True Mirena failure: Twin pregnancy with Mirena in situ.

J Midlife Health

Department of Obstetrics and Gynecology, Southend Fertility and IVF Centre, Max Hospital, Gurgaon, India.

Published: January 2013

Mirena levonorgestrel intrauterine system (LNG-IUS) is a very reliable method of contraception with the failure rate comparable to sterilization. We present a case of failure of the Mirena intrauterine device in situ in a woman with twin gestational sac with positive Beta Human Chorionic Gonadotropin (β HCG) within 2 years of insertion. Although LNG-IUS is one of the most effective methods of contraception, the risks of failure should always be kept in mind and the women be appropriately counseled before its use.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3702068PMC
http://dx.doi.org/10.4103/0976-7800.109640DOI Listing

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