Female | 40
Is it Safe to Insert a Mirena Coil without Removing the Previous One?
The situation is that the patient came to the doctor to change the Mirena spiral. The IUD Mirena was recommended by the attending gynecologist after surgery to remove an ovarian cyst and polyp. Diagnosis: adenomyosis (before surgery, the patient complained of heavy, non-painful menstrual bleeding). The first spiral lasted 5 years without problems. The gynecologist introduced a new IUD without first removing the old one. In connection with this situation, I have some questions. I would be grateful for your professional opinion. 1. Is it possible to correctly install the Mirena coil into the uterine cavity if the previous coil was not removed? 2. What side effects can be caused by the simultaneous presence of hormonal IUDs (two sterile foreign bodies) in the uterus. Could this cause health problems and harm to the patient? 3. How can one explain the symptoms that arose after the installation of the second Mirena, such as pain in the lower abdomen, lower back and excessive menstrual bleeding?
Gynecologist/Obstetrician
Answered on 21st Feb '24
I would recommend that the new coil should not be inserted until the old one removed. This can result in problems such as perforation or infection. The presence of two hormonal IUDs in the uterus may cause hormonal imbalance and the risks of side effects. To treat the symptoms of lower abdominal pain, lower back pain, and heavy menstrual bleeding, consultation with a gynecologist who is an adenomyosis specialist is recommended.
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