The procedure is similar to having a smear test. You can take ibuprofen or paracetamol before the procedure to help lessen any cramping or a local anaesthetic may be used if needed.
- You lie on a couch with your legs held in supports, and a sheet is used to cover your lower body.
- An instrument called a speculum (the same as used for a smear test) is inserted into your vagina to hold it open.
- The consultant will perform an internal examination of your cervix to make sure there is nothing unusual before fitting the Mirena®.
- They pass a plastic applicator with the Mirena® into the vagina.
- The applicator places the coil into the uterus and is then pulled out.
- The consultant trims the strings. They will show you how to check them from time to time.
The coil can be uncomfortable for a short period of time, as may stimulate the uterus to contract slightly causing cramp-like pain, but after this, you will not be able to feel the Mirena®. Once it is fitted it is unaffected by physical activity.
After having the Mirena® fitted you may notice your periods may be a little heavier for the first three to four months, but they generally improve after this. Sometimes the character of the bleeding or discharge may change. If periods or discharge seem abnormal, please consult your GP.
You can check the coil threads yourself as instructed by your consultant to ensure it is in place. Wash your hands and feel gently in the vagina, to locate the thread. If you do not wish to do this, it can be checked at the six-week follow up by your GP or nurse.
If you ever feel the plastic end of the coil in the vagina, it means it is coming out and you will immediately need to use an alternative contraception method while you wait to see your consultant or GP.
