Mirena Coil
VS
Copper Coil
Coils are a versatile and effective option for both contraception and progesterone replacement for menopause. They can play a dual role in supporting women at various stages of life, offering benefits beyond birth control.
What is the Mirena Coil?
The Mirena coil is a small, T-shaped device made of plastic that is inserted into the uterus by a healthcare professional. It releases a hormone called levonorgestrel, a form of progesterone, which helps prevent pregnancy. It can also play a significant role in managing certain conditions for women, including those going through menopause.
Why the Mirena Coil is used during menopause
The Mirena coil can be particularly beneficial for women transitioning through menopause for several reasons:
Manages heavy or irregular bleeding: Common in perimenopause due to hormonal fluctuations.
Works alongside hormone replacement therapy (HRT): Women taking oestrogen as part of HRT require progesterone to protect the uterine lining. The Mirena coil provides a steady release of progesterone, making it an easy and effective option.
Reduces the risk of endometrial hyperplasia: This condition, caused by excess oestrogen, can lead to abnormal thickening of the uterine lining and increase the risk of uterine cancer.
Considerations
How the Mirena Coil works
Thickens cervical mucus: Makes it harder for sperm to reach the egg.
Thins the uterine lining: Reduces the chances of a fertilised egg implanting.
May stop ovulation in some cases.
Supports hormone therapy in menopause: Prevents the thickening of the uterine lining caused by oestrogen therapy.
Benefits of Mirena Coil
Effective: Over 99% at preventing pregnancy.
Long-lasting: Works for up to 5-7 years.
Lightens or stops periods: Many people experience lighter periods or no bleeding at all, which can be helpful during perimenopause.
Reversible: Fertility returns quickly after removal.
Side effects may include irregular bleeding, headaches, or mood changes.
Requires insertion and removal by a healthcare professional.
What is the Copper Coil?
The Copper coil is also a small, T-shaped device, but instead of hormones, it is wrapped with a thin copper wire. The copper acts as a spermicide, preventing pregnancy without the use of hormones.
Benefits of Copper Coil
Effective: Over 99% at preventing pregnancy.
Hormone-free: Ideal for those who cannot or prefer not to use hormonal contraception.
Long-lasting: Works for 5-10 years, depending on the type.
Emergency contraception: Can be used up to 5 days after unprotected sex.
How does the Copper Coil work?
Releases copper ions: These are toxic to sperm, preventing fertilisation.
Prevents implantation: Alters the uterine environment to make it unsuitable for a fertilised egg.
Considerations
May cause heavier, longer, or more painful periods initially.
Some individuals experience cramping or discomfort after insertion
Which is best for me?
The choice between a Mirena coil and a Copper coil depends on your individual needs, preferences, and health conditions.
Here are some factors to consider:
Mirena Coil: Best if you want lighter periods, have conditions like heavy menstrual bleeding, or need support during menopause.
Copper Coil: Ideal if you prefer hormone-free contraception or have medical reasons to avoid hormones.