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The Mirena coil v. the Pill

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  • Fibroids: These are lumps of muscle in the wall of the uterus, and are more common in older women. If they are very large it can be difficult to fit a Mirena, but with smaller fibroids there is less of a problem. A small number of trials have suggested that fibroids may be less common in Mirena users.

  • HRT: Around the time of the menopause when some women start taking HRT, it can be difficult to combine contraceptive effectiveness with the hormone combinations in HRT preparations. Using Mirena as a source of progesterone and as a contraceptive combines well with oestrogens, preventing the unwanted effects of oestrogen on the endometrium.

    Who is the Mirena suitable for?
    The IUS is a very effective treatment for heavy periods. It reduces or abolishes menstrual pain, and may be used with small to moderate fibroids. It is an effective contraceptive with minimal side effects and a very low rate of ectopic pregnancy and pelvic infection. It is a particularly good treatment and contraceptive for those women with heavy periods who want to avoid hysterectomy.

    Compared with the Pill there is no need to rely on having to take it at a certain time or worrying whether it will interact with other medication. It seems to reduce the risks of pelvic infection, whereas with the Pill other forms of barrier contraception need to be used. There are few hormonal side-effects compared with oral and injectable hormonal contraception so less risk of weight gain and thrombosis.

    Any disadvantages?
    It may be more difficult to insert than other coils and is rejected more than others in the first few months. In some women it may lead to mild hormonal side-effects, and commonly causes irregular bleeding in the first few months.

    Find out more
    If you want to find out more about the Mirena talk to your GP or visit your local family planning clinic who will advise on your particular needs..

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