About Mirena

4.0 rating based on 190 ratings
Rating: 4.1 Reviews: 190
About Mirena

Levonorgestrel is used to prevent pregnancy (“pill”, “contraceptive pill”). The active substance is particularly suitable for women who do not want to use estrogen-progestagen combinations for contraception or who are not allowed to take estrogens due to illness. Since the active ingredient does not affect milk production, it can also be used during breastfeeding.

What is the purpose of this ingredient?

  • thicken cervical mucus
  • block male sperm cells to the uterus
  • prevent nesting of a fertilized egg into the uterus
  • Prevent Pregnancy

This is how Levonorgestrel works

Below you will learn more about the fields of application and the mode of action of levonorgestrel.
Please also read the information on the drug groups progestins, contraceptives, sex hormones, to which the active ingredient levonorgestrel belongs.

Areas of application of the active substance levonorgestrel

Levonorgestrel is used to prevent pregnancy (“pill”, “contraceptive pill”). The active substance is particularly suitable for women who do not want to use estrogen-progestagen combinations for contraception or who are not allowed to take estrogens due to illness. Since the active ingredient does not affect milk production, it can also be used during breastfeeding.

The prerequisite for reliable contraception is the daily intake of a levonorgestrel-containing tablet at about the same time of the day. If this time is exceeded by more than three hours, the contraceptive effect is no longer guaranteed and on the following 14 days, additional non-hormonal measures to prevent pregnancy necessary. Also, nausea and vomiting as well as severe diarrhea may affect the efficacy of levonorgestrel.

Another form of contraceptive protection is a levonorgestrel-containing intrauterine device. Such an insertion system, also called a spiral, is made of plastic and is inserted into the uterus. It continuously releases small amounts of the active substance over a period of up to five years and prevents pregnancy with high reliability during this time.

Furthermore, a single dose of high dose of the active ingredient can prevent pregnancy within 72 hours of unprotected sexual intercourse. The reliability is greater, the less time has passed since sexual intercourse. Since the body is heavily burdened by the high hormone dose, this type of contraception should be limited to emergency situations.

In combination with an estrogen, levonorgestrel is also used to prevent pregnancy (for example, ethinylestradiol and levonorgestrel) and, in addition, such combinations can alleviate cycle disturbances and discomfort.

For the following application areas of Levonorgestrel , in-depth information is available:

  • contraception
  • Cycle Disorders and Discomfort

Mode of action of levonorgestrel

Levonorgestrel is an artificially manufactured hormonal drug. It is assigned to the group of progestagens for prevention and can be used as a mini-pill or intrauterine pessary (spiral). The drug thickens the mucus in the cervix, so male sperm can not enter the uterus. Furthermore, it changes the structure of the uterine lining so that a fertilized egg can not implant itself.

High dose levonorgestrel may also prevent pregnancy after unprotected sex (“morning after pill”). In this case, the drug suppresses imminent ovulation and prevents an already fertilized egg from intercalating and growing in the uterine lining. If the implantation has already taken place at the time of ingestion, levonorgestrel can no longer prevent the pregnancy since it does not have an abortive effect.

Potential Mirena side effects may include:

Mirena used to treat the following diseases:

  1. Marilyn N. Lococo says:
    4.5 rating

    Mirena for Breast span; Edema; Pain (joint); Pain (back); Overweight; Pain (acute)

    I let 2 hours ago insert the H. spiral. Before I let them insert, I have in various forums on event. Side effects read a lot and thought that these many women probably exaggerate powerful and I do not necessarily have to get these side effects – especially not so many at a time. For 1 month I have joint pain, in addition to various other side effects such. Water retention in the legs, extreme breast enlargement and stretching, back pain, extreme sweating, oily hair, weight gain (4 kg). At first I had joint pain with elbow strain, then wrists, finger bones, knees and for a few days my hips hurt. The pain disappears again and again, and then come back after a few days. I’m currently being treated by the orthopedist. The result of the blood test, if any rheumatism, is still pending. My gynecologist said that does not come from the spiral, my new gynecologist meant what else – if I previously the o.g. Had no problems. I have decided to let them get me and believe firmly that I am as good as before the Mirena, just a little pain in the menstrual period and a little heavier bleeding.

  2. Jeffrey M. Ward says:
    5.0 rating

    Mirena for Aggressiveness

    My 1st Mirena I have after the birth of my son lay and was synonymous with no problems with her. There were no difficulties when inserting and not in the entire gestation period, I felt positive that there was hardly any bleeding and if , then the matter was done in 3 days. The 2nd I left, without questioning, because I have them well tolerated, after the birth of my daughter insert. Puh-the insertion was painful and for the rest of the day I had a lot of pain (like putting an umbrella in my stomach) in my stomach and back, I could barely stand up, let alone walk. With a slight headache It started and spread to irritability, constant fatigue, sexual listlessness, but also listless and impulsive in everyday life, greater appetite aus.Ich got not only hair loss but also gray hair. About 1.5 years ago, I have the Mirena removed, meanwhile, I am in psychological treatment and can also equal to the divorce process. I am not only 20 kg heavier, but also in essence very changed; I have always been a positive and happy person. I can only guess that the choice of contraceptives should be carefully considered!

  3. Isabel J. Jones says:
    5.0 rating

    Mirena for Iron deficiency

    Through years of strong iron deficiency, where tablets did not really help and last the iron was given intravenously, my gynecologist urgently advised me to Mirena. I was satisfied until about a year later I got small brown spots on my face. As it got more, I approached my doctor. She said that had absolutely nothing to do with the Mirena! After the second Mirena, I now have massive spots on my face, which have now spread as if I had one of those face masks on the face. Every day I work with several colors camouflage, because otherwise I’ll be gauged by everyone! Recently, I was at the dermatologist and there, however, was again said that it is hormonal and the spiral may very well be the reason. Are the gynecologists being asked with a lot of money to attach their patients?

  4. Jeannette M. Ricks says:
    4.5 rating

    Mirena for Menorrhagia

    Have read the reviews with interest, because I got the Mirena after 5 years and 5 months now. It was recommended and used at the time because I had such heavy bleeding that tampons and bandages did not help anymore. The onset was extremely painful, I had to lie in the office an hour later, because I was not able to drive a car. Had not expected this, just wanted to use the hormone spiral just before work. I’m not squeamish, but that was really hard. Had then about 1 month spotting and also about 6 months the period (but much weaker than before insertion). Then gain weight, 4 kg, inexplicable, because same habits when eating and moving. Mood swings followed, in addition to cysts that disintegrated of their own accord. I NEVER had any before the spiral. After about 3 years Mirena (I was fully satisfied, no period and the cysts did not scare me further) increased mood swings as in the burnout onset. After 4 years starting cervix cancer, Pap 4, conization. Mirena was removed for surgery and reinstated directly (the same, 4-year-old Mirena). December 5, 2011, the 5 years were over, but the FA said I should still carry them, because still hormones would be delivered and then I’m through the menopause. Strange, since I am 51 and I find that very early. Then in January 2012 total collapse, depression, suicidal thoughts, GAR NOTHING got more regulated and was written sick for the first time in life more than 3 weeks. Could not open a post, make any transfers, just sat there like an old woman and looked in front of me. That was not me anymore. No idea if it all related to the Mirena, but I would like to share this experience. Fought very hard and clenched my teeth, made a therapy, it works again. But I do not know where it all came from. I had the Mirena removed last week and since then spotting. Hope very much that they stop soon and that I am really through the menopause and get no more period. The spiral had the advantage that I did not get it. Otherwise, I very much hope that there are not other, long-term side effects. Amazing is, however, that with me several doctors have repeatedly claimed that everything could NOT be related to the Mirena. Maybe but ????????

  5. Michelle J. Winn says:
    4.0 rating

    Mirena for Menorrhagia

    Hello, short history: In 2007 my second daughter was born. Since birth, I suffered from chronic bleeding, sometimes less, sometimes with no pain. It was a cervical shortening and a Ausschabung made. However, all this has not changed, the bleeding was always my companion. In 2011, my third daughter was born, in advance I decided, after the end binding, for a uterus removal, but it was not granted to me, since I was still too young for it, it was said by the clinic. In 2012, I decided on Mirena, because for me nothing else came into question, because my liver could not or could not handle the hormones. In 2013, my FÄ stated to me, that I have water deposits in the abdomen, so from the KH, there were so many investigations made; Diagnoses: Two cysts on the right ovary, which were removed by the abdominal mirrors and then sent in. They were negative and no reason for the bleeding. The FÄ spoke of regular and weaker bleeding and this then without pain by Mirena … Meanwhile, we have now 2016 and I have to say, it has still not changed! A new Mirena ?! No, I am now 40 years and if it has not gotten better, then maybe. really only help the uterus removal. LG 🙂

    Side effects: Cyst formation
  6. Peggy S. Tripp says:
    4.5 rating

    Mirena for Menorrhagia

    I got the first time the minera after the third pregnancy, at that time I still breastfeed. In the last 15 years, I have increased dramatically, so I’ve almost doubled my weight to a few pounds. I’m always hungry, I’m slightly deperssiv and my libido has diminished extremely. I’ve never really thought about it, because my complaints are indeed dismissed as typical gynecological problems. Although I have no more bleeding, about which I’m glad. Since I have always had / have exterm heavy bleeding and back pain throughout my life. But the fact that I have grade 3 obesity does not make my life worth living. I hope my son by the spiral in the nursing time did not hurt. But he was a screaming kid, which is not unusual.

  7. April L. Palermo says:
    4.5 rating

    Mirena for Edema; Fatigue

    I’ve been sick for a long time and have been getting worse, starting with anxiety, Depris (severe !!!), dissatisfied with everything and everyone, circulatory problems, water retention, acne and much more. lately i have had animal vision problems (i thought i was batty !!!) …. just awful !!! Decision is certain: I let them pull after 4J and 3 months now: But: I have Todesnagst, who made experiences? please tell me about *** my. norden@ewetel.net*** with me, I would be glad, the appointment should be in the next week. Thank you and best regards from Ostfriesland!

  8. Gerald T. Jimenez says:
    4.5 rating

    Mirena for Pain (joint); Fatigue

    5 years ago and 3 months ago I had the hormonal spiral set. For the reason that I always had a heavy menstrual period and thus also iron deficiency. In addition, I always got a migraine-like headache during the menstrual period, which lasted two days and almost put me out of action. After inserting the spiral, these complaints abruptly stopped and I was very happy and happy about it. No bleeding and no extreme headache anymore. I was a convinced Hormone Spiral representative! Over the years, things changed a lot in my life. My hair was extremely greasy every 2 days and my scalp was very flaky to the point of exzema on the hairlines, which I had to be constantly treated by the skin doctor. At the same time I got a few joint complaints. Scattered fingers and toes began to hurt. On bad days I could not open a bottle and carry heavy. I did not get a result, my blood counts were completely ok and no one could diagnose anything to me (luckily). He was very afraid of rheumatism and arthritis. That went downhill and uphill. Sometimes more and sometimes less. Now the 5 years of the spiral were over and I immediately decided to put a new one, because I noticed that the bleeding started again and with which my headaches returned. Again, hoping to be free of complaints soon, I had one removed and the next used at the same time. What a very painful procedure !!! The bleeding disappeared immediately, of course, the headache, but suddenly I had soooo violent fingers and toe joint pain that I can not carry anything. My mood is at zero, my powers are at an end, I feel tired, dull and totally listless. Unfortunately, I thought only for the first time whether this could probably hang together with the spiral ..! I went to an osteopath and she told me immediately that my hormone axis is totally confused and my complaints obviously related to the hormonal spiral. Now, in the next few days, I will start a therapy with phytotherapy and I very much hope that my complaints will be adopted. Otherwise, I see as the next step to let me remove the newly set spiral again and THANK everyone who wrote their experiences here, so I finally have clarity that I’m not alone! Unfortunately, the only pity is that the doctors do not provide proper education, neither the gynecologist, nor any other doctor. But I am happy and grateful now for me to have found the way to complete recovery again! I wish all the other women in the same situation and situation! Greetings Eva

    Side effects: Oily hair; Joint pain
  9. John E. Garrett says:
    4.5 rating

    Mirena for Migraine

    The Mirena came into consideration with me because I suffered from lymphedema for a long time and therefore no other method of contraception came into question. For a long time I could not assign all the symptoms. because the Lymphöden had a very strong influence on the hormonal processes in the body and it was indistinguishable for me. A thyroid hypofunction has contributed to the rest of this and we have long tried back and forth, from where the strong mirg So I came now only after 5 years on it and only by diary lead, that the strong migraine I regularly every 2-3 months always had around the Ziklus, had to come from the Mirena. I’ll let the Mirena go now and then we’ll see how it goes on. Whether my guess is right or not. I think it’s a pity, because for me then only the sterilization comes into question, because I just can not handle the other methods.

    Side effects: Migraine
  10. Naomi W. Martin says:
    5.0 rating

    Mirena for Migraine

    I have the Mirena for three years. The migraine attacks are indeed almost gone (from up to 10 a month under the pill (Cerazette) to now 2-3 a year), but there were other supplements: Initially, I had about 6-7 months long bleeding. Since then, I still have long-lasting and very irregular bleeding. Mostly they last 15-20 days, then I have 10-15 days break, then it starts all over again. That is very annoying. Despite regular checks every 6 months, my doctor wants to leave everything so, because neither a pill nor the NuvaRing I could tolerate. More side effects since laying the Mirena: For two years therapy wg. Depression and mood swings, plus 10 pounds of weight gain, loss of libido and blemished skin. But I do not see an alternative – presumably I’ll have to hold it through to menopause. But I’m already almost 46 … – juhu! Recommendation: Changeable, the lesser evil. dieheideblühte

  11. Brenda M. Grissom says:
    5.0 rating

    Mirena for Migraine

    Hello, my gynecologist advised me not to take the pill 7 years ago, because of the risk of thrombosis. In addition, I had about 2 times a month the most severe migraine attacks, which took 2 – 3 days. Now that I’m using the Mirena Hormone Spiral (I’ve got the 2nd in there by now) I do not have any more migraine headaches (Juhuuu !!). Although I have gained some weight, but I put a little on my better mental condition (just because of the post-migraine). My rule has also remained since then, which does not necessarily make me sad 😉 What is reported here about side effects, such as hot flashes, etc. – I postpone this more to the onset of menopause, as they only now sometimes use. I do not feel that (yet) as disturbing.

    Side effects: No side effects
  12. Jeffrey K. Brink says:
    3.0 rating

    Mirena for Hair loss

    Formation of cysts on the ovaries and in the chest Pressure and pain throughout the cycle Extreme hair loss about 2 months after onset Depression Extremely severe demolition bleeding after removal Never again

  13. Jeanett C. Blocker says:
    4.0 rating

    Mirena for Polymenorrhoea

    Absolutely no side effects, 2. Mirenaspirale, great no more monthly bleeding

    Side effects: No side effects
  14. Irene T. Close says:
    4.0 rating

    Mirena for Polymenorrhoea

    For five years, the hormone spiral. My doctor said it could stop the heavy bleeding. At first I was a bit skeptical, but now I’m very excited. I will soon have a new spiral inserted. No bleeding, no cramps, etc. just great. Since I already have two pregnancies and births behind me, I felt the insoles only a bit painful but to endure, at the same time I got a light painkiller. I am 43 years old now. I’ll probably get another one until menopause.

    Side effects: No side effects
  15. Barbara J. Wang says:
    4.5 rating

    Mirena for Mood swings; Cyst formation; Hurt; A headache; Pain (acute)

    Hi Guys! I can not believe what I read here !!! Today Google I breast tenders Mirena and then I come across this page. Thought it was not the hormone spiral. Just as my gynecologist has told me that the Mirena is not responsible for breast tenderness and certainly not for mood swings and slight irritability. Now I understand. I have the Mirena 4 years ago and 10 Montaten use and my gynecologist has called me no side effect. Sure, at 22, it always sounds good if you do not have to think about contraception for 5 years and you will not get any menstruation! And that the Mirena acts locally and does not pump the whole body full of hormones. Calculated on the years, the Mirena is also cheaper, she told me. Why should I ask synonymous because of side effects if it all sounds so great! Since I was young and stupid I must confess honestly. The insertion was not so painful. She has given me a remedy that widens and stuns the uterus. So it was just unpleasant pulling. Have spotting every month and often take 5 to 7 days. During the annual examinations she often told me: So it is very rare that the women who wear the Mirena regularly have menstruations or spotting. (Nice for the majority of these women) In the ultrasound, she also often found a cyst on the ovaries, but 90% of them disappear by themselves. So the cause of abdominal pain found. Never had cysts before !!! Then she prescribed a gel for breast tenderness. She could have smeared that in her hair, too. From month to month, the pain in the breasts is more and more and they are hot, hard and riiiiiesig and there are nodules to feel. My friend already asked me why they are so riiiiiesig? He is rarely allowed to touch them because they are very sensitive. I would only be interested in how much profit per Mirena jumps out at the doctors. Because of my impure skin, I was also the dermatologist and prescribed me again anoint, detergent, etc. for treatment and he said it was the conversion of the contraceptive. Well, this is almost 5 years ago and it is still the sameSo if I count the drugs for the impure skin and the gels for the breast breakdown together, then I have saved myself in contrast to the pill at all! On the contrary!! I’m glad if I get pulled in 2 months and I’m curious how life feels afterwards! 😉 Greetings Dani

  16. Catherine R. Burges says:
    3.5 rating

    Mirena for Endometriosis; Pain (menstruation)

    In November 2015, I had the Mirena babble on, as my gynecologist said to have discovered endometriosis. After more detailed explorations in the circle of acquaintances I learned that with the ultrasound this mucosal proliferation is not necessarily recognized. However, I had already used the coil at the time and had to fight after an allergic shock in the full-nose even with severe bleeding and abdominal pain. This was followed by spotting and strange labor-like pains until January. Also in other experience reports named breast pain and hair growth on the chin were added. The complaints were dismissed by my gynecologist but as abdominal pain, with which I was referred to the internist, but found nothing and also said that my complaints would sound like menstrual pain. In order to initiate the rule since the end of the spotting odyssey, I still got chaste tree, which changed nothing after two months on the condition. Oh yes, and a support pantyhose was also prescribed to me, as he would recommend such slender dainty women like me for the circulation. I found myself in some experience reports again and am appalled that behind this Mirena seems to be a big pharmacy business. This also resulted in research on application forms of the corpus luteum hormone. The constant stimulus on the cervix has more effects on other parts of the body than expected. In spite of fear of repeated anesthesia (to which I reacted so badly), I am thinking about having the spiral removed again and, as before, using the condom to prevent hormone-free. Maybe that’s why I react to the Mirena with severe abdominal pain, because I had little contact with other hormonal contraceptive methods in my 31 years of life and was careful with any medication before. As far as I read here, women were more likely to tolerate the Mirena, even if they had been taking the Pilla for years. I will continue to follow the topic and look for reviews.

  17. Delores T. Barrett says:
    4.5 rating

    Mirena for Cyst formation; Cycle disorder

    I am a smoker and did not take a pill. Nevertheless, the Mirena was recommended for the prevention of cyst formation and spotting of gyn. The first 8 days after use of the Mirena, were still accompanied by bleeding. From there began a carefree life for 15 years. Every 5 years, I received a new hormonal spiral and had no menopausal problems, cysts or spotting. Unfortunately, the weight grew and although I was doing sports. Nutrition changes or increased sports use could reduce the weight. Then … In 2010, at the age of 58, I received a diagnosis of breast cancer, although no family and relatives have cancer. Now I wonder if smoking and Mirena could have led to this diagnosis. Who might also have experience smoking and contraceptives with Mirena.

    Side effects: Increase in weight
  18. Jeanette D. Vandenberg says:
    4.0 rating

    Mirena for Cycle disorder; Bleeding

    Have now been 6 months, the Mirena. So far every day lubricating bleeding. Cramping, nausea, dizziness, breast tenderness, night sweats and extreme fatigue. This was followed by a 4 cm cyst and three months’ intake of chlormadinone 2mg fem. This made it better. Now I have a bacterial infection with an antibiotic and then with lactofem to help restore ph in the vagina. Against the spotting I take parallel desogestrel first for a month. What can I say. If it does not get better now, I’ll let the spiral go.

  19. Richard H. Cortes says:
    4.5 rating

    Mirena for Overweight

    Hello, I have on the recommendation of gynecologist, because I had so unbearable pain and extremely strong and sometimes 8-9 days lasting menstrual bleeding, which can be used Mirena. Was always a rather sporty always well-tempered person, have kept for years without any effort my normal weight of about 58-61 kg fabulous, if I had eaten a-two days less, I immediately lost a kilo. since Mirena- mood swings headache (I had never before) and now almost 75 kg although I eat neither more nor different than before and my movement has remained the same. My FA said it would rather come from the age ago – this is normal if the body is slowly moving to the menopause (ha ha – I’m 42 :-() for some time, I get also malignant spotting – spasms in the abdomen …. My decision has now been made after reading your experiences – IMMEDIATELY WITH THE THING! I will tell you what changes afterwards.