What to Expect Before, During, and After Mirena IUD Insertion and Removal

 At The IUD Clinic in Langley, BC, their goal is to make every patient feel informed, supported, and comfortable throughout their contraception journey — from the first consultation to IUD insertion and eventual removal or replacement.

If you’re considering a Mirena IUD, you’re not alone. It’s one of the most popular long-acting reversible contraceptives in Canada — offering up to 8 years of protection, lighter periods, and peace of mind. Understanding what to expect before, during, and after your appointment helps you feel prepared and confident.

Before Your Mirena IUD Insertion

1. Initial Consultation and Counselling

Before scheduling your Mirena IUD insertion in Langley, you’ll start with a detailed consultation at The IUD Clinic. During this visit, their clinicians will:

  • Review your medical history and any current medications

  • Discuss your reproductive goals and menstrual patterns

  • Explain how Mirena works and whether it’s the right fit for you

This session is also an opportunity for you to ask any questions about side effects, effectiveness, or the insertion procedure. Their team ensures you feel informed, never rushed.

2. Preparing for the Appointment

On the day of your insertion, they recommend:

  • Eating a light meal beforehand

  • Taking an over-the-counter pain reliever (like ibuprofen) about 1 hour before your appointment, unless advised otherwise

  • Arranging for a short rest afterward if you feel light-headed or crampy

You won’t need to fast or undergo any special preparation. If you’re already using another form of contraception, they’ll guide you on how to transition safely to Mirena.

During Mirena IUD Insertion

1. A Calm, Comfortable Setting

At The IUD Clinic in Langley, they specialize in IUD and implant procedures — meaning every member of their team is trained to make the process as gentle and efficient as possible. Their patients often appreciate that they offer consultation and insertion in one visit, reducing wait times and unnecessary trips.

2. The Procedure Step by Step

Here’s what you can expect:

  1. Pelvic exam: The clinician will begin with a brief exam to assess your uterus and cervical position.

  2. Speculum placement: Similar to a Pap test, a speculum is inserted to visualize your cervix.

  3. Cleaning and numbing: The cervix is cleaned, and a local anesthetic may be applied if needed.

  4. IUD insertion: The Mirena device is gently placed through a thin applicator into the uterus.

  5. String trimming: The IUD strings are cut to a comfortable length, which helps with future removal.

The entire process typically takes only a few minutes. Some patients experience mild cramping — similar to period pain — but it usually subsides quickly. You may rest in the clinic for a few minutes afterward before heading home.


After Mirena IUD Insertion

1. What’s Normal in the First Few Days

It’s common to experience mild cramping or light spotting for a few days after insertion. Using a heating pad and over-the-counter pain relief can help ease discomfort. Avoid inserting anything into the vagina (like tampons or menstrual cups) for at least 24 hours.

Your period may change after getting Mirena — it often becomes lighter, shorter, or even stops altogether after several months. These changes are normal and one of the key benefits of this hormonal IUD.

2. Follow-Up and Self-Check

A follow-up appointment may be recommended a few weeks after your Mirena IUD insertion in Langley to ensure proper placement. You can also check the IUD strings yourself — your clinician will explain how to do this safely.

If you ever feel severe pain, heavy bleeding, or suspect the IUD has shifted, contact The IUD Clinic at 604-546-2190 promptly.

When to Consider Mirena IUD Removal

Mirena can stay in place for up to 8 years, but you may choose to remove it earlier if:

  • You’re planning a pregnancy

  • You’re experiencing unwanted side effects

  • You’re reaching the end of its lifespan and need a replacement

  • You’d like to switch to another form of contraception


During Mirena IUD Removal

1. Quick and Simple Procedure

A Mirena IUD removal in Langley at The IUD Clinic is a straightforward process. It typically takes only a few minutes and is performed by our experienced clinicians.

You’ll lie comfortably on the exam table while a speculum is gently inserted to view the cervix. The clinician will locate the IUD strings and slowly remove the device using specialized forceps. Most patients describe a brief cramp as the IUD slides out — similar to menstrual discomfort.

2. Immediate Return to Fertility

Once your Mirena is removed, your fertility returns almost immediately. If you’re not ready to conceive, we’ll help you transition to another form of contraception the same day. Many patients also choose to have a new IUD inserted during the same visit — making it a one-step replacement.

3. Aftercare and Next Steps

You may experience light spotting or cramping for a day or two following removal. Using a heating pad and resting can help relieve discomfort. If you had your IUD removed due to side effects or menstrual concerns, our clinicians will discuss alternative options suited to your needs.

Why Choose The IUD Clinic in Langley

They’re proud to be BC’s dedicated IUD and implant clinic, offering rapid access to specialized care — often within one week of referral. Their focus is exclusively on contraception, which means every patient benefits from a supportive environment and evidence-based guidance.

At The IUD Clinic in Langley, they provide:

  • Same-day consultation and insertion appointments

  • Expertise in Mirena IUD insertion in Langley and Mirena IUD removal in Langley

  • Comprehensive contraception counselling

  • A calm, patient-centered environment

Their clinicians are trained in all major devices — including Mirena, Kyleena, and copper IUDs — as well as the subdermal implant Nexplanon. Whether it’s your first IUD or a replacement, you’ll receive care tailored to your body and preferences.

Frequently Asked Questions

Q1. How long does Mirena insertion take?

A: The procedure itself usually takes under 10 minutes. You may spend a little more time in the clinic for preparation and recovery.

Q2. Can I drive home after my IUD insertion?

A: Most patients can safely drive themselves home. If you tend to feel faint during medical procedures, consider arranging a ride.

Q3. Is removal painful?

A: Most people experience only mild cramping during removal — far less discomfort than expected. The entire process takes just a few minutes.

Q4. How soon can I get pregnant after removal?

A: Your fertility returns right away. If pregnancy isn’t desired, discuss ongoing contraception options before removal.

Q5. Do I need a referral to visit The IUD Clinic?

A: Yes. A referral from your family doctor or nurse practitioner is typically required for appointments at The IUD Clinic in Langley. Once received, they aim to book your visit within one week.


The Takeaway

Getting a Mirena IUD insertion or removal in Langley doesn’t need to feel overwhelming. At The IUD Clinic, their experienced clinicians guide you through every step with compassion and clarity — helping you make confident, informed decisions about your reproductive health.

Whether you’re considering your first Mirena or replacing an existing one, their team is here to support you from start to finish.

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