Can I get a tummy tuck with Mirena?

Question

I am scheduled for a tummy tuck with lipo in 1 week but I have a Mirena IUD. The IUD info talks about pulmonary embolus. Do I need to have my IUD removed?

Martin Jugenburg, MD · Answer

Each surgeon has their own protocols. Please ask your chosen surgeon. We recommend patients avoid birth control two weeks prior to surgery if their surgery will be longer than two hours. Ultimately, it is up to your surgeon. Regards,

Nelson Castillo, MD · Answer

Thank you for your excellent question.  In most cases hormone-based contraceptives do not need to be stopped or removed in anticipation of surgery and the same precautions to avoid blood clot formation should be followed - limiting operative time, leg compression devices, possible anticoagulation, early ambulation, staying hydrated, etc.  Talk to your surgeon, they can better provide you with reassurance or recommendations based on your specific medical history and any associated risk factors such as smoking. Hope this helps.

Carmen Kavali, MD · Answer

The Mirena uses progestin-only,  which carries a lower clotting risk than estrogen-progestin combination therapy.  Your surgeon should evaluate your overall risk of DVT and PE, including the presence of the Mirena.  Your surgeon may recommend certain anti-clotting therapy after surgery if your risk is higher than average.  In my practice, I would not require removal of an IUD prior to tummy tuck surgery.Best wishes,Dr. Kavali

Can I get a tummy tuck with Mirena?

Answers (3)

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