Pregnant with Mirena?

QUESTION

Dear Midwife,
I have a quick question. Is it possible to get pregnant while having the IUD Mirena?

Mine has slipped and isn't in the proper location but the doctor said not to worry. That was about 2 months ago.

Since December I have gained at least 20 lbs, I'm tired all the time, my breast are huge, and I seem to crave different things then I have in the past. I took a pregnancy test the other day but it was negative. And I don't get a period anymore really. The last one I had was in August. So I'm not really sure what to think. Any thoughts?

ANSWER

If the pregnancy test is negative (and it was a good one), then you are not pregnant. It is possible but extremely unlikely (like less than getting sterilized) that you would get pregnant on Mirena, but nothing is perfect, which is why you do the test. On the other hand, gaining weight that fast is not normal, even if you are pregnant. I think a check-up is in order to find out what is going on.

--Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.