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Answers:    Mirena will change your menstrual cycle and eventually make your periods much lighter. However, in the first three months of use, many women experience unpredictable bleeding, and about 20 percent have prolonged periods that last more than 8 days. After three months bleeding becomes more regular and may stop altogether. In studies of Mirena, women's periods were reduced by 85 percent after three months and 97 percent after a year. Although bleeding is much lighter, some women who use Mirena have difficulty predicting when their period will occur.

Beyond these menstrual irregularities, Mirena has few side effects because it contains such a small amount of hormone. Some women do experience mild side effects related to the hormones such as headaches, water retention, breast tenderness or acne. Often these resolve after the first two months of use.


Advantages
very effective
neither partner can feel an IUD during sex
the woman controls this method of birth control
can remain in place for many years

Disadvantages
cost
does not protect against sexually transmitted infections
unpredictable bleeding and other side effects particularly in the first few months
increased risk of pelvic infection mainly associated with insertion
increased risk of benign ovarian cysts
may be difficult to insert in some women
rarely an IUD may puncture the wall of the uterus

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