the Mirena IUD: Can You Get Pregnant After Insertion? - Obstetrics and Gynecology

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Mirena IUD


Hello doctor, I have a question to ask you.
My period started on September 15, and I inserted the Mirena IUD on September 16 (the second day of my period).
Today is the 23rd, and I had unprotected intercourse with my boyfriend.
I'm worried about the possibility of pregnancy.
My boyfriend keeps saying that I shouldn't worry since I have the IUD.

Lin, 10~19 year old female. Ask Date: 2021/09/23

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should not be pregnant.
Wishing you good health.

Reply Date: 2021/09/23

More Info


The Mirena IUD (intrauterine device) is a highly effective form of long-term contraception that releases the hormone levonorgestrel to prevent pregnancy. When properly inserted, it can provide up to 99% effectiveness in preventing pregnancy. However, there are some important considerations regarding its use and the timing of sexual intercourse after insertion.

In your case, since you had your menstrual period starting on September 15 and had the Mirena IUD inserted on September 16, you are generally protected from pregnancy immediately after insertion, especially if it was inserted during your menstrual period. The IUD works primarily by thickening cervical mucus to prevent sperm from reaching the egg, thinning the uterine lining to prevent implantation, and sometimes inhibiting ovulation.

However, it is crucial to note that while the Mirena IUD is effective, no contraceptive method is 100% foolproof. There is a small chance of pregnancy occurring, particularly if the IUD was not properly placed or if it was inserted outside the recommended time frame (which is usually during your menstrual period or immediately after childbirth). If you had unprotected intercourse shortly after the insertion, and if the IUD was correctly placed, the likelihood of pregnancy is very low.

If you are feeling anxious about the possibility of pregnancy, it may be helpful to take a home pregnancy test if your period is late or if you experience any unusual symptoms. Additionally, if you have any concerns about the IUD itself, such as discomfort or unusual bleeding, it is advisable to consult with your healthcare provider for further evaluation.

Regarding your boyfriend's reassurance, it is understandable that he may feel confident in the effectiveness of the IUD. However, it is always good to communicate openly about any concerns regarding contraception and sexual health. If you are still worried, consider discussing with your healthcare provider about additional contraceptive methods, such as condoms, for added protection and peace of mind.

In summary, while the Mirena IUD is a highly effective contraceptive method, it is essential to ensure that it is properly inserted and to be aware of your body’s signals. If you have any doubts or experience any unusual symptoms, do not hesitate to reach out to your healthcare provider for guidance.

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