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It just ceases to work (although I understand that there is actually enough Levonorgestrol in it to last 7 years).
It just isn't active anymore. It's recommended that the plastic piece be taken before another year has passed. After 5 years, you can get pregnant. S
The effectiveness of Mirena IUD is related to the low dose of hormones - once you hit five years, you are no longer getting an effective dose of hormones to prevent ovulation and conception.

This may leave you at a slightly higher risk of ectopic pregnancy so the Mirena should be removed as soon as possible. It can be replaced on the same day the old one is removed.

If you no longer have an OB/GYN doctor, you can go to any Planned Parenthood office.

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11y ago
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10y ago

If you leave a hormonal IUD like Mirena in too long, you may not be protected against pregnancy, but there are no other risks. Talk to your health care provider about finding another method of birth control.

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8y ago

There is not evidence that Mirena is effective beyond five years. Women who have had the same Mirena for more than five years should use an alternative method of Birth Control. Those wanting to continue using Mirena should have the current one removed after five years, and a new one inserted.

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10y ago

If you dont' have Mirena removed after five years, you could get pregnant. There is no other risk from leaving it in place.

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10y ago

While you can't rely on it for birth control after five years, there is no harm in leaving it in place longer than five years.

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10y ago

Ask a gynaecologist.

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Q: What if you dont take your Mirena out after 5yrs?
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