My doctors says no sex for a week, and tjen with a condom for an additional month. I cannot find anything anywhere to support this. Has anyone else been given similar instructions?
27 Feb 2012
There are specific regimes for the timing of inserting Implanon depending on previous birth control, timing of cycle, post pregnancy etc... and if timing is perfect contraceptive cover is immediate.
If there is any deviation from the recommended timing of insertion then a backup non-hormonal method of contraception should be used for 7 days.
28 Feb 2012
Most Drs have reasons for their directions. As the others posted, it can have to do with where in your cycle the Mirena was placed. Has it been within 7 days of the start of your period? He could also be exhibiting extra caution if he has had women who actually got pregnant their first month on Mirena. Back when I was doing counseling for family planning we always said to use back up the first month. Now they say if conditions are right, contraception can take place imediately or after 7 days of use. Perhaps he tends to be more cautious to be absolutely sure that your Mirena is placed correctly and hasnt shifted or been expelled before your 4 week follow up and the start of relying on it exclusively for birth control. You might want to listen to your Dr as there are always reasons for what instructions they give.
1 Apr 2012
I started Mirena only a few days ago. My OBGYN said I could have sex immediately if I felt like it (I was already 7 days past my last period at that point as well), but if I wanted to be extra safe then I should wait a week. The Mirena is shaped to block off the fallopian tubes, which would prevent sperm from fertilizing the egg thus causing pregnancy. The Pauragaurd birth control just uses that method alone to prevent pregnancy. The hormones that Mirena releases helps increase the chances of preventing pregnancy as well by thickening cervical mucous and by thinning the lining of the uterus.
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