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Q: Should you leave the coil in any longer than 5 years?
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you are advised to replace the mirena coil after 5 years, though they probably are effective a while longer than that. Leaving it in much longer, will reduce it's effectiveness. If it's left inside way too long, it can get stuck and be harder to remove. If left very long, it can cause blood loss and pain. Last year we removed a coil that had been in place 20 years. This patient complained about brown loss and pain. It is best to replace your coil after about 5 years to avoid problems with removal later, and guarantee it's optimal effectiveness.


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I have had an IUD coil in for 5 years now started to have a lot of pain should the coil be taken out?

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there is a small bolt that holds down the coil for each cylinder.... It has a 7 or 8 mm head on it and is longer than I think it should be.... probably 1.5 inches or so, so be patient taking it off. On the passenger side, the bolt is towards the outside of the engine in front of the coil itself...