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?
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.
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.
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.
Wow only a week? My doctor told me to not have sex for at least 4 weeks, but I did get it put in after I had my daughter on my check up visit. But at that time I didn't want to have sex because of the apeisotmy(spelling?) lol then to have that put in was also a reason to wait.
I've had Mirena for 8 years. On the visit for my initial unit as well for my replacement my doctor said I could have sex right away (I got it after my daughter turned 2) but to use a condom or other non-hormonal contraception until my 4-6 week check-up. This makes sure the hormones in the device have had time to get up to therapeutic levels (also depends on where you were on your cycle when it was implanted). As for comfort, he said no "aggressive" sex for a month or two, as rough sex can cause cramping or become uncomfortable until your uterus becomes completely acclimated to it, as it is technically a foreign body. Also a man might feel a "pricking" sensation (no pun intended) on the tip of his penis until the cord has time to curl against your cervix, usually a few weeks, but it won't harm him (as the string is actually the same material as fishing line). Hope this helps.
- Mirena Information for Consumers
- Mirena Information for Healthcare Professionals (includes dosage details)
- Side Effects of Mirena (detailed)
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