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Possible side effects 5. However, taking oestrogens alone increases the risk of abnormal growth or cancer of the lining of the womb.

You may feel pain or have some bleeding during insertion. An unusual increase in the amount of bleeding during your period might be a sign that this has happened. The information in this booklet applies only to Mirena. If you experience any of the following serious side effects please contact your doctor or nurse immediately: Perforation is rare, but occurs most often during the fitting of the Mirena, although the perforation may not be detected until sometime later.

Bayer Oy, Pansiontie 47, Turku, Finland.

Genital infections will need to be successfully treated before you can have Mirena fitted. Reporting of side effects If you get any side effects, talk to your doctor, pharmacist or nurse.

Erleada Erleada apalutamide is an oral androgen receptor inhibitor for the treatment of men with non-metastatic To email a medicine you must be a registered user.

These allow easy removal and allow you or your doctor or nurse to check that Mirena is in place. In clinical studies with a total of perimenopausal and postmenopausal users of Mirena, no cases of endometrial hyperplasia were reported up patieht four years.

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If menorrhagia persists then the woman should be re-examined. Therefore, if you are using it in this way, your doctor or nurse will remove your Mirena after 4 years. Possible side effects Taking any medicine carries some risk of side effects. Mirena will affect your menstrual cycle. Inserter components are an insertion tube, plunger, flange, body and slider. Do not use if the inner package is damaged or open. There are also some effects on the lining of the womb caused by the presence of the T-shaped frame of the Mirena device.

Further Information 1 sterile levonorgestrel infor,ation delivery system contains: Because of the intrauterine administration and the local exposure to the hormone, teratogenicity especially virilisation cannot be completely excluded. It provides patifnt with some useful information about Mirena.

Learn more about Mirena. However, when patietn woman becomes pregnant with Mirena in place, the relative likelihood of ectopic pregnancy is increased. An assessment of the uterine cavity should be performed using ultrasound scan.


In the treatment of heavy menstrual bleeding: It provides you with some useful information about Mirena. It can be used in the following three ways: If you do not have lighter periods after 3 to 6 months, alternative treatments should be considered.

Prior to insertion pregnancy should be excluded and genital infection should be successfully treated.

The risk of having breast cancer diagnosed in users of progestogen-only methods POPs, implants and injectablesincluding Mirena, is possibly of similar magnitude to that associated with COC.

You may have lighter periods or painful periods or some spotting light bleeding in between periods and irregular bleeding during the first few months after Mirena is fitted. Your doctor or nurse can remove Mirena at any time. If this test is negative there is no need to carry out another test, unless you have other signs of pregnancy, e. Children and adolescents Mirena is not indicated for use before the first menstrual bleeding menarche.

It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged. This includes any possible side effects not listed in this leaflet. Although the menopause is natural, it often causes distressing symptoms such as hot flushes and night sweats.

There are two fine brown threads, made of iron oxide and polyethylene, attached to the bottom of the frame. If you do become pregnant with Mirena in place, please contact your doctor as soon as possible so that ectopic pregnancy can be excluded and Mirena removed to reduce the risk of spontaneous abortion. When Mirena is fitted for HRT use: The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient.

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Children and adolescents Mirena is not indicated for use before the first menstrual bleeding menarche. Protection from endometrial hyperplasia during oestrogen replacement therapy.

If you have any concerns over its usage you should discuss it with them. A downolad airway must be maintained; an airway should always be at hand. It is advisable to give up smoking when using hormone containing products such as Mirena.