A guide for those considering birth control with Mirena®
Contents
1. A guide for those considering birth control with Mirena a mirena us com Mirena evonorgestrekreleasing intrauterine system sz Keep life simple a Vv f AN Model used for illustrative purposes only INDICATIONS amp USAGE Mirena levonorgestrel releasing intrauterine system is a hormone releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 5 years Mirena also treats heavy periods in women who choose intrauterine contraception IMPORTANT SAFETY INFORMATION ABOUT MIRENA Only you and your healthcare provider can decide if Mirena is right for you Mirena is recommended for women who have had a child e Dont use Mirena if you have a pelvic infection get infections easily or have certain cancers Less than 1 of users get a serious infection called pelvic inflammatory disease If you have persistent pelvic or abdominal pain see your healthcare provider e Mirena may attach to or go through the wall of the uterus and cause other problems If Mirena comes out use back up birth control and call your healthcare provider e Although uncommon pregnancy while using Mirena can be life threatening and may result in loss of pregnancy or fertility e Ovarian cysts may occur and usually disappear e Bleeding and spotting may increase in the first few months and continue to be irregular Periods over time may become shorter lighter or even stop Mirena2. Pik Bl hadj Ue E se mesh ra iat E Pundog Mirena Paced AT CN DEET Alte Macerend OLE BOO E RAPA Jae the Facts er Oe Aa GLET LAT Mirena Basics E Toi heius ADD HUA LRG a pe Hired a Virtual Conversadion Bi eet a Mirena Wiser ia i Laura ery ele I chee Lire Salen Corder me Indications amp Usage Pe Py ea Pd PE EA Ee po ta ajalisi rd Ee Lpi i piina eee ees io rr Peto ee h ee ee oer reg cake important Safety Information About Mirena Diii i a a ee a ee a a a a a mirena us com Mirena levonorgestreleleasing intrauterine system jg Keep life simple 0 Where can I find out more about Mirena A First check out mirena us com You ll learn about Mirena levonorgestrel releasing intrauterine system and how to talk with your healthcare provider Make it a bookmark today Sign up to receive personalized information at mirena us com to help you decide if Mirena could be right for you 4 For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information Models used for illustrative purposes only 32 Talk With Your Healthcare Provider Could Mirena be right for you Here s a good conversation starter to bring on your next visit and a helpful way to decide if the time is right for Mirena levonorgestrel releasing intrauterine system 1 want effective birth control that la
3. gives you the flexibility you want Q Who is Mirena right for A Mirena is recommended for women who have had at least one child This is because most of the medical research conducted on Mirena for FDA approval was Q How can Mirena help with family planning decisions a among women who had at least one child Only you A With Mirena levonorgestrel releasing intrauterine and your healthcare provider can decide if Mirena system you get effective protection and flexibility is right for you see page 16 Who should not use Especially since you can have it removed by your Mirena Whatever stage of reproductive life healthcare provider as soon as you want to try to have you re in Mirena offers a flexible option if another baby You may become pregnant as soon as e You want birth control you don t have to think Mirena is removed In fact within a year of having about taking every day Mirena removed approximately 8 out of 10 women e You had a baby and want to explore your birth succeed at becoming pregnant control options Q What happens if I do get pregnant while using Mirena aa er epee ec rh oe ns A Inthe uncommon event you get pregnant while using Mirena seek emergency care because pregnancy with an intrauterine device can be life threatening and may result in loss of pregnancy or fertility j ka Models used for illustrative purposes only ape oN e You are unsure if you want more children e You want birt
4. infection miscarriage premature delivery and even system or tubal ligation getting your tubes tied is death can occur with pregnancies that continue 100 perfect If you do get pregnant while using a with an intrauterine device IUD Because of this birth control method there may be risks to you and your healthcare provider may try to remove Mirena your baby Here we talk about the risks of getting even though removing It may cause a miscarriage pregnant while Mirena is still in place If Mirena cannot be removed talk with your healthcare provider about the benefits and risks of Over the course of 5 years fewer than 8 in 1 000 continuing the pregnancy women become pregnant while using Mirena One risk of getting pregnant while using Mirena is called Q How often should I see my healthcare provider once ectopic pregnancy when the pregnancy is not in Mirena is placed the uterus It may occur in the fallopian tubes A Call your healthcare provider if you have any questions Signs of ectopic pregnancy may include unusual bleeding or abdominal pain Ectopic pregnancy Is an emergency that requires immediate medical attention and often surgery Ectopic pregnancy can cause internal bleeding infertility and even death Call your healthcare provider right away if you think you re pregnant Q Can Mirena protect me from HIV or STDs sexually transmitted diseases A No Mirena does not protect against HIV or STDs So if while using Mi
5. one of the most effective forms of contraception Most effective Fa Fewer than 1 Hormonal and implantable Hon Hormenal Rod IUD Pregnancies 10 20 per 100 women in 1 year Spenmicide AOMe Allon Withdrawal 85 or more Mo Birth Control Least effective Models used for illustrative purposes only Keeping Your Options Open Q Why would I consider Mirena Q What are my chances of getting an enlarged follicle A Mirena levonorgestrel releasing intrauterine system also known as an ovarian cyst is one of the most effective forms of birth control A About 12 out of 100 women using Mirena develop a Because Mirena can be removed at any time by your cyst on the ovary sometimes known as an enlarged healthcare provider you re free to keep your family follicle These cysts usually disappear on their own in planning options open You may become pregnant as a month or two However cysts can cause pain and soon as Mirena is removed sometimes need surgery When exploring your birth control options you should Q What if need birth control for more than 5 years also consider reversibility and how important that A Mirena must be removed after 5 years If you want to might be to you Some methods such as tubal ligation continue using Mirena after those 5 years you can getting your tubes tied or your partner getting a choose to have another one placed Talk with your vasectomy should be consider
6. prevent pregnancy Symptoms of partial or complete expulsion may include bleeding pain and an increase in menstrual flow If this occurs Mirena may be replaced within 7 days of a menstrual period after pregnancy has been ruled out If you notice Mirena has come out use a backup form of birth control like condoms and call your healthcare provider More than 10 of Mirena users may experience e Missed menstrual periods About 2 out of 10 women stop having periods after 1 year of Mirena use Your periods come back when Mirena Is removed If you do not have a period for 6 weeks during Mirena use contact your healthcare provider to rule out pregnancy e Changes in bleeding Your period may become irregular and you may have bleeding and spotting between menstrual periods especially during the first 3 to 6 months A few women have heavy bleeding during this time After your body adjusts periods usually get lighter and the number of bleeding days is likely to decrease but may remain irregular Or you may even find that your periods stop altogether in which case you should contact your healthcare provider to rule out pregnancy For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information 22 Call your healthcare provider if the bleeding remains heavier than usual or if the bleeding becomes heavy after it has been light for a while e Pe
7. see page 2 and page 16 of this booklet for the Full Prescribing Information y tan j click here Q Can I get Mirena if have a vaginal infection A Do not use Mirena if you have a vaginal or pelvic infection or get infections easily If you do have a vaginal or pelvic infection seek treatment from your healthcare provider Once treated speak with your healthcare provider to see if Mirena is right for you Models used for illustrative purposes only Birth Control That May Be Cost Sensible With Mirena you ve got options Approximately 3 out of 4 patients with health insurance have coverage for Mirena levonorgestrel releasing intrauterine system To find out if you are covered or to learn more about available options if you are not covered read below Q A 30 Will Mirena be covered under my health plan Mirena may be covered by your health insurance To find out call your insurance provider talk with your company s human resources manager or check your employee handbook When calling your insurance provider to confirm that Mirena is covered by your health plan be sure to provide them with the Healthcare Common Procedure Coding System HCPCS code often called the J code for Mirena which is J7302 and the Current Procedural Terminology CPT code for having Mirena placed which is 58300 You can also visit mirena us com and click on Healthcare Plan Coverag
8. visit You may become pregnant as soon as Mirena Is removed Q How well does Mirena work at preventing pregnancy A Once Mirena is placed by your healthcare provider itis over 99 effective and works consistently to prevent pregnancy So you don t have to think about taking birth control every day or even every year Once Mirena is placed check your threads once a month Your healthcare provider can show you how If you have trouble finding the threads call your healthcare provider right away And in the meantime use a backup form of birth control It is important to think about your daily weekly and monthly routine and how that may affect which birth control method is best for you The adjacent chart shows the chances of getting pregnant for women who use different methods of birth control The most effective methods including intrauterine devices such as Mirena are found at the top of the chart If you have any questions about this information please ask your healthcare provider Q What happens if my Mirena comes out A If Mirena comes out do not try to reinsert it Contact your healthcare provider and be sure to use a backup form of birth control For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information mirena us com SS Mirena levonorgestrel releasing intrauterine system rz a Keep life simple Mirena is
9. at travel beyond the e Perforation Mirena may go through perforate the vagina and cervix into the uterus and other organs in uterine wall If your uterus is perforated Mirena may the reproductive system The risk of PID is greater if no longer prevent pregnancy It may move outside you or your partner have sex with multiple partners If the uterus and can cause scarring infection or not treated quickly and appropriately PID can lead to damage to other organs Surgery may be needed to serious problems including infertility ectopic pregnancy have Mirena removed or constant pelvic pain Serious cases of PID may require surgery A hysterectomy removal of the uterus is sometimes needed In rare cases infections that start as PID can even cause death Models used for illustrative purposes only mirena us com gt Mirena llevonorgestrereleasing intrauterine system 18 Keep life simple For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information 21 Safety Information You Should Know About Mirena Q What are the more common side effects of Mirena A Discomfort during placement Dizziness bleeding or cramping may occur during placement This is common Let your healthcare provider know if the cramping is severe Expulsion Mirena levonorgestrel releasing intrauterine system may come out by itself and no longer
10. d Know About Mirena Q A What should I tell my healthcare provider when deciding if Mirena is right for me You should share any current or past health conditions that you have with your healthcare provider to help you both decide if Mirena levonorgestrel releasing intrauterine system may be right for you Your healthcare provider needs to know if you e Have had a heart attack e Have had a stroke e Were born with heart disease or have problems with your heart valves e Have problems with blood clotting or take medicine to reduce clotting e Have high blood pressure e Recently had a baby or if you are breast feeding e Have diabetes high blood sugar e Use corticosteroid medications on a long term basis e Have severe migraine headaches How is Mirena placed Your healthcare provider will place Mirena into your uterus during an office visit You may feel some discomfort during the procedure Placement typically takes only a few minutes He or she will e Apply an antiseptic solution to your vagina and cervix e Pass a thin tube of flexible plastic the inserter containing Mirena into your vagina and then into your uterus e Check to make sure Mirena is positioned correctly e Withdraw the plastic inserter leaving Mirena in your uterus e Ensure that the two threads attached to the stem of Mirena properly extend through your cervix which help ensure that Mirena is properly placed This will also help with the removal
11. does not protect against HIV or STDs You are encouraged to report negative side effects of prescription drugs to the FDA Visit www fda gov medwatch or call 1 800 FDA 1088 For more information visit mirena us com or call 1 888 84 BAYER Mirena levonorgestel eleasing intrauterine system 7 Keep life simple For additional Important Safety Information about Mirena please see page 16 of this booklet and click here for the p Full Prescribing Information Because you re busy you need birth control that helps simplify your life Consider Mirena e Mirena is a small intrauterine contraceptive made of soft flexible plastic that is put in place by your healthcare provider during an office visit e Mirena is one of the most effective forms of birth control available in the United States over 99 effective e Mirena prevents pregnancy for as long as you want for up to 5 years e Mirena can be removed by your healthcare provider before the 5 year period if you want to try to get pregnant or for any other reason You may become pregnant as soon as Mirena is removed e Mirena is currently used by nearly 2 million women in the United States Considering Mirena to treat heavy periods e In a clinical trial of women with heavy periods and treated with Mirena the majority had an 80 reduction in bleeding as early as 3 months At 6 months the majority had over a 90 reduction in bleeding Models used for illus
12. e for more information about e How to advocate for coverage with your employer if Mirena is not covered by your health plan e What financing options are available if Mirena is not covered by your health plan mirena us com E S_ gt Mirena levonorgestrel teleasing intrauterine system 57g Keep life simple For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information How does the product cost of Mirena compare with some other forms of birth control Affordable birth control is important Use the patient product cost calculator found at mirena us com to compare the product costs of different options Depending on your birth control needs and the help of your health plan you may find that Mirena may be an affordable option for you However only you and your healthcare provider can decide if Mirena is right for you m am N ab N O Q ab oO 5 N oO Ss g ab N 3 g S Mirena Support mirena us com Your online resource for tools and information x Laem For more information about Mirena Pa nin paar hinini p cen Binin i shirani har is visit our website at mirena us com BAe om feed N Pod Pon ee ot Errosa Goiipiem per ee igen you ite cee Pa CAR ini Co ed a h pa a gt Hine bi tend ptt en ren Fay Sar rp eee an On Bp a ai Ra
13. ed as permanent healthcare provider about replacing your Mirena before your scheduled appointment to have your For additional Important Safety Information about Mirena current Mirena removed He or she can then place please see page 2 and page 16 of this booklet and click here your new Mirena during the same office visit for the Full Prescribing Information mirena us com evonorgestrl teleasing intrauterine system ss Keep life simple ee SS eo Safety Information You Should Know About Mirena Find out if it s right for you Q Why consider Mirena now A Mirena levonorgestrel releasing intrauterine system adapts to your contraceptive needs throughout the different stages of your reproductive life It s over 99 effective at preventing pregnancy In fact it s one of the most effective forms of birth control Mirena prevents pregnancy for as long as you want for up to 5 years Keep in mind that no birth control is right for everyone and there are certain risks associated with Mirena that you should know about For detailed information about side effects some potentially serious please see page 20 of this booklet and click here fo the Full Prescribing Information Q Who should not use Mirena A Only you and your healthcare provider can decide if Mirena is right for you As the two of you discuss your options there are a number of things you should share like your general health current or pa
14. for you Q What is Mirena A Mirena is an intrauterine contraceptive that delivers small amounts of hormone into the uterus Made of soft flexible plastic itis put in place by your healthcare provider during an office visit Plus e Mirena offers contraception that s over 99 effective in fact it is one of the most effective methods of birth control e Mirena prevents pregnancy for as long as you want for up to 5 years e You may become pregnant as soon as Mirena is removed by your healthcare provider For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information Where is Mirena placed Mirena is placed inside the uterus not in the vagina Mirena delivers the hormone levonorgestrel locally into the uterus This is why it is referred to as an intrauterine system When should Mirena be placed Mirena should be placed within 7 days of the start of your period What do I need to do once Mirena is placed Once Mirena is placed by your healthcare provider he or she will ask you to come back for a follow up visit within 4 12 weeks Be sure to check the threads of Mirena once a month and continue with your annual visits Call your healthcare provider if you have any questions What about Mirena and infections Don t use Mirena if you have a pelvic infection or get infections easily Less than 1 of use
15. h control that is also approved to treat heavy periods How soon after I give birth can I get Mirena Mirena should not be placed earlier than 6 weeks after you give birth or as directed by your healthcare provider When you ask your healthcare provider about Mirena be sure to tell him or her if you recently had a baby or are breastfeeding and plan to continue breastfeeding after getting Mirena placed What if haven t decided whether or not want more children Then Mirena is a good choice because it prevents pregnancy for as long as you want for up to 5 years As far as family planning goes this can be especially appealing if you are undecided about whether you want more children Should you decide you do want to try to get pregnant Mirena can be removed at any time by your healthcare provider Or if at the end of the 5 year period you re still undecided you can have another Mirena placed For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information Keeping Your Options Open Q What if decide I want to try to get pregnant A Mirena levonorgestrel releasing intrauterine system prevents pregnancy for as long as you want for up to 5 years When you decide you want to try to have another child Mirena can be removed by your healthcare provider at any time It typically takes just a few minutes during an office
16. l Prescribing Information 35 Mirena levonorgestrel A intrauterine system 4g Keep life simple For more information mirena us com 1 888 84 BAYER For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information Bayer HealthCare Pharmaceuticals BAYER the Bayer Cross and Mirena are registered trademarks of Bayer 2011 Bayer HealthCare Pharmaceuticals Inc 6 West Belt Wayne NJ 07470 All rights reserved 150 201 0003 11 July 2011
17. lvic and or abdominal pain may occur Talk to your healthcare provider if pain is persistent e Cyst on the ovary These cysts may develop as long as Mirena Is in place They are generally harmless and usually disappear in a month or two However cysts Can cause pain and may sometimes require surgery Between 5 and 10 of Mirena users may experience e Headache Migraine e Depressed mood e Acne e Heavy or prolonged menstrual bleeding Less than 5 of Mirena users may experience e Vaginal discharge e Pain during intercourse e Breast pain or tenderness Anemia e Nausea e Unusual hair growth e Nervousness or loss e Inflammation of cervix e Skin irritations such as vulva or vagina hives rash eczema or e Pelvic pain during itching your period e Feeling bloated e Back pain e Swelling of hands e Weight increase and or feet e Decreased sex drive e Expulsion e High blood pressure Every individual responds differently to medication so talk to your healthcare provider about your individual risk factors and to see If Mirena Is right for you mirena us com Z Mi levonorgestre eleasing intrauterine system 5ng Keep life simple 23 Safety Information You Should Know About Mirena Q What if become pregnant while using Mirena There are also risks if you get pregnant while using A Unfortunately no birth control method including Mirena and the pregnancy is in the uterus Severe Mirena levonorgestrel releasing intrauterine
18. nto your uterus Only small amounts of the hormone enter your blood How effective is Mirena Mirena is one of the most effective methods of birth control Over the course of 5 years fewer than 8 in 1 000 women become pregnant while using Mirena It doesn t rely on your using it regularly to be effective Once Mirena is placed in your uterus by your healthcare provider it is over 99 effective throughout the time you choose to keep Mirena for up to 5 years Are there any placement related complications Mirena may attach to or go through the wall of the uterus and cause other problems If Mirena comes out use backup birth control and call your healthcare provider What are the threads attached to Mirena Two threads are attached to the stem of Mirena that help ensure Mirena remains properly placed They are the only part of Mirena you should feel when it is In your uterus and you should check them once a month Your healthcare provider can show you how If you feel more than just the threads Mirena is not in the right position and may not prevent pregnancy If you cant find the threads use a backup form of birth control and contact your healthcare provider See chart on page 13 for the effectiveness of some common birth control methods mirena us com Mirena levonorgestrel releasing intrauterine system 2 Keep life simple 9 Keeping Your Options Open When it comes to family planning Mirena
19. of Mirena by your healthcare provider when that time comes e Trim the threads to the appropriate length Once Mirena is placed check your threads once a month Your healthcare provider can show you how If you have trouble finding the threads call your healthcare provider right away And in the meantime use a backup form of birth control If you think you may be pregnant and are considering Mirena please tell your healthcare provider Pregnant women should not use Mirena What can I expect right after Mirena is placed Some women may experience cramping or pain bleeding and or dizziness during and right after Mirena is placed To help minimize the cramps ask your healthcare provider about medications that may be used before placement If these symptoms last for more than 30 minutes let your healthcare provider know Mirena may not have been properly placed and your healthcare provider should examine you For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information mirena us com gt Mirena levonorgestreleleasing intrauterine system 47 Keep life simple Model used for illustrative purposes only Safety Information You Should Know About Mirena Q Are there any potential serious complications Before placement of Mirena be sure to tell your healthcare with Mirena provider if you have signs of a vaginal infecti
20. on or PID Signs of PID include long lasting or heavy bleeding unusual vaginal discharge abdominal or pelvic pain or tenderness or painful sex chills or fever After placement contact your healthcare provider if any of these symptoms listed above occur and persist A Mirena levonorgestrel releasing intrauterine system may be associated with serious but uncommon side effects e Pelvic inflammatory disease PID Use of Mirena and other IUDs has been associated with an increased risk of PID The percentage of women who develop PID e A rare life threatening infection called sepsis may occur while using Mirena is less than 1 The risk is highest within the first few days after Mirena is placed As of shortly after placement especially within the first September 2006 9 sepsis cases out of an estimated 9 9 20 days and if you have a vaginal infection at the million Mirena users had been reported Call your healthcare time of placement After the first 20 days the risk of provider immediately if you experience severe pain or PID is reduced unexplained fever after Mirena is placed PID is an infection of the uterus and other organs of the e Embedment is when Mirena attaches to the uterine wall upper reproductive system It is caused by bacterial If embedment occurs Mirena may no longer prevent infections that are usually sexually transmitted such pregnancy and you may need surgery to have it removed as gonorrhea or chlamydia th
21. rena you think you and your partner might be at risk of getting an STD use a condom and call your healthcare provider or concerns Otherwise as a follow up you should visit your healthcare provider once in the first 4 to 12 weeks after Mirena is placed to make sure it is in the right position After that Mirena can be checked once a year as part of your routine exam mirena us com Mirena levonorgestrel releasing intrauterine system 41 Keep life simple Model used for illustrative purposes only For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information 24 25 Safety Information You Should Know About Mirena Q Will my periods change with Mirena e f ovulation takes place and the egg is not A For the first 3 to 6 months your monthly period may fertilized the thickened uterus lining Is shed become irregular You may also have frequent spotting as menstrual flow or light bleeding A few women have heavy bleeding e On average a woman s menstrual flow lasts during this time Call your healthcare provider if the 3 to 4 days It may be shorter or longer bleeding remains heavier than usual After your depending on the woman body adjusts the number of bleeding days is likely to Once Mirena is placed decrease but may remain irregular and you may even e The levonorgestrel in Mirena reduces the monthly find that your pe
22. riods stop altogether for as long as thickening of the lining of your uterus Mirena levonorgestrel releasing intrauterine system e Less thickening means less menstrual flow e Eventually your menstrual flow may stop completely e Once Mirena is removed your menstrual cycle will come back lf you have not gotten your period or have other symptoms of pregnancy during the first 6 weeks of Mirena use contact your healthcare provider to rule out pregnancy is in place In some women with heavy bleeding the total blood loss per cycle progressively decreases with continued use The number of spotting and bleeding days may initially increase but then typically decreases in the months that follow Call your healthcare provider if the bleeding becomes heavy after it has been light for a while By one year about 1 out of 5 users may have no period at all Your periods will return once Mirena is removed If you do not have a period within 6 weeks of Mirena use contact your healthcare provider to rule out pregnancy Q Why do menstrual cycle changes happen A The reason many women may have lighter periods or stop having periods altogether with Mirena centers on the uterine lining Typically this is how your period works e Every month the lining of the uterus thickens during the first half of your menstrual cycle to prepare for ovulation mirena us com _ gt Mirena levonorgestrel teleasing intrauterine system s
23. rs get a serious infection called pelvic inflammatory disease If you have persistent pelvic or abdominal pain see your healthcare provider mirena us com Mirena levonorgestrel releasing intrauterine system 2 Keep life simple 7 Birth Control That s Over 99 Effective Q A FALLOPIAN TUBE Thickens mucus How does Mirena work to prevent pregnancy Mirena levonorgestrel releasing intrauterine system releases small amounts of the hormone levonorgestrel into your uterus Mirena may work in several different ways It may e Thicken cervical mucus to prevent sperm from entering your uterus e Inhibit sperm from reaching or fertilizing your egg e Make the lining of your uterus thin Mirena may stop the release of your egg from your ovary but this is not the way it works in most cases Most likely the above actions work together to prevent pregnancy Like other forms of birth control Mirena is not 100 effective Mirena FALLOPIAN TUBE UTERUS OVARY 27 Thins uterine lining Inhibits sperm Threads Stops release of egg For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information What about the hormone in Mirena Mirena contains a progestin hormone called levonorgestrel that is often used in birth control pills Mirena does not contain estrogen Mirena releases the hormone i
24. s Keep life simple 27 For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information 26 Model used for illustrative purposes only Keeping Life Simple Mirena gives you birth contro you don t have to think about taking every day Q A 28 Why may some women consider Mirena convenient Birth control with Mirena levonorgestrel releasing intrauterine system may help simplify your daily routine because you dont have to think about it every day or even every year It s over 99 effective in preventing pregnancy so you re protected for as long as you want for up to 5 years Once Mirena is placed check your threads once a month Your healthcare provider can show you how How can I be sure Mirena is properly in place Once Mirena is placed you should check your threads once a month to make sure it is still positioned correctly Your healthcare provider can show you how If you have trouble finding the threads call your healthcare provider And in the meantime be sure to use a backup form of birth control Can still use tampons Yes However if you use tampons you should change them with care so as not to pull the threads of Mirena when removing the tampon mirena us com levonorgestrel releasing intrauterine system 4 Keep life simple For additional Important Safety Information about Mirer please
25. st health conditions sexual history and the possibility that you d like to have more children in the future Mirena is not appropriate for women who e Might be pregnant e Have had a serious pelvic infection called pelvic inflammatory disease PID unless you have had a normal pregnancy after the infection went away For additional Important Safety Information about Mirena please f gt see page 2 and page 16 of this booklet and click here for the Full Prescribing Information e Have an untreated pelvic infection now e Have had a serious pelvic infection in the past 3 months after a pregnancy e Can get infections easily For example if you have More than one sexual partner or your partner has more than one partner Problems with your immune system Intravenous drug abuse e Have or suspect you might have cancer of the uterus or cervix e Have bleeding from the vagina that has not been explained e Have liver disease or a liver tumor e Have breast cancer now or in the past or suspect you have breast cancer e Have an intrauterine device in your uterus already e Have a condition of the uterus that changes the shape of the uterine cavity such as large fibroid tumors e Are allergic to levonorgestrel silicone or polyethylene mirena us com Mirena levonorgestrel releasing intrauterine system fg Keep life simple Models used for illustrative purposes only Safety Information You Shoul
26. sts for as long as want for up to 5 years YES JNO 2 Some days are so hectic forget to take my birth control YES JNO 3 want an effective birth control method don t have to think about taking every day YES NO 4 am interested in an estrogen free form of birth control YES INO 5 It is important for me to plan the length of time between children YES NO 6 want to keep my options open may want to have more children in the future but not right now YES JNO 7 My partner and are tired of using condoms YES JNO 8 I d like to talk with my healthcare provider about intrauterine contraception YES JNO 9 want birth control that treats my heavy periods YES JNO mirena us com levonorgestrel teleasing intrauterine system sig 34 Keep life simple Please click here to view and print Full Prescribing Information in English References 1 Andersson K Odlind V Rybo G Levonorgestrel releasing and copper releasing Nova T IUDs during five years of use a randomized comparative trial Contraception 1994 49 56 72 2 Pelvic inflammatory disease CDC fact sheet Centers for Disease Control and Prevention Web site http cdc gov STD PID stdfact pid htm Accessed March 9 2009 3 Data on file Bayer HealthCare Pharmaceuticals For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Ful
27. trative purposes only Contents What Is Mirena 2 6 Family Planning Options 10 Safety Information About Mirena 16 Keeping Life Simple oo 28 Affording Mirena 30 Mirena Support 2001000 32 Talk With Your Healthcare Provider 34 Only you and your healthcare provider can decide if Mirena levonorgestrel releasing intrauterine system is right for you Mirena is recommended for women who have had a child Don t use Mirena if you have a pelvic infection get infections easily or have certain cancers Less than 1 of users get a serious infection called pelvic inflammatory disease If you have persistent pelvic or abdominal pain see your healthcare provider W Z Mir levonorg Ul LE intrauterine ne ma Keep life simple For additional Important Safety Information about Mirena please see page 2 and page 16 of this booklet and click here for the Full Prescribing Information a al Models used for illustrative purposes only Birth Control That s Over 99 Effective Mirena prevents pregnancy for as long as you want for up to 5 years There are many things to consider before starting any birth control method If you re considering Mirena levonorgestrel releasing intrauterine system this booklet may answer many of the questions you have Use It as a guide to discuss Mirena with your healthcare provider Only you and your healthcare provider can decide if Mirena is right
Download Pdf Manuals
Related Search