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Mirena® IUD for Contraception
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$448.99
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This levonorgestrel intrauterine device helps prevent pregnancy and can reduce heavy menstrual bleeding. Here you will find plain-language guidance on use, safety, and access so you can plan your care. We also outline Intrauterine device cost without insurance and how US shipping from Canada may fit your plans.
What Mirena IUD Is and How It Works
Mirena® is a hormone-releasing intrauterine system placed in the uterus by a trained clinician. It releases levonorgestrel locally to prevent pregnancy. The treatment thickens cervical mucus, thins the uterine lining, and can inhibit sperm movement. Some people may also experience partial suppression of ovulation. These effects help with birth control and can lessen heavy menstrual bleeding for eligible users.
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine is intended for long-term use once inserted. Only a clinician should place or remove the device. Follow the official label and your prescriber’s instructions for timing, confirmation of placement, and follow-up checks.
Who It’s For
This device is indicated for pregnancy prevention for a long duration and for the treatment of heavy menstrual bleeding in those who also want contraception. For broader background on these uses, see Contraception and Heavy Menstrual Bleeding.
It may not be appropriate for people with current pelvic infection, untreated cervicitis or vaginitis, known or suspected pregnancy, a uterus that is abnormally shaped by fibroids, active liver disease, current breast cancer, cervical or uterine cancer, or unexplained vaginal bleeding. Do not use if you are allergic to levonorgestrel or the device components. Your prescriber will evaluate suitability and timing after childbirth or a recent miscarriage.
Dosage and Usage
A clinician inserts the system during an office visit using sterile technique. It can be placed at any time your prescriber confirms you are not pregnant. If insertion occurs more than seven days after menstrual bleeding starts, a backup method may be advised for a short time. Your clinician will trim the threads to an appropriate length. You may be instructed to feel for the threads periodically to check that the device remains in place.
Removal and replacement occur at or before the end of the approved duration of use. If you want to stop earlier, a clinician can remove it at any time. If removal is mid‑cycle and continued contraception is desired, consult your prescriber about temporary backup methods. Always follow the official label for timing and precautions.
Strengths and Forms
The system is supplied as a sterile, preloaded T‑shaped levonorgestrel intrauterine system. Commonly referenced presentation: Levonorgestrel IUD 52 mg. Availability and packaging may vary by supplier and country.
Each unit is single‑use and sealed until insertion. Refer to the patient information leaflet for the device and inserter description.
Missed Dose and Timing
There is no daily dose to take. If you suspect expulsion, cannot feel the threads, or feel hard plastic at the cervix, avoid intercourse or use a backup method and contact your prescriber promptly. If you delay replacement past the labeled duration, contraception may not be reliable; ask your clinician about next steps and protection.
Storage and Travel Basics
Store the unopened device in its original blister and carton until your appointment. Keep it dry and at room temperature, away from direct heat and light. Keep out of reach of children. Do not open the sterile pouch yourself.
If you travel to an insertion visit, keep the sealed box in your carry‑on with a copy of your prescription. You can store it safely at your destination in a cool, dry place. If your plans change, ask your prescriber or pharmacist about timing for rescheduling.
Benefits
This class of therapy provides long‑acting birth control with very low day‑to‑day effort once placed. Many users experience lighter periods over time, and some have few or no periods while the device is in use. The treatment is reversible; most people return to their baseline fertility after removal. It can also reduce menstrual cramps for many users. Your prescriber can discuss expected benefits for your situation.
Side Effects and Safety
- Irregular bleeding or spotting, especially in the first months
- Cramping or pelvic pain around insertion
- Headache or migraine
- Acne or oily skin
- Breast tenderness
- Mood changes
- Nausea
- Ovarian cysts that usually resolve over time
Serious but less common risks include pelvic infection, device expulsion, uterine perforation, and ectopic pregnancy if pregnancy occurs. Pelvic infection risk is higher in the first weeks after insertion and with exposure to untreated sexually transmitted infections. Seek urgent care for severe lower abdominal pain, fever, heavy bleeding, fainting, or signs of pregnancy. Review the full patient information and speak with your prescriber about warning signs.
For related health topics, you may find these reads helpful: Menstrual Migraine In Adolescents, Signs Of Depression, and What Helps With Acne Scars.
Drug Interactions and Cautions
Systemic hormone levels with this device are relatively low, but interactions can still occur. Strong enzyme inducers (for example, certain anticonvulsants or rifampin) may reduce progestin exposure. Discuss all medicines and supplements with your prescriber, including emergency contraception plans if needed. Avoid insertion if you currently have pelvic inflammatory disease or untreated genital infection. If you have significant uterine fibroids, a bleeding disorder, or a history of ectopic pregnancy, your clinician will assess risks and benefits.
What to Expect Over Time
In the first three to six months, irregular bleeding and spotting are common. Many users see bleeding decrease in volume and frequency after the initial adjustment period. For heavy menstrual bleeding, your clinician will monitor your response and discuss continued use based on goals and tolerability. Check threads as instructed, and keep follow‑up appointments to confirm placement. If your preferences change, removal can be arranged at any time by a professional.
Compare With Alternatives
Not everyone wants a long‑term intrauterine method. If you prefer a daily pill, a combined option such as Nextstellis may suit your routine. If a monthly ring appeals to you, consider Nuvaring 11 4 6mg Vaginal Ring. Non‑hormonal copper IUDs and lower‑dose hormonal systems also exist; talk with your clinician about size, duration, and bleeding profiles that fit your needs.
Pricing and Access
Cash‑pay costs can vary by supplier, and your prescriber’s fees for insertion are separate. To see our Mirena IUD price and current availability, start at the product page and follow the prompts to upload a prescription.
We list Canadian pricing clearly, with US shipping from Canada for eligible prescriptions. If you are comparing options, you can also review the Womens Health category and confirm origin details under Canada. Checkout is encrypted, and prescription validation occurs before dispensing. Looking for occasional offers? See Promotions for current notices.
Availability and Substitutions
Supply can fluctuate. If the requested device is not available, your prescriber may suggest an alternative hormonal or copper IUD, or a different method entirely, based on your health profile. If costs are a concern, discuss Levonorgestrel IUD price compared with clinic‑procured devices and any insertion fees charged locally. We will fulfil prescriptions only as written by your clinician.
Patient Suitability and Cost-Saving Tips
This option may suit those seeking long‑acting contraception with minimal daily effort. It may be less suitable for those with recent pelvic infection, certain uterine shapes, or hormone‑sensitive cancers. Plan ahead for insertion timing, especially around postpartum or post‑procedure care.
- Appointment planning: book insertion and follow‑up in advance
- Backup method: have condoms on hand if advised
- Documentation: carry your prescription during travel or pickup
- Reminders: set calendar notes to check threads monthly
- Budgeting: separate device costs from clinic insertion fees
If you are comparing Mirena IUD online with other methods, consider total costs, visit requirements, and your comfort with insertion. Multi‑month “stock‑up” does not apply to a single‑use device, but planning around your schedule can reduce extra visits or rescheduling costs.
Questions to Ask Your Clinician
- Is an intrauterine system appropriate for my medical history?
- When is the best time in my cycle to insert it?
- What bleeding changes should I expect in the first months?
- How and when should I check the threads?
- What signs mean I should call the clinic urgently?
- How long is it approved for contraception in my case?
- What are my alternatives if I prefer a non‑hormonal method?
Authoritative Sources
Bayer manufacturer site
FDA DailyMed prescribing information and patient leaflet
Health Canada DPD product database
Ready to get started? Start your order at BorderFreeHealth for secure checkout, temperature-controlled handling when required, and prompt, express shipping. This information is educational and not a substitute for medical advice; always consult your healthcare professional.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How long does it work for birth control?
A single device provides long‑acting contraception until the labeled replacement time, after which effectiveness can decline. Your clinician will confirm the approved duration for your situation and advise when to replace it. If you want pregnancy sooner, a professional can remove it at any time. If removal occurs mid‑cycle and you do not wish to conceive, ask about using a backup method around the time of removal and until another method is in place.
Can periods stop while using it?
Irregular bleeding and spotting are common in the first months. Many users then notice lighter periods, and some have few or no periods while the system is in place. These changes reflect how the hormone thins the uterine lining and reduce monthly shedding. If bleeding is very heavy, prolonged, or accompanied by pain or fever, contact your clinician for assessment. They may evaluate placement, rule out infection, and review next steps.
Who should avoid this device?
People with current pelvic infection, untreated cervicitis or vaginitis, known or suspected pregnancy, a uterus markedly distorted by fibroids, active liver disease, current breast cancer, or unexplained vaginal bleeding should not use it. Those with cervical or uterine cancer, or a suspected allergy to device materials, should also avoid it. Your clinician will review your history, including recent childbirth or miscarriage, and confirm if an intrauterine system is appropriate.
What if I cannot feel the strings?
If you cannot feel the threads, or feel plastic at the cervix, use backup protection and contact your clinician. The device may be in place, retracted, or expelled. Do not attempt to search inside the cervix or remove it yourself. Your clinician may perform an exam or imaging to confirm location. If expulsion is confirmed, they can discuss replacement and protection options for the interim.
Will fertility return after removal?
This method is designed to be reversible. Most people resume their typical fertility after the device is removed by a professional. Timing varies by individual factors, including cycle regularity before insertion. If you plan pregnancy, your clinician can discuss removal timing and preconception care. If periods do not return as expected, they may evaluate other causes unrelated to the device.
Does it help with heavy menstrual bleeding?
For eligible users who also want contraception, this levonorgestrel system can reduce heavy menstrual bleeding over time. Many see a gradual decrease in flow and fewer days of bleeding after the first few months. Your clinician will determine whether this option is appropriate for your condition and discuss how they will monitor response and any side effects that arise.
What are the main risks during insertion?
Insertion can involve cramping, dizziness, or fainting in some people. Rare complications include perforation of the uterine wall and infection, especially if an untreated STI is present. A trained clinician minimizes risks by confirming you are not pregnant, using sterile technique, and assessing uterine size and position. If you develop severe pain, heavy bleeding, fever, or foul discharge after insertion, seek care promptly.
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