How to Remove a Mirena Coil

Before discussing the removal of the mirena coil it is important to understand what the mirena coil is and some of the common reasons doctors suggest its use. There is a simple answer of course but if you are not armed with all of the facts, it may be possible to make the wrong choice, both in terms of having one put in or in having it taken out. In the following article we will attempt to outline the mirena coil in as much detail as possible. Our hopes are that you will leave with a better understanding of the contraceptive and its many uses. Let us first take a look at what the mirena coil is.

Mirena IUCD

A mirena coil is an intrauterine contraceptive device (IUCD) which contains Levonorgestrel which is a synthetic progestogen, a female hormone. Once the device has been placed in the uterus the Levonorgestrel is steadily and slowly released into the uterus. Levonorgestrel acts by thickening the mucus which is naturally located at the opening of the womb. This reduces the risk of the sperm being able to pass into the uterus, thereby preventing conception from occurring.

Mirena Prevents Attachment to Uterine Wall

In addition, this medication also works to prevent the lining of the uterus from preparing for a fertilized egg. This is because the endometrium (lining of the uterus) must thicken when it is getting ready for a fetus. This medication stops that process from occurring. It is believed that Levonorgestrel may also work by hindering ovulation and stopping an egg from being released by the ovary. However, this is not always the case in all women who use the device.

Contraception and Menstruation Issues

There are many reasons a physician may prescribe the use of a mirena and the most common is as a contraceptive. However, there are a number of useful added benefits involving problems with menstruation which may be realized from the use of this device. Mirena has been found helpful in some of the following conditions associated with the female reproductive process. While it is true that the UIS was first created with contraception in mind, it didn’t take the medical community long to figure out that it also contributes to much lighter menstrual periods.

Heavy Periods

For this reason there are a number of doctors who suggest using this intrauterine device to help stop heavy bleeding which can occur in a number of women. This device is typically used well all other therapies such as tablets have failed. Normally the process of lightening the menstrual flow takes approximately 3 months, at which time the blood flow seems to be reduced by about 85%. After using the device for 12 months the blood flow is typically about 97% less. In addition, about 33% of all women who used the mirena will experience no menstrual periods for the duration of use.

Excessive Pain With Periods and Fibroids

Although the mirena coil was never intended as a pain reliever in terms of menstrual periods, at least two studies performed revealed that about 80% of women using it experience a reduced measure of pain with their period. If a woman who is prone to painful periods continues to experience them after using the mirena for several months, doctors typically perform a laparoscopy to find out what the culprit is. Fibroids are another story altogether and are believed to play a major role in contributing to heavy bleeding and painful periods. The good news is that women who use mirena are less prone to the development of fibroids. In addition, research indicates that a large percentage of women who use the mirena have seen a significant reduction in the size of existing fibroids.


PMS, Premenstrual Syndrome is believed to be caused by the different hormones that are released into a woman’s body at the time of her menstrual cycle, and in the week or so prior. Because the mirena releases a constant flow of these hormones, the occasion for severe PMS seems to wane in women who use the device. Instead of having one big surge of the hormones, the steadily released amount seems to keep things more calm on the home front, so to speak. While the mirena has not been named an official treatment for PMS, there are a lot of studies to suggest it is helpful.

When to Contact a Doctor

If you have been using the mirena for any of the above conditions but have found that your problem is either worsening or that you are experiencing undesirable effects as a result of its use, you may want to see about having the coil removed. Most of the time the best way to do this is to contact the doctor who inserted the device in the first place. Since the mirena coil can last for about five years it may not be possible to find the same doctor or you may have relocated. In a case such as this it is important to find a doctor who has extensive experience with intrauterine devices.

How to Remove a Mirena Coil

Removing the mirena coil is a fairly simple procedure and most of the time a woman will go back to her pre-mirena state rather quickly. This is a plus for women who are having the device removed with the desire of becoming pregnant. In most cases a woman will be able to conceive almost immediately. There are some cases where it can take a period of months to get back on a normal ovulation schedule. If for some reason you do not conceive within two years, other fertility tests may be performed.

After five years an existing mirena coil will need to be replaced and this is another common reason to have the device removed. The same protocol should be used for having the coil replaced. However, in this case it is even more important to find a doctor with expertise surrounding intrauterine devices because the insertion of such a device is much more invasive than the process of removing one. Finding a professional with a working knowledge of the mirena coil will help eliminate any errors which could cause the coil to slip out of place and become ineffective.

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