How to use the Mirena spiral

The coil is inserted by the gynecologist. The gynaecologist first examines the uterus, as the position, size and shape of the uterus are relevant for selecting the correct size of the IUS. The IUD is typically inserted during the last days of a menstrual period, as the cervix is soft and wide at this time.

The gynecologist uses a tubular applicator to push the IUD into the uterus. The safety threads protrude from the cervix into the vagina even after insertion of the IUD. To relieve possible pain, the IUD can be inserted after administration of an analgesic or under local anaesthetic. The position of the IUD is checked with an ultrasound machine and then checked every six months.

How to remove the Mirena spiral

The spiral is usually removed after five years, or earlier if desired or if complications arise. The gynecologist grasps the return threads with special tweezers and pulls out the coil. As with the insertion of the coil, painkillers can be taken beforehand or a local anesthetic can be used.

Side effects of the Mirena Spiral

The Mirena Spiral can cause harmless to serious side effects. Common side effects of the Mirena IUD are headaches, abdominal pain, pelvic pain, and changes in menstrual periods from reduced to increased menstrual bleeding and even absence of menstruation. Other common side effects are inflammation of the vagina and vulva and vaginal discharge.

Other common side effects include depression, migraine, nausea, acne, a male pattern of hair growth and back pain. Infections of the upper genital tract, ovarian cysts, menstrual pain, chest pain and spiral discharge are also common. Side effects that occur only occasionally are hair loss, a discoloration of the skin of the face and neck, pregnancy spots (chloasma), hyperpigmentation of the skin, and a piercing of the uterus.

In fact, depression and depressive moods are among the side effects that affect one to ten out of one hundred women. For a diagnosis of depression to be made, the symptoms must be present for at least two weeks, otherwise it is called depressive disgruntlement. The main complaints of those affected are a depressed mood, lack of drive and loss of interest. The women often also suffer from sleep disorders, loss of appetite, a decrease in attention and concentration and reduced self-esteem. Depression is a serious side effect of the hormone coil, so early removal should be considered.