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Mirena is not recommended for all women, including those who: Are or might be pregnant Have had pelvic inflammatory disease (PID) Have a current untreated pelvic infection Have had a serious pelvic infection in the past 3 months after a pregnancy Get infections easily, such as: Women who have multiple sexual partners or who have a partner who has multiple sexual partners Women who are immunocompromised Women who use or abuse intravenous drugs Have or suspect they might have uterine or cervical cancer Have unexplained vaginal bleeding Have liver disease or a liver tumor Have or have had breast cancer or any other cancer that is sensitive to progestin Already have an intrauterine device Have a condition of the uterus that changes the shape of the uterine cavity, such as large fibroid tumors Are allergic to levonorgestrel, silicone, polyethylene, silica, barium sulfate or iron oxide From Women's Health Resources References

At the end of the leaflet there is further detail on where you can find out more information
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ZISGESIS Leibniz Institute for the Social Sciences
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