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Hatcher R, Trussel J, Stewart F, et al, eds. Contraception Technology.mcg/day after 5 years May remove and replace with a mirena levonorgestrel 20 unit anytime during menstrual cycle Must be removed or replaced by 5 years following insertion Renal or hepatic impairment: No studies conducted Insert any time the healthcare professional assesses the woman is not pregnant Consider the possibility of ovulation and conception before initiation of this product If inserted during the first 7 days of the menstrual mirena levonorgestrel 20 or immediately after a first trimester abortion, back up contraception is not needed If NOT inserted during the first 7 days of the menstrual cycle, use a barrier method of contraception or abstain from vaginal intercourse for 7 days to prevent pregnancy Insert intrauterine device at any time May be inserted during the hormone-free interval of the previous method If inserted during active use of the previous method, continue that mirena levonorgestrel 20 for 7 days after intrauterine device insertion or until current treatment cycle has ended If using continuous hormonal contraception, discontinue that method 7 days after insertion May be inserted at any time If inserted 3 months 13 weeks after the last injection, use mirena levonorgestrel 20 barrier method of contraception eg, condoms, spermicide for 7 days after insertion Insert intrauterine on the same day the implant or IUS is removed; may be insert at any time during the menstrual cycle.

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However, infrequent reports 1% of significant displacement a few to several inches have been received. Some of these reports have been associated with pain and difficult removal.a b c ECEC 2014 "Emergency contraception availability in Europe".

New York: European Consortium for Emergency Contraception ECEC Retrieved March.

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