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ask: Mirena and tampons.

By Anonymous
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I'm 16 years old and i got the mirena booklet from my doctor and inside it said:
"Can tampons be used?
Use on sanitary pads is recommended. If tampons are used, you should change thm with care so as not to pull out the threads of mirena."
and i was just like wth!!
so i'm wondering
is it realy that risky to use tampons?
like what about the thongs? what about the bathing suits?
I'm so confused.

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EmpowHER Guest

Alison.....I hope you are still connected to this page!>......I have been searching for hours on this topic. I have the Mirena and have had it in place for nearly 3 years. I have always used tampons and had no problem, however tonight before getting into the shower I went to remove my tampon and did feel a sharp pain and now my strings are less than a half inch inside! Where before I could barely feel them!!...I'm trying to figure out if it would still be in place, dislodged or whatever!...No insurance makes trips to the Dr a need to go basis!! Thoughts, tips, or!

December 20, 2012 - 5:07am
Maryann Gromisch RN Guide (reply to Anonymous)

Hello Anonymous,

If you feel the threads lower than normal, it is very likely that the Mirena is not in the proper position. I understand that without health insurance, a trip to the doctor's office is costly. But, you need to be examined and have the Mirena repositioned, otherwise it is ineffective. Call your gynecologist and ask what you should do. You should not be charged for a telephone call and an office visit will cost less than an ER visit.

Alison is no longer here at EmpowHER. I hope I've helped.


December 20, 2012 - 6:07pm
Alison Beaver

I also wanted to mention that I believe Mirena IUD was primarily for women who already have had children. Have you talked with your health care provider about this? Here is some information from the Mirena website:
"Mirena (levonorgestrel-releasing intrauterine system) is recommended for women who have had at least one child. This is because most of the medical research conducted on Mirena for FDA approval was among women who had at least one child." source:

September 26, 2010 - 6:39pm
Alison Beaver

Great question!

The IUD is a type of birth control that is inserted into your uterus (by a health care provider), and there are strings that hang out of the opening of your cervix into your vagina (the strings are just barely in your vagina; they are not long enough to be seen).

When you use a tampon, it is plausible that the cotton fibers of the tampon can "catch" the strings of the IUD. I am not sure how often this would happen, and many women with IUDs do successfully use tampons.

The "careful" removal of the tampon would just be necessary. Worst case scenario: you would feel a strong tug, possible pain, if the tampon "caught" the IUD strings, so you just would want to pull the tampon gently out. It would be almost impossible to pull out the IUD from your cervix; it would be extremely painful and the most that could happen is possibly causing the IUD to shift position which could cause pain and would need to be repositioned by your health care provider.

A bathing suit or thong underwear would not create a risk, as they are not inserted inside your vagina, and are instead on the outside of your vulva (labia and vaginal opening).

Does this help? Why are you interested in the IUD as birth control (versus other birth control options)?

September 26, 2010 - 6:25pm
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