Pregnant before Mirena removal?

[Cedarville]

I had Mirena for 3 years before having it removed 12/29/11. I was tired of all the hormonal side effects and my husband is going to get his "procedure" in 2 weeks.  Anyway, we had sex the night before removal and I did not know until a few hours after Mirena was removed that having sex within a week of removal was risky for pregnancy.  I immediately went to the pharmacy to get a Plan B pill.  So, I had sex, roughly 10 hours later had Mirena removed, and about 6 hours after that, took Plan B.  What are my chances of being pregnant.  About 4 days after removal I started having "pregnancy symptoms" (heavy sore breasts, anxiety, headaches off and on).  Is this probably hormone related to coming off of Mirena and taking Plan B?  When can I test for pregnancy since I have no idea about my cycle.  I never had a period the entire 3 years.

[alleycat6607]

Here is my story.  I had sex with my hubby on a Sunday night and Monday felt the mirena on my cervix.  had it removed on Wednesday; and while on mirena (got it placed 12/2012) still had my period.  The following weekend I started bleeding pretty significantly like I was on my period, so I cant say that it was spotting, but then after 2-3 days of bleeding it suddenly stopped, which is weird because it usually gradually stops.  

Never once was told that I should not have sex a week before removal, because if I had I would have waited to get it removed...what are the chances of me being pregnant in this situation...

[Cedarville]

Thanks for your reply!  The side effects were the same reason I had it removed! I was so done with the acne and weight gain.  That, and my husband and I are planning an adults only vacation this summer and I wanted to get my body back to "normal." Not to mention he is having his vascetomy in a WEEK!!!  Our whole plan was to use condoms until he was in the clear. I wish I would have known about the "no sex the week before Mirena removal" rule.  If I would have read about it on the internet, I'm sure I wouldn't even be thinking about this!  I'll keep you posted.  It will be 2 weeks on Wednesday.  I tested today and negative...plan on testing again Wed.

[Majikat]

typically if there is no period then there is no ovulation...when you have your period that is when the eggs are "washed out" of your uterus... there could still be a small chance tho.... the hormones in mirena are intended to stop ovulation and block the fallopian tubes... i had it for 5 years and hated the homonal side effects as well every month i felt like i was pregnant.... i had sex prior to removal also but was not really concerned as i was not having my periods...

i think you are pretty safe but like said above if you miss your period take a test or you could take one a couple days before but you just dont know when to expect it so you can take one and get accurate results 14 days after the sexual encounter

[Cedarville]

Thanks!  I still have no idea when I ovulated or if I did since I never had any periods.  Once yesterday when I went to the bathroom I had a lot of pink mucousy discharge and some brown spotting later, but nothing since then.  It could either be my impending period or implantation spotting (never had this with my other 3 pregnancies).  it will be 2 weeks since intercourse on Wednesday (2 more days). I took a pregnancy test today and definitely negative. :)

I've been taking my basal body temps for a week, and they have always remained low (97.5 or lower), which for me is typically pre-ovulation temps.  Still waiting and trying not to go crazy.

[Bhupinder Kaur, MD]

Hello,
Since you had sex before removal of Mirena and then had post coital pills, so chances of pregnancy are less. However if you miss your periods, I suggest you to test for pregnancy by a highly sensitive pregnancy test 10 days post ovulation with a sensitive ( 20 - 25 mIU ) pregnancy test. Also then I would suggest you to get your serum HCG levels estimated since this is more specific than urine for pregnancy tests.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.