cervix into the cavity of the uterus where it is held in place by its T-shape see diagram. Two fine threads will remain in the vagina, just beyond the cervix, which can be used to check that the coil is in position and enables the coil to be removed with ease by health care professional. Mirena coil Insertion can also performed at the time of hysteroscopy , which is an investigation to look inside the womb.

A thin telescope hysteroscope is inserted through the neck of the womb via the vagina and is used to inspect the inside of the womb and a sample of the lining of the womb may be taken or the cavity inspected for fibroids or polyps. Once this hysteroscopic examination is complete the Mirena coil can be inserted.

The hysteroscopy procedure is simple and can be performed under both local or general anaesthetic depending on the clinical situation. Spotting or irregular bleeding is common in the first few months after Mirena Coil insertion while the hormone in the coil thins the lining of the womb. This bleeding should not be as heavy as a period.

After this has settled usually months you should expect your bleeds to become significantly lighter and by one year after insertion many women will have no bleeding at all. It is important to acknowledge that the long-term benefits of a Mirena coil should outweigh the initial convenience of this irregular bleeding. Apart from menstrual changes, side effects may include mild headache, acne, nausea or breast pain but due to the very low level of hormone, these are not common after the first few months.

This may present as a fever or discharge. What happens during a Mirena coil fitting? The Mirena coil can be fitted in the outpatient clinic or at your own GP surgery. Why would I have a Mirena coil fitting? What should I expect after a Mirena coil fitting?

You will be able to resume normal activities immediately. How do I arrange a Mirena coil fitting? I'm self-funding. Self pay treatment. I'm a Benenden Health member. It is also effective for a period of up to 5 years. The Mirena coil can be removed at any time and fertility returns immediately.

Again at Hazelhill Family Practice we are happy to provide consultations to fit the Mirena coil and to remove or replace them when the time comes. The Mirena coil can even be fitted shortly after a woman has given birth 6 weeks after delivery. The coil does not impact milk production so is suitable for breast feeding mothers. The Mirena coil can be used to reduce menstrual blood flow, particularly for patients who suffer from heavy periods ie, heavy menstrual bleeding.

The Mirena coil can also used in conjunction with an oestrogen as part of the hormone replacement therapy HRT for women going through menopause. Menopause is a natural, gradual process which usually takes place in women aged between 45 and Although this is a normal biological process, women can find it distressing, particularly when they start experiencing symptoms such as hot flushes or night sweats. Using oestrogen can help relieve the symptoms of menopause, but taking them on their own increases the risk of abnormal growth or cancer of the lining of the womb.

Intrauterine contraceptives IUDs. In: Contraceptive Technology. New York, N. Hatcher RA, et al. Intrauterine contraceptives. In: Managing Contraception Tiger, Ga. The menstrual cycle. Dean G, et al. Intrauterine contraception: Devices, candidates, and selection.

Accessed Oct. Mirena prescribing information. Whippany, N. Lobo RA, et al. Family planning. In: Comprehensive Gynecology. Philadelphia, Pa.