Navigating the Mirena Coil
The Mirena coil is a tiny T-shaped superhero in contraception and hormone management. But what happens when it’s time for this little warrior to retire, especially during the tumultuous seas of perimenopause and beyond? Let’s delve into the benefits of the Mirena coil, what occurs when it’s removed during perimenopause and post-menopause, and how to navigate the potential pitfalls of progesterone lows.

The Benefits and Effects of the Mirena Coil for Hormonal Health
The Mirena coil is more than just a reliable contraceptive. It also provides essential hormonal benefits, making it a valuable option for women at different stages of life, especially during perimenopause and menopause. Let’s explore its key benefits and what to expect after removal.
Key Benefits of the Mirena Coil
Highly Effective Contraception
The Mirena coil offers over 99% effectiveness in preventing pregnancy. For women seeking long-term birth control, it provides a safe and hassle-free solution.
Lighter or No Periods
Many women notice a significant reduction in menstrual flow. Some even stop having periods entirely, which can be a massive relief if you experience heavy or painful cycles.
Targeted Hormone Delivery
The Mirena coil releases progesterone directly into the uterus. This helps manage heavy bleeding and reduces the need for higher hormone doses in the bloodstream.
What Happens After Mirena Coil Removal?
During Perimenopause
Removing the Mirena coil during perimenopause can trigger hormonal changes. You might notice irregular periods, mood swings, or hot flashes as your body adjusts. These symptoms often improve as your hormone levels stabilise.
Post-Menopause
If you’ve reached menopause, removing the Mirena coil usually causes fewer changes. By this stage, your hormone levels have already declined naturally. However, discussing your symptoms with a healthcare provider is still a good idea.
How Progesterone is Delivered: Localised vs Systemic
The Mirena coil delivers progesterone directly to the uterus. This localised approach ensures that lower doses are effective. In contrast, oral progesterone tablets are absorbed through the digestive system and distributed throughout the body. Unfortunately, only about 10–15% of the hormone from tablets reaches the uterus due to the breakdown process in the liver.
This difference explains why the Mirena coil is often more effective at targeting uterine issues, such as heavy bleeding, with minimal side effects elsewhere in the body.
Dealing With Low Progesterone After Removal
When the Mirena coil is removed, some women experience lower progesterone levels. This can lead to:
- Emotional Changes: You may feel more irritable or emotional as your hormone levels shift.
- Sleep Issues: Lower progesterone can disrupt your ability to sleep soundly.
- Irregular Cycles: Your periods might become unpredictable as your body adjusts.
If these symptoms persist, ask your doctor about treatments like hormone replacement therapy (HRT). HRT can help balance your hormones and reduce discomfort.
Take Control of Your Hormonal Health
The Mirena coil is a practical and versatile option for managing contraception and hormonal symptoms. Planning and working with your healthcare provider can help ensure a smoother transition if you’re considering removal. By understanding your options, you can feel empowered to manage your health at every stage.
Related Articles
Related
Why dropping calories drives us nuts..
How Long Does It Take for Your Body to Adjust to Eating Fewer Calories? When reducing calories, your body takes time to adjust. Hunger is often a challenge at first, but with the right approach, your appetite will stabilise. Below is a timeline of what to expect and...
Menopause and ADHD
Menopause and ADHD: Understanding the Overlap and Struggles ADHD (Attention Deficit Hyperactivity Disorder) is often seen as a childhood condition, primarily associated with hyperactive boys. However, ADHD symptoms often differ between genders. While boys may display...
PCOS and Menopause Interactions
Understanding PCOS and Its Interaction with Menopause Polycystic Ovary Syndrome (PCOS) is a complex hormonal disorder affecting many women, particularly those of reproductive age. Characterised by irregular periods, excessive androgen (male hormone) levels, and...