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Dear @cyclesandsex,

This will be my 5th year of using the Mirena IUD, meaning I have to get it removed come August. My placement was painful and traumatizing, so I'm very anxious about removal. Does it hurt? Also, google says that it may be good for more like 7 years. Any truth? I love having an IUD and want to continue use, but am honestly terrified of going through with another insertion.




Dear #ExpiredEquipement

Having an IUD removed is nowhere near as painful as getting it inserted. One trick is to ask your provider to count to three and remove the IUD on three. You then give a big cough on three. Most people don't even notice that their IUD has been removed. In terms of when to get your Mirena removed, it is FDA approved for 5 years, but Planned Parenthood states it's good for 6 years, which buys you another year. When it is time to get another IUD, you can ask if it is possible to have it inserted under sedation. If that is not an option, you can see if the office can give you Toradol (or an injection that is similar to Ibuprofen but a little stronger), which can help take some of the edge off of the pain during insertion, and it helps with pain afterwards as well. I wish you the best of luck!


Dr. Lauren Abern                                                                          

Dr. Lauren Abern is a OB/GYN specializing in family planning/contraception and LGBTQ health


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