Post # 1
I have a Mirena IUD and have been very happy with it. My periods have disappeared completely and I have experienced no negative side effects that I know of. It expires this fall and I recently went to my doctor to ask about having it replaced. She doesn’t do the actual removal/insertion, the nurse practitioner does it. The doctor wasn’t sure if the removal of the 1st IUD and insertion of the 2nd IUD should happen on the same day, or if it’s best to have the 1st removed, wait a few months so the uterine lining could shed, then have the 2nd inserted. She send a message to the nurse practitioner asking for her opinion and will get back to me soon.
While I wait, I’d like to hear from Bees who have had back to back IUD’s, or any nurse practitioners/doctors that might be on here for their opinions. I will, of course, discuss this further with my doctor. Thank-you!!
*EDITED to add: there is no reason for any Bees to be shocked or alarmed, my doctor is well aware of how IUD’s worked, I was the one who asked if it was best (not if it was possible) that I should have an IUD back to back or wait a few months in between. She simply asked for the nurse practitioners (who has more experience with the insertion/reinsertions) opinion.
Post # 2
Your DOCTOR doesn’t know basic IUD stuff??? Bee that’s alarming.
My doctor recommends having it done the same day. No sex 1 week prior. They take it out, measure again, and insert. If for some reason something goes wrong with the insertion they will have you come back another day. The no sex prior ensures no sperm is hanging around in case they can’t get the new IUD in.
I just (1 month ago) had mine replaced after 5 years. The insertion still sucked for me, but I will take 1 crappy day for 5 years of no periods!
Post # 3
I was always told you can remove one and place another immediately. Ive had 3 mirenas but none back to back due to pregnancies between
Post # 4
I’ve had mine replaced once, and they did the removal and insertion in the appointment.
Definitely a bit shocking the doc wouldnt know that.
Post # 5
Are you seeing an OB???
I would leave a doctor that had to refer to a nurse practitioner…no offense to the NP but that’s not how it should work.
Post # 6
Perhaps I should have explained my doctors response more clearly – my doctor is well aware of how IUD’s work, however there are different schools of thought on whether they should be inserted back to back, or given time between reinsertion. I’m not at all concerned with my doctor or her competence. I did some research before my appointment, posed the question to her and her actual response was ‘I believe you can have the IUD removed and another insterted on the same day, however lets just ask the nurse practitioner if there’s any benefit to waiting’. In all honesty, I appreciate her response and the willingness to seek another medical professional’s opinion.
Post # 7
WillowBee33 : I had 3 mirenas and each time one was replaced it was always on the same day the previous one was removed.
Post # 8
WillowBee33 : if you’re not trying to get pregnant what difference would the thickness of your lining make???
Your doctor makes no sense and should know this shit, sorry.
Post # 9
Westwood : As a Bee who has never been pregnant and doesn’t know everything single thing there is to know about every little aspect of my uterus, I simply posed the question to her. I don’t know if the uterine lining needs to be shed or not, I’m simply trying to be more informed.
Also, my doctor went on to give me a detailed explanation of the uterus, the lining, shedding of the lining etc etc however I don’t DARE try to explain it here, as one incorrect word will send everyone into further shock and awe.
I was simply looking for other Bees experiences/opinions.
Post # 10
WillowBee33 : I read all of the comments.
No one is alarmed that you didn’t know the answer.
Everyone is rightfully alarmed that, again, your doctor didn’t know such a basic thing. It’s pretty appalling that your doctor (who doesn’t have to insert the IUD to know that by the way) would say “I believe” and not actually be sure of something so basic.
Find another doctor
Post # 11
neverbeenstungbee : There are Bees who have expressed ‘shock’ and ‘alarm’ that my doctor wanted to discuss with a valued professional in her office. I’ll add ‘appalled’ to the list.
So again – further explanation – I have a slight medical issue regarding my uterus/cervix, and the ‘I believe’ part came from her being cautious in definitively answering my question. I didn’t add that part to the original post because it’s not pertinent. I appreciate that she realizes she doesn’t know everything about everything and since my IUD isn’t expiring tomorrow, a family doctor seeking the advice of a nurse practioner (a nurse practioner in Canada is able to diagnose conditions, prescribe medication, and has a masters in nursing) who btw, specializes in women’s reproductive health – is perfectly acceptable in my opinion. If it’s not in yours, so be it. Just because I didn’t post my entire medical history and a detailed transcript of the discussion with my doctor for the Bee to pick apart and analyze, doesn’t mean my doctor doesn’t know what she is doing. She is a well respected doctor in our community and I have no issue trusting her opinion. I appreciate everyone’s concern.
I should have just asked ‘has anyone here had an IUD removed and another insterted on the same day? Or did your doctor suggest you wait a few months in between?’. That’s all I really wanted to know.
Post # 12
tbh it took almost a year for my period to resume post-Mirena. I know every body is different, but some window of re-adjustment is normal for all women coming off of any hormonal birth contrl. So I don’t think you would get much value out of taking a few months off, unless you were prepared to take many many months off, during which you would definitely need to worry about a different birth control method. For me, the risk of unwanted pregnancy would make this a non-starter.
Post # 13
I had mine taken out and the new one put in right away. Never had any problems. I wouldnt have wanted to go back at a later time to get the new one, I’m glad that mine was back to back. But everyone is different.
Post # 14
I’m not sure why you’re getting so defensive over your doctor lol. Your OP comes off very – yes – ALARMING.
” The doctor wasn’t sure if the removal of the 1st IUD and insertion of the 2nd IUD should happen on the same day, or if it’s best to have the 1st removed, wait a few months so the uterine lining could shed, then have the 2nd inserted”
Your wording very much made it seem like s/he had no idea how an IUD works. I’m sure if you had’ve included that YOU asked if you should take a break it would be different.
Post # 15
I am on my 2nd Mirena IUD. I had the first removed and the second one insterted the same day. The removal was painless but the insertion of the new one was terribly painful.
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