Who should not wear Mirena?

Women wear the Mirena IUD mainly for contraception. This contraceptive method can be effective, but it has many side effects. The decision to wear the IUD should be based on the woman's physical condition. Women who have thrombosis, technology-dependent tumors, or are pregnant should not have the Mirena IUD inserted. Also, before insertion, it is necessary to check for inflammation of the reproductive system. Inserting the IUD if there is inflammation will aggravate the inflammation.

What kind of patients are not suitable for Mirena?

First of all: it should be made clear that Mirena is not recommended for women who are pregnant or suspected of being pregnant, have a history of thromboembolism, have progesterone-dependent tumors, or have chronic liver disease, because the progesterone contained in Mirena will increase the risk of the above diseases.

Secondly: Before inserting the IUD, reproductive system inflammation, such as vaginitis, cervicitis, pelvic inflammatory disease, etc., should be ruled out to prevent aggravation of infection or spread of infection due to intrauterine operation. In addition, malignant lesions of the uterus and cervix, abnormal uterine cavity morphology, etc. should also be ruled out. The best time to insert the IUD is on the 3rd to 5th day of menstruation, and the amount of fluid should not be too much.

Finally, the problem that bothers our patient is the size of the uterus. A uterus that is too large will not only make Mirena ineffective, but will also easily cause it to fall off, thus failing to achieve the therapeutic effect. The current clinical indication is that direct IUD insertion is not recommended if the uterine cavity depth is greater than 8cm. Also, it is not suitable to wear the Mirena IUD if the menstrual flow is too heavy, as the ring can be easily washed away.

I have been bleeding after wearing Mirena. What should I pay attention to when wearing Mirena?

In fact, Mirena is a ring that releases drugs. There are drugs on the ring, which can relieve pain and have contraceptive effects. If you continue to bleed after the ring is inserted, consider the following situations:

First, many female friends do not have strict examinations before IUD insertion or have inflammation. If they insert the IUD without strict anti-inflammatory measures, it is likely to aggravate the infection and cause bleeding symptoms. Inappropriate IUD insertion may also cause infection, resulting in these symptoms.

Second, as everyone knows, Mirena contains drug ingredients. These drugs contain certain hormones. After having an IUD inserted, many female friends may experience a disruption in the hormone balance in their bodies, leading to endocrine disorders, which may also cause bleeding.

Third, as we all know, the contraceptive ring is a foreign body. After being inserted into the uterus, the endometrium is compressed by the contraceptive ring, and local congestion and edema are likely to occur, which may lead to bleeding symptoms. Everyone's body needs an adaptation process, so you can observe it first.

To sum up, this is the main content of our discussion today. Therefore, female friends may experience continuous bleeding after inserting the Mirena IUD. It cannot be ruled out that it is directly related to the contraceptive ring, because the body needs a process of adaptation. You can observe it first, but if it continues like this, you need to check to determine the specific cause and then decide whether to remove the ring.