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OK to use Mirena after a splenectomy?

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14 years 11 months ago #15190 by ecrane11
OK to use Mirena after a splenectomy? was created by ecrane11
My ITP has been under control since my splenectomy in August of 2009 and I've been taking birth control pills since 2008. I'm interested in switching to the Mirena IUD, but apparently Mirena should not be used by women with immune problems. Does anyone know if asplenia counts as a big enough immune problem? It seems like the risk comes from unsanitary insertions or infections, but if the environment is safe, is Mirena safe? Thanks in advance!

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  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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14 years 11 months ago #15220 by Sandi
Replied by Sandi on topic Re: OK to use Mirena after a splenectomy?
I wouldn't think the main risk is asplenia. Two things: Even after a splenectomy, you still have an autoimmune disorder (ITP antibodies) and/or the predisposition to acquire another one. Also, anyone with ITP should use BC with caution because there is an added clotting risk which goes up after splenectomy.

I'd talk to your doctor about it...both the hemo and GYN.

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14 years 10 months ago #15557 by ecrane11
Replied by ecrane11 on topic Re: OK to use Mirena after a splenectomy?
Thanks Sandi! My PCP gave it the go-ahead after talking to the OB/GYN in her office, but I guess I should contact the hematologist as well. Since I'm already taking birth control pills and have since before my ITP, is there a meaningful difference between those and the IUD?

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  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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14 years 10 months ago #15573 by Sandi
Replied by Sandi on topic Re: OK to use Mirena after a splenectomy?
I don't know. My daughter's doctor wanted her to use Mirena, so we researched it. We decided against it based on what other patients said about their experience. Do your research.

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The Platelet Disorder Support Association does not provide medical advice or endorse any medication, vitamins or herbs. The information contained herein is not intended nor implied to be a substitute for professional medical advice and is provided for educational purposes only. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment, discontinuing an existing treatment and to discuss any questions you may have regarding your unique medical condition.