You should get the IUD removed if you are seeking pregnancy, or if it is at the end of its useful life.
Mirena is not effective after five years, so there is no advantage to leaving it in. If you would like to continue its use, you can have a new one inserted on the same day as Mirena.
There are no health consequences to leaving the IUD in longer than five years, but a hormonal IUD may not be effective past its useful life span.
Missing a period once in five years is normal with or without the IUD.
There is no need to remove the IUD before (or after) having your tubes tied. Leaving it in will ensure continuous protection.
The Mirena IUD lasts five years, Paragard lasts 12, and Skyla lasts three years.
If you leave the copper IUD in too long, there are no potential health problems. If you leave a hormonal IUD like Mirena in too long, you may not be protected against pregnancy, but there are no other risks.
There is no minimum age of having the Mirena IUD removed. Women have it removed when they are seeking pregnancy, when they no longer need it (e.g. menopause), or when they have had it in for five years and need a new IUD or new method.
No. If the IUD is not expelled by chance, it will continue to give you protection by three years. I have seen the ladies, who have inserted the IUD and then forgotten about the same. This may be detected, may be after five years, when you ask a leading question to her.
Yes, you can have another IUD inserted on the same day the old one is removed. This is a common practice.
Most women start menstruating within a couple weeks of the IUD removal.
If you can feel the IUD coming out you need to contact your health care provider so that it can be removed. You may not have pregnancy protection, so consider the morning after pill if you've had sex in the last five days. Use a backup method of birth control until you know that the IUD is protecting you.
As the Mirena IUD comes to the end of its five-year useful life, brown spotting can be a side effect. If you are having other symptoms, contact your health care provider.
There are no side effects of having your tubes tied and leaving an IUD in place. There is no pressing need to remove the IUD if you have other pregnancy protection.