MIRENA KIT (Levonorgestrel 52mg, intrauterine delivery system)

• Hormonal contraception
  
  
• Treatment of menorrhagia
  
  
• Endometrial protection during hormone therapy
  
  
• Localised long-term hormone therapy

The system is inserted by a qualified gynaecologist, usually during menstruation or an appropriate day in the cycle. Effective for up to 5 years. Removal should also be done by a medical professional. Self-insertion is not permitted.

Contraindications:

• Pelvic inflammatory disease
  
  
• Uterine abnormalities
  
  
• Current or suspected breast cancer
  
  
• Undiagnosed vaginal bleeding
  
  
• Hormone-dependent tumours
  
  
• Genital infections
  
  
• Pregnancy or suspected pregnancy
  
  

Side Effects:

• Menstrual irregularities (spotting, amenorrhea)
  
  
• Headache
  
  
• Nausea
  
  
• Acne
  
  
• Weight gain
  
  
• Breast tenderness
  
  
• Mood changes
  
  
• Rarely – device expulsion or uterine perforation