Mirena: Timing, Consent, and Costs After Medical Abortion

Q: Mirena: Timing, Consent, and Costs After Medical Abortion

Hello, Miss Ning： After taking the abortion medication, if the vaginal bleeding from the use of Mifepristone has decreased significantly, then it is possible to consider the insertion of an intrauterine device (IUD). <br>The most appropriate time for insertion should be after the

Mirena, contraceptive device

I would like to inquire about how long after a medical abortion one can have an IUD (Mirena) inserted.
If a person is under 20 years old, do they need parental consent to have a Mirena or copper IUD inserted? What is the approximate cost of having a Mirena IUD inserted?

Ning, 10~19 year old female. Ask Date: 2021/08/06

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello, Miss Ning: After taking the abortion medication, if the vaginal bleeding from the use of Mifepristone has decreased significantly, then it is possible to consider the insertion of an intrauterine device (IUD).
The most appropriate time for insertion should be after the next menstrual period, preferably when the bleeding has subsided.
For minors, it is advisable to have a legal guardian accompany them for the insertion of either the hormonal IUD or the copper IUD.
As for the cost of the hormonal IUD, I am not very sure, but it should be between $7,000 and $10,000.

Reply Date: 2021/08/06

More Info

After a medical abortion, the timing for the insertion of a Mirena (levonorgestrel-releasing intrauterine system) can vary based on individual circumstances and the healthcare provider's recommendations. Generally, it is advisable to wait until the body has had some time to recover from the abortion process before inserting an IUD. This can typically be around 4 to 6 weeks post-abortion, but it is crucial to consult with your healthcare provider for personalized advice. They will assess your health status and ensure that your uterus has returned to its normal state before proceeding with the insertion.

Regarding the consent for the insertion of Mirena or a copper IUD (copper T) for individuals under 20 years of age, the requirements can differ based on local laws and healthcare policies. In many places, minors may need parental or legal guardian consent to undergo certain medical procedures, including the insertion of an IUD. It is essential to check with your healthcare provider or local health regulations to understand the specific requirements in your area.

As for the cost of inserting a Mirena, it can vary widely depending on the healthcare facility, location, and whether you have insurance coverage. In the United States, the cost for the Mirena device itself can range from $500 to $1,000, and this may not include the additional fees for the insertion procedure. Some clinics may offer sliding scale fees or financial assistance programs, so it is advisable to inquire about costs upfront and explore any available options for financial support.

In addition to these considerations, it is important to discuss any potential side effects or complications associated with the Mirena IUD with your healthcare provider. While Mirena is generally considered safe and effective for long-term contraception, some individuals may experience side effects such as irregular bleeding, hormonal changes, or discomfort during insertion. Understanding these factors can help you make an informed decision about whether Mirena is the right choice for you after a medical abortion.

Finally, it is crucial to follow up with your healthcare provider after the insertion of Mirena to ensure that it is positioned correctly and to address any concerns or complications that may arise. Regular check-ups can help monitor your health and the effectiveness of the IUD as a contraceptive method.

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