New Service at Slievemore Clinic from October 2009
Mirena Coil insertion
Dr Georgina Connellan MICGP
The Mirena Intrauterine system ( IUS )
What is the Mirena?
The Mirena is a flexible T shaped device that is placed inside the womb. It contains the female hormone progesterone that is released slowly inside the womb.
It is effective for 5 years but can be removed at any time
How does it work as a contraceptive?
It acts by making the lining of the womb thinner therefore making it less likely to accept a fertilised egg
It affects cervical mucus making it more hostile to sperm
It prevents ovulation in some women
Who is it suitable for?
Women who want to space their families , women who have completed their families, women with heavy periods , nursing mothers
Does it affect your fertility?
No fertility returns to normal immediately on removal
When is the best time to insert the Mirena ?
Towards the end of your period day 4-7 ,
6 – 8 weeks after normal delivery
3 months after caesarean delivery
How effective is it ?
Over 99% effective
What are the possible side effects?
Side effects of the Mirena are fairly uncommon. In the initial few weeks women can experience irregular bleeding but this usually settles down by 3 months. Periods are thereafter usually lighter and some women have no periods at all.
Side effects to the hormone progesterone can occur infrequently and include mood swings acne and breast tenderness. These are usually temporary.
How do I go about getting a Mirena fitted?
At the initial consultation swabs are taken to ensure you don’t have an infection prior to the insertion. You will be given a prescription for the Mirena and a painkiller such as ponstan which should be taken 1 hour before the insertion as it can be a little painful in some women.
You then arrange to come back during your next period and have the Mirena fitted .
The fitting takes about 5-10mins and is relatively painless in women who have had vaginal deliveries
How much does it cost ?
Initial consultation with swabs 65 euro
Insertion of Mirena 130 euro (Includes follow up at 6 weeks )
Mirena device at pharmacy 100 euro with DPS card