- Hormonal IUD: how effective?
- The Mirena IUD, for whom?
- What are the contraindications?
- How is the insertion of the hormonal IUD?
- Can the IUD move?
- How long does this contraception last?
- What is its price and is it reimbursed?
“The Mirena® hormonal IUD is an intrauterine device therefore a contraceptive method to which we added a reserve of progesterone 20 times less than a pill tablet. This hormone diffuses locally in the endometrium and this improves contraceptive security: the mucus becomes very thick, the spermatozoa cannot progress and this atrophies the endometrium so that the egg cannot implant itself, informs Dr Yamgnane. The Mirena® IUD has two smaller, narrower and shorter cousins for women who have never given birth; Jaydess®, for a period of 3 years and Kyleena® for a period of 5 years “, she specifies.
Hormonal IUD: how effective?
“The Mirena IUD has excellent contraceptive efficacy”, inform the gynecologist. Its effectiveness is 99.8%, which is comparable to that of the pill (99.7%).
The Mirena IUD, for whom?
The advantage of the Mirena® IUD is that it “gives an absence of periods in 80% of women because the endometrium is atrophic (thin)”, indicates Dr Yamgnane. So, it is a contraceptive method indicated for women who do not like to have periods. For this reason, “it is also a contraceptive method which is suitable to women who are in peri-menopause, with short cycles and long and heavy periods “, emphasizes the gynecologist.
What are the contraindications?
The contraindications for the Mirena® IUD are identical copper IUDs : current sexually transmitted diseases, uterine malformations, history of ectopic pregnancy “even if its biochemical action almost prevents an ectopic pregnancy”, specifies Dr. Yamgnane.
How is the insertion of the hormonal IUD?
The Mirena® IUD is fitted in a gynecologist consultation, under a speculum, during menstruation for more comfort. “I prescribe analgesics to be taken two hours before the installation because it can be painful”, specifies Dr Amina Yamgnane. Removal of the device is done by gently pulling on the threads using pliers.
Can the IUD move?
The IUD cannot move. “It is an extremely rare complication”, inform the specialist. The IUD is also not felt during sex.
How long does this contraception last?
The Mirena® IUD is effective for 5 years then it must be changed. “The Jaydess IUD can be applied for 3 years and the Kyleena IUD also has 5 years of contraceptive effectiveness.”, specifies Dr Yamgnane.
Can the IUD move?
“In about 3% of women, there is more than local absorption in the endometrium. Progesterone passes into the bloodstream which can cause an acne breakout, oily hair. These effects take place especially during the first 6 months after installation and then they disappear “, informs Dr Yamgnane, who specifies that, on the other hand, this IUD does not no weight gain.
What is its price and is it reimbursed?
The Mirena® IUD has a cost of 105.77 euros and is reimbursed at 65% by Social Security with a possible mutual share.
Source: interview Amina Yamgnane, obstetrician gynecologist, Head of the Maternity Department at the American Hospital (Neuilly, 92).
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