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Hello – so I have been diagnosed with endometriosis since 2014. Have had no children and I was recommended the mirena by my gyny. I have had one mirena already (inserted 2015) - that one expelled within a year, and I am on my second one, which I got last year (Oct 2016). I used to masturbate to help with menstruation cramps as I don't like to rely on meds all the time for the pain during my period.

My question is that can the mirena be expelled if I masturbate during my period due to a combination of post-orgasm contractions and cervix os being wider thus allowing the mirena to start moving out of the uterus? God I hope that made sense.

Thank you again for making this community - helps to know its there for worried people like me.

ps: to Moderators, I am really sorry but I was unsure of which section to post this in.


( 9 comments — Leave a comment )
Feb. 17th, 2017 04:37 pm (UTC)
I'm sorry you expelled in the past but I don't think masturbation is something to worry about. I've never heard of doctors (or anyone else) warning against masturbation with an IUD. Orgasms during my period don't feel any different than non-bloody orgasms.
Feb. 27th, 2017 08:41 am (UTC)
yup it was a bummer, when it came out but fingers crossed at least this one will stay in for a loong time. Thanx again
Feb. 17th, 2017 07:25 pm (UTC)
I haven't experienced expulsion from masturbating, even on heavy flow days. I had an ultrasound after 8 weeks and after a few orgasms in the weeks preceding and my doctor showed me how my Paragard was still resting against my fundus. I think a key part of an IUD staying in is the doctor or nurse making sure it's inserted all the way to the top, otherwise the arms can't release all the way, since the uterus narrows as it gets near the cervix.
Feb. 27th, 2017 08:41 am (UTC)
sadly they don't do much ultrasound (though truthfully I haven't asked either). But since I am getting new endometriomas again, most likely they will schedule an ultrasound to check up on me sometime this year so I can get it checked out again
Feb. 18th, 2017 05:59 am (UTC)
While it's probably possible, as others have said, it doesn't seem likely -- unless your uterus is very borderline on being large enough to have a Mirena at all.

If this one is well-placed, then you should be okay, I would think. If it expels, I'd look into getting a slightly-smaller Skyla instead. Good luck!
Feb. 27th, 2017 08:48 am (UTC)
hmm haven't asked about Skyla (don't know if they do it here in NZ), but have heard about expulsion occurring more during periods hence my panic. But thank you for your response.
Feb. 18th, 2017 07:53 am (UTC)
Sorry to hear about your expulsion, and I hope Mirena helps with your endometriosis. I'm having trouble finding research on the relative force of different types of uterine contractions (if anyone does, please share!), but here are my two cents:

Healthy pregnant women aren't discouraged from having sex or orgasms. Orgasmic uterine contractions appear to have no effect on normal pregnancies, even late term (http://www.sciencedirect.com/science/article/pii/S0029784400011479; http://www.sciencedirect.com/science/article/pii/S0002937812908790).

If I were to hazard a guess, this suggests to me that orgasmic contractions vary in strength and/or pattern from the contractions the body uses to push out fetuses and/or endometrium. That would make orgasms less likely to affect an IUD than normal period cramps, by my reckoning. That said, obviously there are differences between the pregnant uterus and the nulliparous uterus, so it may be difficult to compare.

Hope that helps!
Feb. 27th, 2017 08:51 am (UTC)
hmm definitely something to think about, never thought about it that way. would the fact that I have a retroverted uterus affect expulsion rates?

Edited at 2017-02-27 08:53 am (UTC)
Feb. 27th, 2017 02:20 pm (UTC)
The science thus far says no, that uterine position appears to have no significant affect on expulsion rates or IUD failure (http://www.sciencedirect.com/science/article/pii/0010782490900595, http://www.contraceptionjournal.org/article/S0010-7824(02)00480-8/abstract).
( 9 comments — Leave a comment )

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