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The hormone in Mirena increases effectiveness. It thickens cervical mucus, which provides a barrier that prevents sperm from entering the uterus. It also prevents some women's ovaries from releasing eggs (ovulation).
IUDs also alter the lining of the uterus. In theory, this may prevent pregnancy by preventing the implantation of a fertilized egg ? but this has not been scientifically proven.
IUDs have a string attached that hangs down through the cervix into the vagina. A woman can make sure the IUD is in place by feeling for the string in her vagina. A clinician uses the string to remove the IUD...
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