Why might I have trouble getting pregnant after removing Mirena?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Most women can get pregnant within a year after Mirena removal, though timing varies. Fertility typically returns quickly since Mirena does not cause long-term infertility. However, age, ovulation patterns, underlying conditions like PCOS or endometriosis, and partner factors can all influence how quickly conception happens.

If you've had Mirena removed and are trying to conceive—or experiencing unusual symptoms afterward—understanding your body's signals is key. Irregular cycles, pelvic pain, or delayed ovulation could point to issues worth investigating early rather than waiting months for answers. A free, instant, online symptom check can help you identify possible causes based on your specific symptoms and guide your next steps, whether that's tracking ovulation, consulting your OB-GYN, or exploring fertility support.

Reviewed for medical accuracy: 07/15/2026

Important Next Steps

Learn if pregnancy trouble needs evaluation now Discover likely causes of your fertility delay See if conceiving after Mirena removal is normal Find OTC options for pregnancy-related symptoms Find a doctor for fertility concerns Understand safe home remedies after IUD removal Find out if infertility needs a symptom check

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Explanation

After removing Mirena, a type of IUD, it may take some time to get pregnant. According to the provided references, many women are able to conceive within a year after IUD removal.

Possible Reasons for Delays:

Time to Conception: Research shows that while many women conceive soon after IUD removal, it could take up to a year for some.
Health Factors: Other health issues, unrelated to the IUD, may affect fertility.
Past IUD Use: Although rare, some studies suggest that past IUD use could be linked with certain fertility issues, but this is not common.

What to Remember:

It is normal for conception to take some time.
If you're experiencing any unusual symptoms or have concerns about your fertility, try our free AI symptom checker to help identify potential issues and determine if you should consult with a healthcare provider for personalized insights.

These insights are based on the available medical literature and individual experiences may vary.

(References)

Randic L, Vlasic S, Matrljan I, & Waszak CS. (1985). Return to fertility after IUD removal for planned pregnancy. Contraception, 4085244.
Andolsek L, Teeter RA, Kozuh-Novak M, Wheeler R, Fortney JA, & Rosenberg MJ. (1986). Time to conception after IUD removal. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2880761.
Daling JR, Weiss NS, Metch BJ, Chow WH, Soderstrom RM, Moore DE, et al. (1985). Primary tubal infertility in relation to the use of an .... The New England journal of medicine, 3974683.

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