Alison
A difficult labour left Alison with a uterine and vaginal wall prolapse. A keyhole sacrohysteropexy with Mr Broome lifted the uterus back into place and let her go on to have a healthy second baby.
Read moreTreatments & Procedures
Mirena IUS
The Mirena intrauterine system (IUS) is a small T-shaped device that sits inside the womb and releases a low daily dose of levonorgestrel for up to eight years.
At The Pelvic Clinic Mr Broome fits, checks and removes the Mirena at Spire Manchester, with time in the appointment for you to ask questions before, during and after fitting.
Book an Appointment
Overview
What is the Mirena IUS?
The Mirena is a levonorgestrel-releasing intrauterine system. It is licensed as a highly effective long-acting contraceptive, as first-line treatment for heavy periods, and as the progestogen half of HRT for the womb lining.
Once fitted, it is one of the most effective contraceptives available, with a failure rate of well under 1 per cent per year, and it typically reduces menstrual bleeding by around 90 per cent within a year.
Who It Suits
When the Mirena is recommended
Heavy periods
The Mirena is the first-line medical treatment for heavy menstrual bleeding without an obvious structural cause.
Endometrial protection on HRT
Women with a womb who take oestrogen HRT need progestogen protection; the Mirena can provide this for up to five years.
Long-acting contraception
A discreet, reliable contraceptive that lasts up to eight years and does not need to be remembered daily.
Painful periods
The Mirena reduces prostaglandin release in the womb lining, easing period pain for many women.
Adenomyosis symptoms
For women with adenomyosis, the Mirena helps reduce pain and bleeding without needing surgery.
Endometrial hyperplasia
A hormonal option for treating simple hyperplasia of the womb lining without surgery, with regular biopsy follow-up.
The Mirena is not suitable for everyone. A short assessment before fitting confirms it is the right option and that fitting is safe on the day.
Step by Step
What fitting the Mirena involves
The fitting itself takes about five minutes and is done in clinic. The whole appointment usually takes 20 to 30 minutes.
Consultation and history
A short discussion of your reason for the Mirena, medical history, current medications and any concerns about fitting.
The examination
A gentle internal examination and, where useful, a bimanual exam to check the size and position of the womb.
Fitting the coil
The Mirena is passed through the neck of the womb using a fine applicator. Most women feel period-type cramps for 30 to 60 seconds.
Aftercare and check
The threads are trimmed, and you can rest for as long as you need before going home. A follow-up review is usually planned at six weeks.
About Mr Broome
A senior specialist women travel across the UK to see
Mr Jonathan Broome (MBChB, MRCOG) is a Consultant Gynaecologist known locally and nationally for treating pelvic floor disorders such as urinary incontinence and prolapse, alongside heavy or painful periods, endometriosis, fibroids and menopausal problems. He founded The Pelvic Clinic to give women the time, care and clear answers their symptoms deserve.
- Consultant Gynaecologist, MBChB, MRCOG.
- Over 30 papers published in peer-reviewed medical journals.
- A urogynaecology expert consulted by institutions worldwide.
- Keyhole prolapse repair, often without the need for hysterectomy.
In Our Patients’ Words
Treated with discretion and respect
Verified reviews from patients seen by Mr Broome, shared through Doctify.
Verified patient • 14 March 2026
“For the first time I felt genuinely listened to. Everything was explained clearly and I never felt rushed. The whole team were so kind and reassuring.”
Patient seen for:
Laparoscopic (Key-Hole) SurgeryEndometriosis
Verified patient • 02 February 2026
“After years of struggling I finally had a plan. Calm, kind and completely professional throughout. I would not hesitate to recommend Mr Broome.”
Patient seen for:
Pelvic Organ ProlapseSacrohysteropexy
Verified patient • 19 January 2026
“Discreet, thorough and reassuring. I wish I had come sooner rather than waiting so long in discomfort. The follow-up care was exceptional.”
Patient seen for:
FibroidsHeavy Periods
Verified patient • 05 December 2025
“The consultation felt unhurried and I left with a clear plan. My recovery from surgery was much easier than I expected and the practice team kept in touch throughout.”
Patient seen for:
Ovarian CystsLaparoscopic (Key-Hole) Surgery
Verified patient • 18 November 2025
“Excellent expertise combined with genuine warmth. I finally have answers after years of being told it was just my age. Truly grateful to Mr Broome and his team.”
Patient seen for:
MenopauseUrinary Incontinence
Verified patient • 30 October 2025
“Professional and personal in equal measure. Every question was answered patiently and I felt in safe hands from the first appointment onwards.”
Patient seen for:
EndometriosisPelvic Organ Prolapse
Real Patient Journeys
Mirena IUS case studies
A snapshot of what Mirena fitting can achieve at The Pelvic Clinic.
Jane
Years of flooding periods and iron-deficiency anaemia caused by fibroids. A keyhole myomectomy with Mr Broome removed the fibroids, restored Jane’s iron levels within three months and brought her cycle back to normal.
Read more
Kate
Kate had been living with severe pelvic pain from endometriosis for over a decade. Laparoscopic excision surgery with Mr Broome removed the deposits and she returned to work and regular exercise pain-free.
Read more
Kaye
After menopause Kaye developed a bothersome vaginal vault prolapse that stopped her running and swimming. A laparoscopic sacrocolpopexy with Mr Broome resolved the symptoms and she is back to daily exercise.
Read moreCommon Questions
Frequently asked questions
Answers to the questions patients ask most often about the Mirena at The Pelvic Clinic.
Does fitting the Mirena hurt?
Most women feel period-type cramps for 30 to 60 seconds as the coil is passed through the cervix. Ibuprofen an hour before helps, and local anaesthetic is available if you would prefer.
How long does the Mirena last?
Up to eight years for contraception, and up to five years for endometrial protection on HRT or for heavy periods.
When does it start working?
For contraception, the Mirena is effective immediately if fitted in the first seven days of your cycle, and after seven days otherwise.
Will my periods stop?
Around one in five women have no periods after a year, and most others have much lighter, shorter periods. Some spotting in the first three months is common.
Is the Mirena safe if I have never had children?
Yes. It is safe and effective in women who have not had children, though fitting may be slightly less comfortable.
Can it come out on its own?
Expulsion is uncommon, at around 1 in 20 women. Self-checking the threads once a month picks it up early if it happens.
Are there hormonal side effects?
The Mirena works mostly locally, so hormonal side effects are usually mild. Some women notice mood, skin or breast changes in the first few months.
Can I have it removed early?
Yes, at any time. Removal is quick and simple, and fertility returns immediately.
Is it linked to weight gain?
Studies do not show a clear link between the Mirena and weight gain, though a small number of women feel their weight changes after fitting.
How quickly can I be seen?
Self-pay and insured patients are usually seen within one to two weeks. Fitting is often done at the first appointment where appropriate.
