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Dr. Zach
Dr. Zach, OB/GYN (Doctor)
Category: OB GYN
Satisfied Customers: 4521
Experience:  Accomplished Physician and Educator
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I have a Mirena IUD. It expired 3 years ago. What are the risks

Resolved Question:

I have a Mirena IUD. It expired 3 years ago. What are the risks of it not being removed? I saw my doctor to get a new one put in and paid 900.00 for the replacement. She then told me I had to have a pap smear before she could put it in or remove the old one. My pap came back abnormal and I cannot afford anymore doctor visits. I am now experiencing severe cramps on my right side that go down my leg. Is this related to my mirena?
Submitted: 7 years ago.
Category: OB GYN
Expert:  Dr. Zach replied 7 years ago.

I would be happy to assist


Any foreign object in the uterus could be a place where bacteria could attach and cause an infection - Most people would recommend you removing it after expiry... nothing may happen, but I wouldn't want my wife to have an expired Mirena in for a long time because I wouldn't want her to develop some kind of uterine infection.


That being said, severe 'cramping' is unlikely due to your Mirena.... even though it 'expires' after 5 years, the hormones can last a lot longer than that - its just that it is GAURANTEED to last 5 years.... what is most likely happening is that the Mirena hormones have finally completely 'ran out' and the cramping is most likely from that.


I know you already paid for your doctor's visit; however, if you paid 900 bucks for a replacement mirena, it makes sense to get it placed and the other removed. while not emergent, I would suggest doing this in the next few months once you have money saved up.


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Best Wishes,


Dr. AJ

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