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How does an IUD work to prevent pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a Mirena IUD. It is now six months past the eight-year mark. I am unable to get a new one placed at this time and want to know if it is still effective as birth control right now.

Please help.

Thank you.

Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The Mirena IUD (intrauterine device) is FDA (Food and Drug Administration) approved for up to eight years of use for birth control. Since yours has been in place for six months past the 8-year mark, its effectiveness may be reduced. While some studies suggest Mirena might still provide some protection beyond eight years, the exact level of effectiveness is unknown.

Risk of pregnancy

The hormone levonorgestrel (which prevents pregnancy) gradually decreases over time. After eight years, the effectiveness drops, increasing your risk of pregnancy. While some residual effect may remain, it is not guaranteed to be reliable as birth control.

What you can do:

  1. Use backup contraception – Until you replace it, consider condoms or another form of birth control.

  1. Monitor for pregnancy signs – If your periods are irregular or absent (which can happen with Mirena) and if you notice symptoms like nausea or breast tenderness, take a pregnancy test.

  1. Schedule removal when possible – Even if you cannot get a new one placed right now, removal is recommended since an expired IUD may increase the risk of infection.

Would you like to know some recommendations for alternative birth control methods in the meantime?

I hope this answers your query.

Let me assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At May 29, 2025
Reviewed At June 2, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

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