Mirena Side Effects: What to Expect From Insertion to Removal
The following are some of the side effects that might occur after removing mircia. You may experience other symptoms or complications. If you have any questions please contact your doctor immediately.
1) Bleeding between menstrual periods (amenorrhea).
The main cause of amenorrhea is unknown but there are several theories such as hormonal imbalance, pregnancy, infection, and even cancer. A woman’s body goes through changes during her cycle. During ovulation, the lining of the uterus grows and thickens.
At this time, estrogen levels rise causing uterine contractions which expel blood from the womb. After ovulation, estrogen levels decrease and menstruation begins. When mircia is removed, the hormone progesterone increases leading to a drop in uterine contractions and bleeding may begin again at this time.
2) Menstrual irregularities.
Some women have irregular periods after mircia removal. Other than the usual bleeding, other symptoms include pain with urination, abdominal cramps, bloating and nausea. These symptoms usually disappear within a few days of stopping mircia.
3) Hair loss.
Women who remove mircia often report hair loss due to decreased hormones in their bodies. They lose up to 40% of their hair during the first year after removal.
4) Mood swings.
During mircia use, hormonal changes lead to increased feelings of well-being or sadness. These mood swings are directly related to estrogens and progesterone levels and hormones drop after mircia is removed causing the patient to feel fatigued, tired, and sad. This should disappear after a few months.
If these symptoms do not improve within six months, contact your physician.
5) Weakened bones (osteopenia).
Prolonged use of Mirena may cause thinning bones which may lead to osteopenia and later osteoporosis.
6) Mood swings.
Hormone levels are directly related to mood changes, these are normal side effects of mircia.
7) Blood clots.
Mircia can cause serious complications such as blood clots. A blood clot in the legs can travel to the lungs causing a pulmonary embolism and may be deadly if left untreated. If you experience sudden chest pain, pain or heaviness in one arm, shortness of breath or difficulty breathing immediately seek medical help.
8) Ectopic pregnancies.
If a woman becomes pregnant while using mircia there is an increased risk of an ectopic pregnancy. An ectopic pregnancy occurs outside of the womb such as in the fallopian tube. This can cause internal bleeding and is life-threatening.
9) Severe infection.
Rarely, an infection can develop around the insertion point during or after mircia removal. Symptoms of infection include redness, swelling or oozing around the mircia implant, fever, chills, pain or burning during urination, increased urination, diarrhea or stomach pain. If you experience any of these symptoms, contact your physician immediately.
10) Severe depression. Although rare, some women may experience depression after mircia removal. You may feel sadness, hopelessness, sleepiness, lack of enjoyment and interest in activities you once enjoyed, inability to concentrate and sometimes thoughts of suicide.
If you notice these symptoms in yourself or someone you know, seek medical help immediately.
11) Migraines. Some women suffer migraines after mircia removal due to hormonal changes from the removal of the device. If you have a history of migraines, you may be at risk for more severe headaches after mircia removal.
12) Infection. Mircia can cause infection as it is placed into the uterus and this can occur again if it is not removed properly. If the device is not removed it will continue to put the patient at risk for infection as bacteria can build up around the device causing pain and inflammation.
Sources & references used in this article:
… randomized, phase II study describing the efficacy, bleeding profile, and safety of two low-dose levonorgestrel-releasing intrauterine contraceptive systems and Mirena by K Gemzell-Danielsson, I Schellschmidt, D Apter – Fertility and sterility, 2012 – Elsevier
Mirena: the other side of the story by AAA Ewies – BJOG: An International Journal of Obstetrics & …, 2007 – Wiley Online Library
Levonorgestrel-releasing intrauterine system (Mirena) for contraception by L McCarthy – American Family Physician, 2006 – aafp.org