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» Scarleteen Boards: 2000 - 2014 (Archive) » SCARLETEEN CENTRAL » Safer Sex & Birth Control » Mirena vs. Nuva Ring

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Author Topic: Mirena vs. Nuva Ring
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I'm not sure if this is going to be something that quite compares, but I was wondering how different the hormones are in the Nuva Ring and Mirena? Also, how much hormones in Mirena are we talking if there's some relative way to talk about it? I'm in the process of checking into if I'll be able to afford the Mirena with my insurance. I haven't had children, but my relationship is stable and monogamous.

The one major concern I have beyond the basic ones that most people would be thinking about is the potential impact it might have on my mood as I have bipolar disorder so anything that might affect my mood needs to be factored in. Obviously the final decision would be between me and my doctors, but I'm just curious if other people have had it affect their mood much beyond a month or two after insertion?

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Executive Director & Founder
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The Nuvaring is a combined hormonal method: it has estrogen and progestin. The Mirena only has progestin.

As well, the levels are a lot different, as the Nuvaring works only BECAUSE of the hormones. The hormones in the Mirena aren't the operation of that method (they aren't why it works), it's an addition to the method to help knock out side effects.

The Mirena delivers 20 micrograms of levonorgestrel per day. The Nuvaring delivers 120 micrograms of its progestin per day (that level, of that hormone and the estrogen, is still much lower than those of the pill).

In a word, because of the differences of the two methods, it'd be tough to make a call, especially if you don't know how you react to progestins OR estrogens at all, but the Mirena certainly delivers less hormones into your bloodstream. Of course, you also have the option of the Paraguard IUD, which doesn't have any hormones at all.

What I'd advise is checking in with your doctor about this, including the provider who treats your bipolar disorder.

Heather Corinna, Executive Director & Founder, Scarleteen
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