This increases the contraceptive efficacy (the Mirena is the most effective form of reversible contraception available) and can also reduce menstrual blood loss and pelvic pain. The Mirena is often used in women with endometriosis or heavy, painful periods due to its suppressive effects on the menstrual cycle. The biggest problem with
Copper coils often make periods a little more painful and can be associated with increased vaginal discharge. The hormone releasing coils include the Mirena which releases a small dose of local progestogen hormone. This increases the contraceptive efficacy (the Mirena is the most effective form of reversible contraception available) and can also reduce menstrual blood loss and pelvic pain. The Mirena is often used in women with endometriosis or heavy, painful periods due to its suppressive effects on the menstrual cycle. The biggest problem with hormone releasing coils is that they are often associated with very unpredicatable bleeding – particularly in the first 3 months of use, and that up to 1 in 6 women will ask for it to be removed. This is usually because of ongoing unpredictable bleeding or side-effects that can include mood change, bloating or acne.
Fitting an IUD
Fitting a coil is usually relatively straightforward and is done in the clinic. It involves being examined (a bit like a smear test) to assess the shape, size and position of the womb and cervix (neck of the womb). The coil itself is pushed up through the cervix into the cavity of the womb. There are two strings attached to the device which are then trimmed so that they remain close to the cervix. These strings are there to allow easy removal of the device. Most IUD’s are licensed for contraception for 5 years.
Mr Miskry recommends taking some simple over the counter painkillers (eg paracetamol or ibuprofen) and hour or so before having a coil fitted and remember to bring a pad or panty liner as there may be some bleeding afterwards. It is also sensible to have something to eat and drink before the appointment and not plan to go back to work immediately afterwards in case you get some discomfort (period type cramps). The whole process of examination and fitting typically take less than 5 minutes and is usually tolerated very well.
The main risks of using a coil are either introducing infection (in particular chlamydia if it present in the cervix) or much less commonly perforation of the womb (where the instrument or coil is passed through the entire thickness of the muscle of the womb).
Request an appointment
Clinics are three times a week and Gail will help you arrange a time to see Mr Miskry and if necessary a scan on the same day.
If you are pregnant, you can expect to have a number of routine tests and appointments and you can find out more about the schedule of care here.
Appointments can be arranged by phone or email.