Why should Mirena be used during menstruation?

Women usually choose to use the Mirena IUD when their menstrual flow is light, because the Mirena IUD contains progestin, which can stimulate the contraction of the uterus and the discharge of eggs, thereby achieving the contraceptive effect. Generally, women will experience less menstrual flow or delayed menstruation after having their menstrual flow inserted with the Mirena IUD, so choosing to have the IUD inserted when the menstrual flow is less can achieve a better contraceptive effect.

It is generally better to insert the Mirena IUD when the menstrual flow is light. The reason for this is because Mirena is primarily a ring containing a drug, which contains a levonorgestrel sustained-release system. After the IUD is inserted, it will immediately release a certain amount of drug into the body every day, about 20ug of drug per day. When the drug concentration reaches a certain level, the effect of the IUD will be apparent. After inserting the Mirena IUD, it can play the role of contraception, reduce menstruation and reduce dysmenorrhea. If you put it on after menstruation like you would a normal ring, the effect may be reduced and the onset of action may be delayed. Therefore, the Mirena IUD is usually inserted during the menstrual period, when the menstrual flow is light.

Precautions for wearing Mirena IUD

1. Get adequate rest. After the ring is just placed, the cervix is ​​relatively loose and the ring is easy to fall off, so you should rest for two days after the ring is placed. You should not do heavy physical labor or participate in high-intensity activities within a week. When urinating or defecating, try to avoid holding your breath too hard to prevent a sudden increase in abdominal pressure from causing the ring to fall off.

2. Maintain hygiene. IUD insertion is a surgical procedure. In order to avoid infection, the vulva should be kept clean after the operation, and the lower body should be washed with warm water and underwear should be changed every night. Sexual intercourse (this requires the active cooperation of the man) and sitting baths (but showers or sponge baths are allowed) are prohibited within two weeks to maintain vaginal hygiene and prevent cross infection.

3. Pay attention and observe. Within a few days after the placement of the IUD (mainly the first three days), there may be a small amount of vaginal bleeding, mild lower abdominal discomfort (such as back pain and a feeling of heaviness), and increased vaginal discharge (this is caused by surgical trauma or mechanical compression of the IUD or rupture of small blood vessels in the endometrium). These symptoms usually disappear on their own and do not require any treatment. If the bleeding is heavy or lasts for more than a week, especially if abdominal pain, fever, etc. occur, you should see a doctor immediately.

4. Prevent falling off. During the first three months after the placement of the IUD, especially for some women with loose cervix and heavy menstrual flow, the IUD may fall off along with the menstrual blood. Therefore, these women should pay special attention to whether the ring falls out with menstrual blood when going to the toilet during menstruation. Once it happens, you should go to the hospital in time to replace it, and pay attention to replacing it with a suitable size to avoid it falling off again.