I’m a HCP and whilst I appreciate some people have clearly not had good experiences and hCP’s haven’t listened, I think that some of the myths on here are a bit odd.
And of course if a woman says she doesn’t want a mirena having listened to the information given, then that’s the end of the matter.
On the other hand, your GP or sexual healthy clinic Dr will have had a quick perusal if your notes. They will not have read every entry (unless very few) so may not see previous discussions you havr had (and especially so if with a previous GP in a different practice). Your GP may not even know why you are there before you sit down and tell them. So if they bring it up, that may be part of the reason.
GP’s do not get incentivised to fit mirena coils. They do get paid for this work, but they also get paid for providing contraceptive services. I doubt any GP would push it for their own financial gain- it’s not a significant amount and the money goes to the practice and not directly to the GP in any case. Drug reps can’t even give Dr’s so much as a pen or pad of paper these days, without us declaring it. Sometimes they might bring sandwiches to meetings..... but seriously, this is not the reason mirena is suggested.
Mirena is statistically more effective than oral hormonal contraception and barrier contraception. It is safe for many women who can’t use oestrogen based contraceptives for a multitude of reasons. It can be used by women who are not suitable for depo provera injections. It is useful for dysfunctional uterine bleeding in many women. It is also one way of providing the safest form of combined HRT (mirena plus oestrogen patch). Added to this it Is cost-effective. And like it or not, that is something that has to be a consideration given the current financial climate in the NHS.
I do recognise It’s not right for everyone though. And before anyone says it- yes, if you want it removed they should be able to do so in a reasonable timescale.
The trust I work for will not fund female sterilisation routinely (only if approved by medical exceptions board). So sometimes GP’s may be refusing to refer you as they know there is no point. You can argue all you like, but if it is not funded there is nothing your GP can do.The reason for this is the cost with a relatively high failure rate and that there are equally effective and more cost effective methods of contraception available. I’m again, not necessarily a stance I support but the financial climate makes it harder to push back against.