If You Have Gained Weight, Experienced Heavy Bleeding & Suffered Serious Side Effects from Having the Mirena IUD…

Watch the Following Video Now to Learn How to Lose the Weight You Gained, Stop the Bleeding & Get Rid of All Your Side Effects As Quickly As Possible

 

The Mirena Detox Book

 

Have you recently inserted a Mirena or Paragard IUD, or had it removed?

If so,

  • Have you gained excess weight that you can’t lose no matter how hard you try?
  • Have you noticed painful, unbearable, side effects that you may or may not associate with the Mirena implant?
  • Do you feel gloomy, downcast, angry and even depressed even if this is not your characteristic mood?
  • Are your medical tests coming back negative or normal?
  • Is your Doctor telling you “Everything is fine”…though you know something is wrong and feel angry and helpless about what to do about your side effects and the excess weight?

If you answered yes to some or all of these questions, this page will be one of the most important pages you will ever read in regards to safeguarding your health. I will reveal the truth behind Mirena weight gain and other side effects and the exact steps you need to take to reverse the damage the Mirena implant did to your metabolism and your hormones, and overcome your side effects.

The Most Common Mirena Side Effects

  • Excess weight gain
  • Noticeable hair loss
  • Infertility
  • Bleeding
  • Irregular cycles
  • Breast tenderness
  • PMS
  • Low energy
  • Early menopause
  • Severe cramps
  • Discharge and odors
  • Water retention
  • Bloating
  • Insulin resistance
  • Acne
  • Sexual dysfunction and low libido
  • Mood swings
  • Depression
  • Anxiety and panic attacks
  • Foggy thinking
  • Brain damage
  • Rapid aging

Note: Not all women experience all of these symptoms, but as a Mirena user you are susceptible to all of them.

My Personal Story & Struggle with Mirena

I had my Mirena IUD inserted six weeks after the birth of my first child. Within a few weeks, I developed an ovarian cyst, and then I discovered I had cervical cancer cells.

I thought it was a coincidence so I had the procedure for my cancer cells and got another Mirena in.

I had the Mirena in me for 2 years, and the side effects made my life HELL!

Within five months, I had gained 30 pounds and kept gaining weight that I couldn’t lose no matter how hard I tried. I exercised everyday and went on a very strict low-carb, low-fat diet and nearly starved myself. Yet nothing changed. I had horrible PMS, started growing facial hair, had no sex drive, suffered from serious chronic fatigue, nagging breast pain, random anxiety attacks, and endless pelvic pain.

I was also suffering from serious mood swings and intense feelings of dullness, depression, and irritability. Most of the time, I just didn’t feel like doing anything. Nor could I physically or mentally offer my family the love and care they deserved.

My energy, and spirit, were gone.

I went to doctor after doctor who told me my blood tests are normal and that Mirena can’t cause these problems. My pelvic pain and the side effects persisted and kept getting worse over time.

Then I crashed.

One day I felt very light-headed and dizzy, and it persisted all day long.

I had severe cramping and pain in my stomach.

I had no energy and could not do very much all day, because I kept feeling like I was going to pass out. I thought I was getting sick, but it wasn’t a ‘normal’ illness.

Later that evening, my Mirena came out by itself.

Many of my symptoms still persisted and even became worse even after my Mirena was expelled.

I was at a loss of what to do to restore my health. My doctor thought my symptoms were all in my head! I lost hope that I would ever get better or feel well again.I started doing extensive research on the side effects of Mirena, and found several research studies on the topic. I discovered that all my symptoms and side effects are common among many women who have used Mirena.

The culprit was…the Mirena!

Why?

MIRENA CAUSES SEVERE HORMONAL IMBALANCE OF WHICH MOST MEDICAL DOCTORS ARE UNAWARE.


 

The Mirena Crash – What Causes It?

When the Mirena is in the body, the body produces less and less of its natural hormone, progesterone, because of the sustained release of the synthetic hormone, progestin from the Mirena IUD, and this causes many side effects and imbalances in the body. It gets worse when the Mirena is removed, as the body is no longer getting that synthetic hormone progestin, and yet is still not producing enough of its own innate natural hormone progesterone, and that is when the infamous “mirena crash” starts.

The suppression of progesterone confuses your endocrine system and leads to a serious hormonal imbalance, and “Estrogen Dominance” — the reason for the mirena crash and so many of the symptoms you may have experienced.

Mirena, Weight Gain & the Inability to Lose Weight

Hormone imbalances weaken digestion and slow down metabolism, causing you to burn fat less efficiently and ultimately you gain a lot of weight. Hormone imbalance also leads you to crave sugar and carbohydrates, greatly adding to weight gain and making it hard to control food intake. This is why it is nearly impossible to lose the weight without addressing your hormones first.

Mirena & Bleeding

One of the most unbearable side effects of Mirena use is changes in the monthly menstrual cycle. Clinical data shows that most women who use Mirena experience heavy menstrual bleeding (also referred to as breakthrough bleeding) in the first few months of Mirena insertion. Although it is believed that most females develop amenorrhea or sparse menstrual bleeding within a couple of years, results vary significantly. According to the study conducted by Dr. Jen Gunter (6), the most common cause of premature Mirena removal is irregular spotting or intermenstrual bleeding.

Bleeding after mirena insertion

According to a new study reported in the Obstetrics & Gynecology (7) journal, women on the Mirena experience an abnormal bleeding pattern for more than a month (35 days on average) during the first 3 months of insertion. According to another study, this duration may be as short as 18 days and as long as 55 days (8).

The symptoms of bleeding after Mirena insertion include:

  • Persistent bleeding, which may be small in volume, but can go on for days or even weeks.
  • The pattern and onset of bleeding is generally unpredictable. In other words, life’s greatest moments may get sour if your bleeding pattern is uncertain. For example, a study conducted on a sample of 2419 women suggested that 23.4% of women experienced intermenstrual bleeding, 23.1% reported complete cessation of menstruation, and about 7% reported severe menorrhagia (requiring medical intervention).
  • Bleeding is often associated with cramps and weakness, and therefore many women report a lower quality of life.

Heavy menstrual bleeding also interferes with personal, professional and social aspects of your life by affecting energy levels and productivity. Excessive bleeding could cause:

  • Dizziness
  • Weakness
  • Altered levels of consciousness
  • A sudden drop in blood pressure
  • Pale skin and low energy levels

These signs are suggestive of anemia.

How does abnormal vaginal bleeding occur when you are on the Mirena IUD?

  1. Once introduced, the Mirena can provide contraceptive functions for a period of 5 years. The initial dose implanted is 52mg of levonorgestrel. However, the daily dose is typically 20 μg for the first 5 years (after which it gradually decreases to about 10 μg per day; thus reducing its efficacy as a sole contraceptive option after 5 years (10).
  2. Levonorgestrel has a remarkable capacity to get systemically absorbed and reach sustainable levels in plasma [0.4 to 0.6 nmol/L]. (These values may appear small and very negligible, however, once these plasma levels suddenly drop, the effects are felt very intensely.)
  3. The drug levels become fairly high in uterine tissues. According to a study, within days of Mirena insertion, the levonorgestrel reaches 808 ng/g in the uterine tissues. This selective hyper-concentration of hormones in myometrium may lead to tissue-related adverse side effects after the IUD removal. Nilsson and associates (13) conducted a study to assess the changes in the myometrium tissue after Mirena insertion, and observed that concentration of levonorgestrel can range between 1 to 5 ng/g in the female genital tract. High concentrations were also found in adipose tissues.
  4. The exogenous source of progesterone is then combined with your endogenous hormones (estrogen and progesterone) to produce growth of myometrium.
  5. The foreign body insertion of the Mirena IUD also elicits an immune response that is marked by swelling, edema, moderate pain and tissue growth. The inflammatory substrate is made up of plasma cells, lymphocytes, neutrophils, and macrophages and leads to irregular bleeding, spotting and vaginal discharge.

According to another study reported in the clinical journal Fertility and Sterility (14), investigators reported that another well-known cause of abnormal intermenstrual bleeding is ‘anovulatory cycles’, since the levonorgestrel from the mirena IUD prevents ovulation. According to the authors, 80% of cycles during the first year of Mirena insertion are anovulatory.

Estrogen and progesterone together promote the growth of the endometrial lining. After Mirena insertion, the extra progesterone slowly causes thinning of mucosal lining and inactivates the myometrium stromal growth; however, this is a slow process that can take several months. Until then, women may continue to experience irregular uterine bleeding and spotting (along with other abnormal symptoms).

Bleeding after Mirena Removal

Why do many women experience heavy bleeding after Mirena removal?

The female body is usually able to heal itself and bring itself back to balance. However, once an exogenous hormone is introduced, the female body loses most of its ability to restore its natural balance. In other words, the body experiences a hormonal shock after Mirena removal, which causes all the disturbing symptoms and side effects.

Here is an explanation of how abnormal bleeding occurs after removal of the mirena IUD:

  1. Before removal of the mirena, the body is in a state of equilibrium with no endogenous secretion of progesterone, but an exogenous (external) source of levonorgestrel that serves the same function as progesterone, in the presence of high estrogen estrogen. The levonorgestrel decidualizes the endometrial lining, and at this point you are experiencing very little menstrual bleeding.
  2. Suddenly, when you decide to remove the Mirena, which by now is the source of hormonal balance, from your uterus, the tissues all of a sudden become deprived of that 20 micrograms of levonorgestrel they were used to receiving everyday. As mentioned previously, this small amount of external hormone is not only a source of hormonal balance, but also emotional, mental, and physiological balance as well.
  3. Removal of the Mirena IUD creates a state of hormonal shock; thereby creating a state of estrogen dominance. Estrogen has a propensity to promote the growth of uterine tissues in an uncontrolled fashion. Without a functional opposing force (i.e. in the absence of progesterone and levonorgestrel) most women will start to experience unbearable side effects such as abdominal cramps, heavy bleeding, weight gain, and moderate to severe menorrhagia, a condition where menstrual blood loss interferes with a woman’s physical, emotional, social, and material quality of life.

Why can’t the body resume its endogenous progesterone production right after the mirena removal? Because hormones usually take a very long time to get back to balance, and in most cases, progesterone production never goes back to healthy levels.

In short, after removal of the mirena IUD, the body gets into a state of hormonal panic, and that causes all of the side effects associated with mirena removal.

Many women experience varying degrees of adverse side effects such as weight gain, acne, increased risk of blood clot formation, in addition to:

  • Changes in the normal pattern of menstrual cycles that may range from amenorrhea (cessation of menstruation) to spotting and intermenstrual bleeding
  • Lower abdominal pain and discomfort
  • Back pain
  • Pelvic pain that may range from a dull ache to severe cramping pain (very typical in the first few weeks of removal.)
  • Recurring headaches
  • Generalized edema or puffiness of the limbs, face and other parts of the body
  • Abnormal changes in mood (depression, anxiety, agitation, loss of interest in sex)
  • Nausea, vomiting, changes in appetite and lower abdominal pain and discomfort.

A small percentage of females may experience severe complications such as perforation of the uterine wall and displacement of the IUD, ovarian cysts, severe scarring of the genital tract, and pelvic inflammatory disease.

Mirena & Acne

approximately 7.2% Mirena users develop moderate-to-severe acne that may require treatment and more than 50% of women report that traditional therapeutic and pharmacological options are ineffective at managing acne due to Mirena?

According to a report published in the scientific journal Contraception (1), the author suggested that compared to several other long-acting contraceptive devices the chances of developing acne is much higher with Mirena after 12 months of use.Although other hormonal therapies such as oral contraceptive pills are also associated with a higher risk of acne, data reported by Arowojolu (2) suggested that most combined contraceptive pills are associated with spontaneous resolution of acne with time unlike Mirena that is associated with worsening of acne with time.

Data also indicates that approximately 14% of women aged 18-40 who never had acne or dermatological issues developed acne within 3 months of Mirena implantation.

According to a report published in the scientific journal Contraception (1), the author suggested that compared to several other long-acting contraceptive devices the chances of developing acne is much higher with Mirena after 12 months of use.

A recent case study published in the peer-reviewed European Journal of Contraception and Reproductive Health Care (3) suggested that the acne lesions caused by Mirena are fairly distinct. The report explained that:

Most patients develop acne (moderate-to-severe lesions) within the first 3 – 6 months of Mirena insertion.

The lesions are marked by rashes all over the face and other exposed areas of the skin.

The nature and severity of lesions may vary from person to person and even vary in the same person. Skin conditions caused by Mirena are often marked by rosacea, pustules, papules, and large cystic nodules that are extremely painful and uncomfortable.

Most patients do not respond to popular acne remedies such as mometasone, clioquinol/hydrocortisone, and miconazole/hydrocortisone.92% of women respond almost immediately to IUD removal, resulting in significant improvement in the severity of lesions.

Mirena, Depression & Anxiety

Depression, mood changes, and alteration in normal behavior are common side effects of long-term Mirena use. Clinical depression is reported in over 6.4% of all Mirena users at any given point.

In order to determine how early removal of Mirena can affect the physiology of hormones and other bodily functions, Tina Backman and associates conducted a detailed study that was published in the peer-reviewed medical journal BJOG: An International Journal of Obstetrics & Gynaecology (1). According to the report, depression after the removal of Mirena occurs in 36% of younger women (younger age 33) and other women are at much higher risk of developing severe depression (39%).

Sudden or abrupt changes in the concentration or serum level of certain hormones can lead to depression, anxiety, agitation, mood disorders, and the blues. Several clinical studies have been conducted over the years to understand what causes depression. For example, according to one theory, high serum levels of levonorgestrel have the following effects:

  • Low secretion of progesterone (a female hormone that is required for normal ovarian cycles). This creates a state of relative imbalance and leads to estrogen dominance that may lead to depression.
  • Levonorgestrel leads to insulin insensitivity that stimulates the pancreas to secrete higher quantities of insulin, contributing to insulin resistance. Excessive insulin directly affects the absorption of potassium and magnesium, leading to relative low serum concentration of these vital electrolytes. A magnesium deficiency can also lead to depression as evidenced by the research report published in the International Journal of Psychiatry in Medicine (3). Several clinical studies have proved that depressed patients respond well to magnesium supplements (4).
  • The common estrogen and progesterone imbalance in Mirena users can also lead to brain fog, sleeping disorders, and symptoms of depression.

Very low progesterone levels cause you to feel depressed, moody, and dull, lose your zest for life and become lifeless and emotionally imbalanced, all of which can lead to job loss, relationship problems and even dark, suicidal thoughts.

Inability to Reach Orgasm & Enjoying Sex Less
Since IUDs interfere with hormones and brain chemicals, you desire sex less and have fewer and less intense orgasms, decreasing satisfaction for both partners and causing relationship problems.
Premature Menopause
Hormone imbalance can cause early menopause. The following are screenshots taken from a research study by the International Journal of Obstetrics and Gynecology:
Breast Cancer
Increased estrogen increases your risk of developing breast cancer.
Rapid Aging
Hormonal imbalances wreak havoc in your body, overwhelming your immune system and endocrine system and causing you to age much faster.
Brain Damage
Hormones and brain health are very closely related.

How I Overcame the Mirena Side Effects & Regained My Health

I was on a mission to figure out an all-natural, holistic way to bring my hormones back to balance.

I wanted to be sure I would only use safe, gentle and completely natural methods, without having to resort to synthetic hormones and chemicals and pharmaceutical drugs ever again, or even things like bio-identical hormones or hormone replacement therapy.

As time went by and as I researched and read every book and scientific study on hormone health that I could, and attended every health seminar in the country, I started putting the many scattered pieces of the puzzle together.

Over time my passion and hunger for overcoming my health problems got even stronger, especially when I started feeling better and my health started improving! Day by day I felt better and better by using what I was learning to reverse the problems inside my body.

After a year of healing my body with these natural, holistic methods, I completely healed & felt like a New Woman!

 

Not only did I fully regain my health back, but I started to have more energy and vitality than I EVER had in my whole life! In fact, I had more energy and vitality than I ever did, even before I had my Mirena!

Because I didn’t want more women to keep suffering needlessly, I started to put together everything I learned throughout my healing journey, along with the new information I was actively learning virtually daily. Eventually, I refined it all into an easy-to-implement, step-by-step, organized program — The Complete Mirena Detox Program, which will show you how to eliminate all the mirena side effects & lose the excess weight you gained in the shortest amount of time possible for you!

THE MIRENA DETOX PROGRAM

The Mirena Detox program is a simple, step-by-step, 40-day program designed to rid a woman of all the symptoms and agonizing side effects caused by the Mirena and Paragard IUDs and help her fully restore her hormonal balance, and get her health and energy levels back.

You will learn how to heal your body and hormones naturally with food, herbs, all-natural supplements, exercises and lifestyle rituals and changes based on solid scientific research.

Many women report feeling like a new person and often even better than before the insertion of the Mirena. In fact, for many the whole Mirena nightmare proves a blessing in disguise as The Complete Mirena Detox Program introduces a far healthier and more vibrant lifestyle than most women ever dreamed possible.

The Program contains explanations, instructions, and the action steps you should take to reverse your Mirena side effects and transform your health.

Here is a quick glimpse into some of what you will learn:

  1. Understanding Hormones & Hormonal Imbalances and the most reliable, convenient, and affordable ways to get your hormones tested
  2. How to Naturally Build Progesterone and Healthy Hormones to the optimal range
  3. How to Accelerate Weight Loss and Improve Metabolism and Digestion
  4. How to Reduce Excess Estrogens (The “Bad” Hormones)
  5. The Mirena Detox Diet
  6. Overcoming Specific Side Effects & Problems Caused by IUDs
  7. Colon & Liver Cleansing
  8. Cleansing & Detoxification of Copper & Toxins from Mirena
  9. Lifestyle Strategies, Rituals & Exercises
  10. Rebuilding & Strengthening Your Immune System

How Will This Program Help Me Lose Weight Quickly & Effortlessly?

  • It will restore, re-balance and optimize your hormone levels. Hormones are the master switch of metabolism. If you have healthy metabolism, you will lose weight almost effortlessly.
  • It will teach you how to eliminate cravings to sugar, carbohydrates and unhealthy fats, and replace them with other nutritious foods that are equally sinfully delicious, so that you can lose the weight faster and easier, without having to exercise much willpower and drive yourself crazy!
  • It will dramatically improve and strengthen your digestion. This will help you lose weight faster, absorb your food and the nutrients in it much better, and not feel bloated or tired after eating.
  • It will open your eyes to many foods and dishes that are extremely nutritious and nourishing. These foods alone will dramatically improve your metabolism and hormones and help your body lose all the excess weight faster and easier.
  • It will teach you many fun and enjoyable exercises and lifestyle activities that will help you lose weight and that you can do at home, without having to go to the gym.

Why is The Mirena Detox Program Better Than Every Other Program Out There?

  • The Mirena Detox Program is the most cutting-edge program available on hormone health, and is the only program that deals with the side effects of birth control methods and IUDs like Mirena. Most other ‘experts’ are not aware of the findings in this program, and are still recommending incomplete, outdated, and short-term solutions.
  • The Mirena Detox Program works on the underlying causes of your symptoms, rather than on the symptoms themselves. Many other programs and treatments will be effective in removing the symptoms temporarily, but the symptoms will always come back after a while, because the root of the problem has never been addressed.
  • The Mirena Detox Program is backed up by scientific research findings and evidence. All the strategies in the program have been proven effective in improving female hormone health, and at the end of the program you’ll find references to all supporting research and scientific studies.
  • The Mirena Detox recommended diet is an all-natural diet. There are no pharmaceutical drugs or synthetic supplements needed. Everything is completely natural, safe, gentle and proven to work if you commit to it.
  • The Mirena Detox Program is very affordable to follow, and has a budget plan tailored to those on a tight budget. The amount you will spend on the healing foods and herbs and detoxifying your body will be trivial compared to the cost of a doctor visit.

What You’ll Start to Experience After 40 Days On The Mirena Detox Program:

  • Lose all the excess belly fat and cellulite that you gained from being on the mirena, and become the fit, beautiful and feminine woman that you deeply are.
  • Have more energy and focus, and more drive and motivation to get more work done and diligently pursue your goals and dreams in life.
  • Improve your metabolism dramatically so that you are able to enjoy food more without having to feel guilty or drive yourself crazy about the weight you will gain.
  • Learn about the healthiest, most delicious foods and recipes from which you can eat as much you want, without having to worry about having too many unhealthy calories or gaining fat.
  • Lose your cravings to carbs and sugar and unhealthy foods, and instead enjoy foods that are healthier, more delicious, and richer and deeper in flavor.
  • Put an end to digestive upset and food allergies that are imprisoning your life.
  • Get rid of your acne, and have a younger, more youthful and beautiful skin.
  • Stop menstrual problems such as bleeding, clotting, cramping and spotting, and have a virtually painless period.
  • Have deeper, more restful and restorative sleep, and wake up feeling more refreshed and renewed.
  • Boost your immune system and rarely get sick again.
  • Have back your healthy sex drive, be able to enjoy sex a lot more with more pleasure and re-awakened senses, and have deeper, more satisfying sexual experiences: a healthy person is a sexual person!
  • Get back to being your real, fun, happy self again, and rid of your depression and mood swings and anxiety.
  • Overcome the hormonal depression caused mirena, have a better mood, and feel more spiritually uplifted.
  • Conceive a healthy child and have an easy, healthy pregnancy if you so desire.

Testimonials

Make a Smart Investment in Your Health Today


The price of this program is $47, which is only $1.20 a day for the next 40 days.

Before I discovered any of this information, I spent thousands of dollars on doctor visits, medications, drugs and other treatments and “therapies” that didn’t work at all or only worked in the short-term. By investing in this program, you won’t have to go through all of that and waste any of your hard-earned money on things that don’t work or waste time in surfing the internet looking for solutions to get rid of your symptoms.

 

If You’re Not Happy, Get All Your Money Back.

 

I want to help you end your own Mirena nightmare, and with that thought in mind I am going to make this an easy purchase for you so it is 100% risk-free, because I want you to get better as quickly as possible!

I want you to be honest with yourself and fully commit to this program 100%. If it did not rid you of all the extra weight and the side effects that you have been suffering from, if it wasn’t one of the best things that ever happened to you, and if it was anything short of a life transformation to you, then I will gladly send you all your money back instantly.

All you need to do is send a quick email requesting a refund, and you will instantly receive a full refund and have all your money back, no questions asked. So you have nothing to lose.

You can download the program right now, and get started in the next 5 minutes. Within the first 30 minutes, you’ll learn at least 5 things that will help you reduce your symptoms, feel better and lose weight faster, starting today.

References:

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3. Kost, K., Singh, S., Vaughan, B., Trussell, J., & Bankole, A. (2008). Estimates of contraceptive failure from the 2002 National Survey of Family Growth. Contraception, 77(1), 10-21. http://www.ncbi.nlm.nih.gov/pubmed/18082661

4. Finer, L. B., Jerman, J., & Kavanaugh, M. L. (2012). Changes in use of long-acting contraceptive methods in the United States, 2007–2009. Fertility and sterility, 98(4), 893-897. http://www.ncbi.nlm.nih.gov/pubmed/22795639

5. Bednarek, P. H., & Jensen, J. T. (2009). Safety, efficacy and patient acceptability of the contraceptive and non-contraceptive uses of the LNG-IUS. International journal of women’s health, 1, 45. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2971715/

6. https://drjengunter.wordpress.com/2013/05/25/bleeding-after-a-mirena-iud-insertion-what-to-expect/

7. Sordal, T., Inki, P., Draeby, J., OFlynn, M., & Schmelter, T. (2013). Management of initial bleeding or spotting after levonorgestrel-releasing intrauterine system placement: a randomized controlled trial. Obstetrics and Gynecology, 121(5), 934-41. http://www.ncbi.nlm.nih.gov/pubmed/23635728

8. Peipert, J. F., Zhao, Q., Allsworth, J. E., Petrosky, E., Madden, T., Eisenberg, D., & Secura, G. (2011). Continuation and satisfaction of reversible contraception. Obstetrics and gynecology, 117(5), 1105. http://www.ncbi.nlm.nih.gov/pubmed/21508749

9. Nilsson, C. G., Haukkamaa, M., Vierola, H., Luukkainen, T., & Arcangeli, P. (1982). TISSUE CONCENTRATIONS OF LEVONORGESTREL IN WOMEN USING A LEVONORGESTREL‐RELEASING IUD. Clinical endocrinology, 17(6), 529-536. http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.1982.tb01625.x/abstract

10. Trinh, X. B., Tjalma, W. A., Makar, A. P., Buytaert, G., Weyler, J., & van Dam, P. A. (2008). Use of the levonorgestrel-releasing intrauterine system in breast cancer patients. Fertility and sterility, 90(1), 17-22. http://www.ncbi.nlm.nih.gov/pubmed/17706209

11. Hubacher, D., Lara-Ricalde, R., Taylor, D. J., Guerra-Infante, F., & Guzmán-Rodríguez, R. (2001). Use of copper intrauterine devices and the risk of tubal infertility among nulligravid women. New England Journal of Medicine, 345(8), 561-567. http://www.nejm.org/doi/full/10.1056/NEJMoa010438

12. Zhu P, Luo H, Xu R, et al. The effect of intrauterine devices, the stainless steel ring, the Copper T220, and releasing levonorgestrel, on the bleeding profile and the morphological structure of the human endometrium – a comparative study of three IUDs: a morphometric study of 96 cases. Contraception. 1989;40:425–438. http://www.ncbi.nlm.nih.gov/pubmed/2510968

13. Silverberg, S. G., Haukkamaa, M., Arko, H., Nilsson, C. G., & Luukkainen, T. (1986). Endometrial morphology during long-term use of levonorgestrel-releasing intrauterine devices. International Journal of Gynecologic Pathology, 5(3), 235-241. http://humrep.oxfordjournals.org/content/15/suppl_3/162.full.pdf

14. Nilsson, C. G., Lähteenmäki, P. L., & Luukkainen, T. (1984). Ovarian function in amenorrheic and menstruating users of a levonorgestrel-releasing intrauterine device. Fertility and sterility, 41(1), 52-55. http://www.acog.org/Resources-And-Publications/Practice-Bulletins/Committee-on-Practice-Bulletins-Gynecology/Long-Acting-Reversible-Contraception-Implants-and-Intrauterine-Devices

15. Akins, S. (1994). Postpartum hemorrhage. Journal of nurse-midwifery, 39(S1), 123S-134S. http://www.ncbi.nlm.nih.gov/pubmed/8035242

16. Barbosa, I., Bakos, O., Olsson, S. E., Odlind, V., & Johansson, E. D. (1990). Ovarian function during use of a levonorgestrel-releasing IUD. Contraception, 42(1), 51-66. http://www.ncbi.nlm.nih.gov/pubmed/2117516

17. Munuce MJ, Nascimento JAA, Rosano G, Faundes A, Bahamondes L. Doses of levonorgestrel comparable to that delivered by the levonorgestrel-releasing intrauterine system can modify the in vitro expression of zona binding sites of human spermatozoa. Contraception. 2006;73:97–101. http://www.ncbi.nlm.nih.gov/pubmed/16371304

18. Worwood, V. A., & Stonehouse, J. (2007). The Endometriosis Natural Treatment Program: A Complete Self-Help Plan for Improving Health and Well-Being. New World Library. http://www.newworldlibrary.com/BooksProducts/ProductDetails/tabid/64/SKU/15693/Default.aspx#

19. Lockwood, C. J., Krikun, G., Hickey, M., Huang, S. J., & Schatz, F. (2009). Decidualized human endometrial stromal cells mediate hemostasis, angiogenesis, and abnormal uterine bleeding. Reproductive Sciences, 16(2), 162-170. http://www.ncbi.nlm.nih.gov/pubmed/19208784

20. Phillips, V., Graham, C. T., Manek, S., & McCluggage, W. G. (2003). The effects of the levonorgestrel intrauterine system (Mirena coil) on endometrial morphology. Journal of clinical pathology, 56(4), 305-307. http://www.popcouncil.org/uploads/pdfs/WH_1_2.pdf

21. Kalu, E., & Thonet, R. (2005). Oligomenorrhoea and contraception despite extrauterine location of the levonorgestrel intrauterine system: a case report.Journal of Family Planning and Reproductive Health Care, 31(2), 163-164. http://jfprhc.bmj.com/content/31/2/163.full.pdf

22. Freeman, S. (2004). Nondaily hormonal contraception: considerations in contraceptive choice and patient counseling. Journal of the American Academy of Nurse Practitioners, 16(6), 226-238. http://onlinelibrary.wiley.com/doi/10.1111/j.1745-7599.2004.tb00444.x/abstract

23. Mirena forums