Mirena Warnings and Precautions

Who Should Not Use Mirena?

You should not use Mirena if you:
  • Are allergic to Mirena, levonorgestrel, or any of the inactive components used to make Mirena (including silicone). Your healthcare provider or pharmacist has a list of the inactive components in Mirena.
  • Or your partner currently has multiple sexual partners
  • Have an abnormally shaped uterus due to any cause, including fibroids
  • Have pelvic inflammatory disease (PID)
  • Have ever had pelvic inflammatory disease in the past (unless you have had a non-ectopic pregnancy since you had PID)
  • Currently have any untreated vaginal or cervical infection
  • Have had a severe pelvic infection after giving birth, having a miscarriage, or having an abortion within the past three months
  • Have uterine or cervical cancer (or even an abnormal Pap smear that has not been evaluated and treated)
  • Have HIV, AIDS, certain cancers, or abuse IV drugs (as these things increase your risk of infections)
  • Have an intrauterine device (IUD) that has not been removed
  • Have breast cancer or a history of breast cancer
  • Have undiagnosed abnormal genital bleeding
  • Have liver tumors or liver disease
  • Are pregnant (or think you might be pregnant).

Mirena Warnings and Precautions: Final Thoughts

There are a number of situations in which Mirena should not be used, along with several precautions and warnings people should be aware of before using this form of contraception. However, it is possible that not all of the warnings or precautions were discussed in this article. Therefore, you should talk with your healthcare provider about the specific Mirena warnings and precautions that may apply to you.
Last reviewed by: Kristi Monson, PharmD
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