Failed Mirena fitting - gynae referal

[Winglessvulture]

Morning everyone.

My GP surgery has attempted to fit a Mirena coil twice in the last couple of weeks but unfortunately this hasn't been successful. It sounds like they just physically haven't been able to get past my cervix. I am now being referred to gynae to have it fitted, but wondered if anyone else has had this experience and if so what they were able to do differently at the hospital?

When I asked the Dr they just advised that they always manage to get it in and that they will have access to things like local anaesthetic injections, but this just makes me concerned that the device will be forced in which doesn't sound great! The fitting hasn't failed because I have been unable to tolerate the pain, but instead because they can't physically get it in, and I'm not sure how that will suddenly change.

I have endometriosis and really need some kind of hormonal contraceptive to control this. I was on the combined pill for years and got on with it really well, but have had a number of cervical errosions in the last 5 years which are likely linked, so the Mirena does feel like the sensible option, especially as the hormones will be localised rather than running through the whole system like they would with other options.

Any advice would be greatly appreciated.

I had a Mirena successfully fitted at hospital a few days ago.
I had a stenosed and atrophied cervix, hence my GP just referred to outpatients rather than attempt locally
Fitting was by a Senior Nurse Practitioner - who was very experienced, I guess doing these day in and day out, where a GP might do a small number per week?
The Nurse explained that they would do gentle stretching and I had 2 sachets of the local anaesthetic.
Infact she got up to walk away having completed the coil insertion before I had even realised.
Slight pain for 3 hrs, no more than toothache level, and then all fine

Thank you for sharing your experience. I am hoping that it will be the same for me and that someone who does it all the time will have a bit more luck.

I've had 2 put in at the hospital.. I've had some treatment on my cervix so it was difficult to insert. It was also retroverted and different to find the opening.
It was much easier there because they had the stirrups and access to local anaesthetics
I also fainted at the dr's and I think they were a bit worried...
All in all in and out...

Let the hospital gynae nurses / gynaecologists do it.

If your cervix is hard to open or you have physical differences in that area, they should maybe scan you first just to see the 'geography'. Also they could prescribe you something like diazepam to help relax the muscles?

I was nagged to have a cervical smear at my GPs despite I'm under hospital gynae for tons of stuff and will be having major surgery soon. But due to the level of nagging and phone calls, I just went along with it and did it. I've had hundreds of procedures / investigations and they don't usually hurt but the GP nurse somehow managed to cause me a lot of pain just doing a smear.

Thank you! That sounds similar to myself... I've had a couple of cervical errosions treated and also have a retroverted/retroflexed uterus which I don't think is helping at all. It is reassuring to hear that it has been able to be fitted successfully at the hospital.