what to expect after mirena insertion

After Mirena insertion, you may experience pain, bleeding, or dizziness during and after placement. These symptoms should pass within 30 minutes after placement of the Mirena device, but if they do not, Mirena may not have been placed correctly. If you experience persistent pelvic or stomach pain, or excessive bleeding after placement, you should tell your healthcare provider. It is recommended that you take over-the-counter pain medication before the procedure if pain is a concern for you. You should avoid intercourse or use non-hormonal back-up birth control (such as condoms or spermicide) and ask your healthcare provider to check that Mirena is still in the right place. You should also not put anything in the vagina for three days after insertion to minimize the risk of uterine infection. During the first month or so, it is recommended that you feel for the IUD strings (in the upper vagina, near the cervix) once a week to detect any complications early if the device is no longer in the uterus. You may experience mild cramping and spotting (light bleeding) for a couple of days after insertion, which is relatively common. It is also possible to expel Mirena from your uterus, and you may be more likely to expel Mirena if you have a pelvic infection, inflammation of the endometrium, endometrial or cervical cancer, pelvic pain or pain during sex, very severe migraine, a significant increase in blood pressure, or have a stroke or heart attack. If you have any questions or concerns, you should call your healthcare provider.