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Because it's practically guaranteed to remain effective for the 5 years, but the probability of it remaining effective for 7 is slightly lower. It's precautionary to remove it, just in case it does not work the remaining 2 years.

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Q: Why take Mirena out in 5 years if enough to last 7?
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If you think you're pregnant on Mirena, take a pregnancy test.


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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. SThe 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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