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Effectiveness 99%

How to use • Must be placed in uterus by a health care provider
• Must be removed by a health care provider

Pros Mirena may be left in place for up to 7 years  Skyla may be left in place for up to 3 years Nothing to remember daily May improve period cramps and bleeding

 

Cons Does not protect against HIV or other STIs  May cause irregular bleeding (spotting, no periods or heavy periods)                                       After 1 year, many women have no period at all (good or bad)