How does an IUD work to prevent pregnancy?
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.
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:
- Use backup contraception – Until you replace it, consider condoms or another form of birth control.
- 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.
- 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.
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