Evaluation of Effects of Mirena on Female Sexual Function, Weight Gain, and Mood Changes

Abstract

Background: The intrauterine device (IUD) is one of the most popular contraceptive methods. Mirena
is a hormonal IUD that can provide long-term birth control. The possible negative side effects of LngIUS on female sexuality is still a matter of debate, with conflicting results.The aim of the present study
was to evaluate the effects of mirena on female sexual function, weight gain, and mood changes.
Patients and Methods: A cross-sectional analysis study of 48 participants' women, use of an
intrauterine contraceptive method, conducted to Obstetrics and Gynecology Department, Zagazig
University Hospitals. All patients who enrolled in the study were subjected to full history taking,
clinical examinations, and estimation of Female sexual function index and BMI. Main outcomes were
estimated including desire, orgasmic function, lubrication and vulvovaginal symptoms, and sexual
satisfaction and mood changes. Results: The age of the studied cases ranged from 22 to 40 years with
mean 31.22 ± 4.67 years. There was no statistical significance difference in FSD before and after
Mirena insertion among the studied group. No statistically significant difference was founded between
BMI before and after 2,4 and 6 months after insertion. There was no statistical significance difference
in depression before and after Mirena insertion but there was a statistical significance increase in
frequency of anxiety (43.5% before versus 80.4% after), sleep disorders (6.5% before versus 41.3%
after), and restlessness (4.3% before versus 58.7% after) among the studied group.Conclusion: The
design of the study has important advantages for understanding the association between the use of
mirena IUD type and quality of life, body weight and sexuality of women. It might have valuable
implications for health care professionals-gynaecologists, sexologists, psychiatrists and clinical
psychologists.