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A MyEndometriosisTeam Member asked a question 💭
London, UK

I am about to get the mirena coil as other pills stopped being efficient. But will it work? And has any of you got it under general anaesthetic? I could not stand the sensation so the surgeon stopped hysterscopy snd coil insertion saying my only option was general anaesthetic. Really?!?! I thought one could have it uber vslium or something milder that general?!?! An I going mad or this surgeon cannot be bothered?

November 16, 2017
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Answer Summary

Members shared varied experiences with Mirena coil insertion, confirming that general anesthetic or epidural is sometimes necessary,... Read more

Members shared varied experiences with Mirena coil insertion, confirming that general anesthetic or epidural is sometimes necessary, especially for those who haven't given birth or have difficulty tolerating the procedure, with some expressing frustration at being offered only ibuprofen when stronger pain management could have helped. Several members described helpful preparation strategies, including scheduling insertion right after a period when the cervix is naturally more open, using cervical-softening medication inserted the night before, and requesting pain relief options like local anesthetic or painkillers before, during, and after the procedure. A recurring theme was advocating for adequate pain management and not hesitating to ask for support, with one member sharing that despite a difficult insertion experience, the discomfort was manageable compared to endometriosis pain, and another noting the Mirena may have kept her endometriosis symptoms at bay for three years.

A MyEndometriosisTeam Member

So my doctor said the trick is to do it right after your period comes because thats when the cervix is open the most-- then they gave me a drug that opens the membranes to make it easier to put in (and take out my old one) that I put in overnight and take out 1hr before the procedure. Additionally they gave me a pain killer to put in before and will give me pain killers there and afterwards she said. I'm doing it tomorrow, so I'll let you know how it goes and the name of the drug (if it works / is helpful). I know we all experience pain differently, but it can't hurt.

Also I don't think the epidural would hurt in comparison -- but only time I had an epidural was giving birth -- and then I was happy for it so I have no idea. But, I think asking for as much support in the pain management department is wise. Sometimes its like they forget to offer it, and once you ask you get a flood of different options.

November 22, 2017
A MyEndometriosisTeam Member

Thanks! I just wanted to make sure it was a normal procedure..

November 17, 2017
A MyEndometriosisTeam Member

My surgeon strongly recommends it under a general, you'll only sleep for 10 mins he said so hopefully you wouldn't feel too bad from the aneasthetic

November 17, 2017
A MyEndometriosisTeam Member

That same thing happened to me pre-baby. Since I've given birth, they're able to give me a pain killer, a local, and some other medication that opens my cervix but they said only option pre-baby is epidural or anesthetic.

About the Mirena, my current GYN thinks it might have been the only thing keeping my Endo at bay post birth for 3 years. The pains back (in year 4) - so we're inserting a new one next week. I don't know if it will help (me or you) but it was the right option for me at this time.

November 17, 2017
A MyEndometriosisTeam Member

@A MyEndometriosisTeam Member — the pill she had me insert the night before unfortunately didn’t open my cervix so she had to manually open it — and after she got the coil in she accidentally clipped it. Lots of blood.

It was a little uncomfortable, a pinch of pain, and then pain killers for 2 days with a little cramping. Compared to Endo cramping it was nothing. Uncomfortable and sore but not excruciating.

Good luck!

December 5, 2017

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