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I asked the gyno about this when I got mine inserted and she said the IUD’s effectiveness starts dropping once it reaches its “expiration” date. I didn’t ask further and she didn’t say it’s specifically harmful, but it definitely becomes less effective as birth control. She mentioned the removal is simple and can be done by a number of medical professionals (gyno, family doctor, nurse practitioner, etc.). So still something to address asap but I guess it depends on what you use it for and to what degree you depend on the IUD as contraception.
I have a Mirena and the original recommendation was 5 years but they recently changed it to 7, no change in formula. They just found it worked longer than they anticipated.
Yes, I saw it had been approved in Europe for 7 and trust EU regulations so left it in. I'm having it removed next week 7 tears and 2 months after I had it inserted. No problems, no babies.
I had Paraguard inserted in 2010. When I had it done, they told me 8 years. I brought it up with my doc last year, she said they now found out is effective longer, at least 10 years and even up to 12. I hate the insertion process, so would keep it as long as possible.